FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1981651978> ?p ?o ?g. }

• W1981651978 endingPage "200" @default.
• W1981651978 startingPage "196" @default.
• W1981651978 abstract "Pneumonia with complicated parapneumonic effusion and empyema is increasing in incidence and continues to be a source of morbidity in children seen in our institution. Current diagnostic modalities include chest radiographs and CT scanning with ultrasound being helpful in some situations. Exact management of empyema remains controversial. Although open thoractomy drainage is well accepted in children, video-assisted thoracoscopic surgery (VATS) drainage has become more prevalent in the current era. Over the last 4 years, we have treated 58 children with intrapleural placement of pigtail catheters and administration fibrinolytics consisting of tissue plasminogen activator (tPA). Successful drainage and resolution of 54 of the 58 effusions was achieved with percutaneous methods alone. There was no mortality or 30-day recurrence. Mean hospital stay was 9.1 days (range 5 to 21) and mean chest catheter removal was 6 days post placement (range 1.5 to 20). Of the four patients that failed percutaneous tube therapy, 3 underwent video assisted thoracic surgery (VATS), and one had open thoracotomy with decortication. Based on our experience, tPA administered through a small bore chest tube for drainage of complicated parapneumonic effusions has become our standard practice. We reserve VATS for treatment failures and open thoracotomy and decortication for patients with VATS failure. Pneumonia with complicated parapneumonic effusion and empyema is increasing in incidence and continues to be a source of morbidity in children seen in our institution. Current diagnostic modalities include chest radiographs and CT scanning with ultrasound being helpful in some situations. Exact management of empyema remains controversial. Although open thoractomy drainage is well accepted in children, video-assisted thoracoscopic surgery (VATS) drainage has become more prevalent in the current era. Over the last 4 years, we have treated 58 children with intrapleural placement of pigtail catheters and administration fibrinolytics consisting of tissue plasminogen activator (tPA). Successful drainage and resolution of 54 of the 58 effusions was achieved with percutaneous methods alone. There was no mortality or 30-day recurrence. Mean hospital stay was 9.1 days (range 5 to 21) and mean chest catheter removal was 6 days post placement (range 1.5 to 20). Of the four patients that failed percutaneous tube therapy, 3 underwent video assisted thoracic surgery (VATS), and one had open thoracotomy with decortication. Based on our experience, tPA administered through a small bore chest tube for drainage of complicated parapneumonic effusions has become our standard practice. We reserve VATS for treatment failures and open thoracotomy and decortication for patients with VATS failure." @default.
• W1981651978 created "2016-06-24" @default.
• W1981651978 creator A5025841152 @default.
• W1981651978 creator A5026868226 @default.
• W1981651978 creator A5066577815 @default.
• W1981651978 creator A5074803566 @default.
• W1981651978 date "2004-09-01" @default.
• W1981651978 modified "2023-10-06" @default.
• W1981651978 title "Current treatment of pediatric empyema" @default.
• W1981651978 cites W1887449191 @default.
• W1981651978 cites W1972440498 @default.
• W1981651978 cites W1983857021 @default.
• W1981651978 cites W1985253543 @default.
• W1981651978 cites W2031180865 @default.
• W1981651978 cites W2031229131 @default.
• W1981651978 cites W2035066926 @default.
• W1981651978 cites W2038695913 @default.
• W1981651978 cites W2047482440 @default.
• W1981651978 cites W2051184747 @default.
• W1981651978 cites W2053518847 @default.
• W1981651978 cites W2060915390 @default.
• W1981651978 cites W2073774699 @default.
• W1981651978 cites W2129956285 @default.
• W1981651978 cites W2138756888 @default.
• W1981651978 cites W2138942854 @default.
• W1981651978 cites W2148820318 @default.
• W1981651978 cites W2161739935 @default.
• W1981651978 cites W2163519341 @default.
• W1981651978 cites W43764912 @default.
• W1981651978 doi "https://doi.org/10.1053/j.semtcvs.2004.08.004" @default.
• W1981651978 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/15619185" @default.
• W1981651978 hasPublicationYear "2004" @default.
• W1981651978 type Work @default.
• W1981651978 sameAs 1981651978 @default.
• W1981651978 citedByCount "46" @default.
• W1981651978 countsByYear W19816519782012 @default.
• W1981651978 countsByYear W19816519782013 @default.
• W1981651978 countsByYear W19816519782014 @default.
• W1981651978 countsByYear W19816519782015 @default.
• W1981651978 countsByYear W19816519782016 @default.
• W1981651978 countsByYear W19816519782017 @default.
• W1981651978 countsByYear W19816519782018 @default.
• W1981651978 countsByYear W19816519782019 @default.
• W1981651978 countsByYear W19816519782022 @default.
• W1981651978 crossrefType "journal-article" @default.
• W1981651978 hasAuthorship W1981651978A5025841152 @default.
• W1981651978 hasAuthorship W1981651978A5026868226 @default.
• W1981651978 hasAuthorship W1981651978A5066577815 @default.
• W1981651978 hasAuthorship W1981651978A5074803566 @default.
• W1981651978 hasConcept C126322002 @default.
• W1981651978 hasConcept C141071460 @default.
• W1981651978 hasConcept C2777000465 @default.
• W1981651978 hasConcept C2777063151 @default.
• W1981651978 hasConcept C2777799383 @default.
• W1981651978 hasConcept C2777914695 @default.
• W1981651978 hasConcept C2778211507 @default.
• W1981651978 hasConcept C2778329176 @default.
• W1981651978 hasConcept C2778847313 @default.
• W1981651978 hasConcept C2779056968 @default.
• W1981651978 hasConcept C2779634585 @default.
• W1981651978 hasConcept C2779688492 @default.
• W1981651978 hasConcept C2779806549 @default.
• W1981651978 hasConcept C2780813298 @default.
• W1981651978 hasConcept C2993292583 @default.
• W1981651978 hasConcept C71924100 @default.
• W1981651978 hasConcept C81182388 @default.
• W1981651978 hasConceptScore W1981651978C126322002 @default.
• W1981651978 hasConceptScore W1981651978C141071460 @default.
• W1981651978 hasConceptScore W1981651978C2777000465 @default.
• W1981651978 hasConceptScore W1981651978C2777063151 @default.
• W1981651978 hasConceptScore W1981651978C2777799383 @default.
• W1981651978 hasConceptScore W1981651978C2777914695 @default.
• W1981651978 hasConceptScore W1981651978C2778211507 @default.
• W1981651978 hasConceptScore W1981651978C2778329176 @default.
• W1981651978 hasConceptScore W1981651978C2778847313 @default.
• W1981651978 hasConceptScore W1981651978C2779056968 @default.
• W1981651978 hasConceptScore W1981651978C2779634585 @default.
• W1981651978 hasConceptScore W1981651978C2779688492 @default.
• W1981651978 hasConceptScore W1981651978C2779806549 @default.
• W1981651978 hasConceptScore W1981651978C2780813298 @default.
• W1981651978 hasConceptScore W1981651978C2993292583 @default.
• W1981651978 hasConceptScore W1981651978C71924100 @default.
• W1981651978 hasConceptScore W1981651978C81182388 @default.
• W1981651978 hasIssue "3" @default.
• W1981651978 hasLocation W19816519781 @default.
• W1981651978 hasLocation W19816519782 @default.
• W1981651978 hasOpenAccess W1981651978 @default.
• W1981651978 hasPrimaryLocation W19816519781 @default.
• W1981651978 hasRelatedWork W1979591612 @default.
• W1981651978 hasRelatedWork W2015793485 @default.
• W1981651978 hasRelatedWork W2130500529 @default.
• W1981651978 hasRelatedWork W2199487677 @default.
• W1981651978 hasRelatedWork W2322398500 @default.
• W1981651978 hasRelatedWork W2415711094 @default.
• W1981651978 hasRelatedWork W2794722472 @default.
• W1981651978 hasRelatedWork W2951070561 @default.
• W1981651978 hasRelatedWork W3130561998 @default.
• W1981651978 hasRelatedWork W4229063055 @default.

• next