title: Indwelling Pleural Catheters: A Clinical Option in Trapped Lung.
abstract: Malignant pleural effusion (MPE) symptoms have a real impact on quality of life. Surgical approach through video-assisted thoracic surgery provides a first step in palliation. In patients unfit for general anesthesia, awake pleuroscopy represents an alternative. Sclerosing agents can be administered at the bedside through a chest tube. Ideal treatment of MPE should include adequate long-term symptom relief, minimize hospitalization, and reduce adverse effects. Indwelling pleural catheter (IPC) allows outpatient management of MPE through periodic ambulatory fluid drainage. IPC offers advantages over pleurodesis in patients with poor functional status who cannot tolerate pleurodesis or in patients with trapped lungs.
authors.affiliation: Thoracic Surgery Unit, Sacro Cuore Don Calabria Research Hospital - Cancer Care Center, Via Don Angelo Sempreboni 5, Negrar, Verona 37024, Italy. Electronic address: luca.bertolaccini@gmail.com.
authors.forename: Luca
authors.initials: L
authors.lastname: Bertolaccini
authors.affiliation: Thoracic Surgery Unit, Sacro Cuore Don Calabria Research Hospital - Cancer Care Center, Via Don Angelo Sempreboni 5, Negrar, Verona 37024, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Viti
authors.affiliation: Thoracic Endoscopy Unit, Sacro Cuore Don Calabria Research Hospital - Cancer Care Center, Via Don Angelo Sempreboni 5, Negrar, Verona 37024, Italy.
authors.forename: Simona
authors.initials: S
authors.lastname: Paiano
authors.affiliation: Thoracic Endoscopy Unit, Sacro Cuore Don Calabria Research Hospital - Cancer Care Center, Via Don Angelo Sempreboni 5, Negrar, Verona 37024, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Pomari
authors.affiliation: Thoracic Endoscopy Unit, Sacro Cuore Don Calabria Research Hospital - Cancer Care Center, Via Don Angelo Sempreboni 5, Negrar, Verona 37024, Italy.
authors.forename: Luca Rosario
authors.initials: LR
authors.lastname: Assante
authors.affiliation: Thoracic Surgery Unit, Sacro Cuore Don Calabria Research Hospital - Cancer Care Center, Via Don Angelo Sempreboni 5, Negrar, Verona 37024, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Terzi
mesh_terms: D002408:Catheters, Indwelling; D015505:Chest Tubes; D004322:Drainage / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications; D016066:Pleural Effusion, Malignant / Q000209:etiology / Q000601:surgery*; D018700:Pleurodesis; D011788:Quality of Life; D020775:Thoracic Surgery, Video-Assisted
keywords: Indwelling pleural catheter; Lung cancer; Malignant pleural effusion; Palliative treatments