Archives of Disease in Childhood 2008;93:173-174
Archimedes
Question?
WHAT IS THE BEST TREATMENT FOR EMPYEMA?
Bristol Royal Hospital for Children, Bristol, UK; orlenakerek@yahoo.com
Bristol Royal Hospital for Children, Bristol, UK
University of Bristol, Bristol, UK
| The first 150 words of the full text of this article appear below. |
A 7-year-old child with a history of cough and fever for 1 week, has bronchial breathing over her left lower zone on auscultation. A diagnosis of lobar pneumonia is made, confirmed on plain chest x ray, and she is treated with appropriate intravenous antibiotics. However, she continues to have a spiking fever and develops signs of a left sided pleural effusion. Repeat chest x ray shows a "white out" of the left chest with no mediastinal shift. She is referred to the regional thoracic centre for consideration of thoracotomy and drainage of a left sided parapneumonic effusion. Should she be referred to the surgeons and if so, what should they do?
In children with an empyema [patient] should video assisted thoracoscopy (VATs) [intervention] or percutaneous chest drain with fibrinolytic therapy [intervention] be used to resolve symptoms [outcome]?
Secondary sources Cochrane: no relevant results.
Primary sources
Searched Medline and Pubmed, 1966 to present (search
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
-
All Versions of this Article:
adc.2007.127373v1
93/2/173-a most recent - Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in ADC Online
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
-
Drugs: infectious diseases
-
Clinical diagnostic tests
-
Radiology (diagnostics)
-
Radiology
-
Drugs: cardiovascular system
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
