Pleurodesis

[npk]

I would like to obtain some information about how to care patients with pleurodesis performed. It is difficult and rare to find in nursing textbooks. It is my pleasure to know the useful textbooks, journals or websites.

[Dyno]

Immediate post-op (after recovery): post-op obs, pain mgt (PCA, Paracetamol. Tramal), ICC obs/care (usually suction on), get up next morning if not night before to void, ICC usually in 24-48hrs, then PCA down, redress VAT & ICC sites daily, shower next morning (with assist/supervision), nausea issues, independant mobilisation once past effects of anaesthetic, home 2-4 days if no complications, often low-grade temp. immediately post-op (inflammatory reaction), follow-up CXR to check lung inflation. hope this helps

[canoehead, BSN, RN]

I don't know the answer to the question nor could I make heads or tails of the answer.

[debbyed]

Glad I'm not the only one lost:rolleyes:

Guess they do this stuff after the patient leaves the ER, Guess I've been in the ER way to long.

[Dyno]

Sorry guys, guess I forgot not everyone works in cardiothoracic!

A plerodesis is performed to create an inflammatory reaction between the lung pleura (visceral & parietal).

This then encourages the lung pleuras to 'stick' together helping the lung to stay inflated.

Patients present with recurring pneumothoraxes caused by a weakness in the visceral pleura (cyst or injury).

Procedure is usually performed by a VAT (video assisted thoracotomy or keyhole surgery to the lung)

ICC (intercostal catheter) or pleural drain connected to an underwater drainage system is often inserted.

Analgesic is usually via patient-controlled-analgesia (PCA) with morphine or fentanyl

Hope this helps, rest assured, I'd be lost in ER

[debbyed]

Thanks!!!

Your post made more sence to me than what I read about it.

[Dyno]

Glad I could help Debbye,

Remember KISS it (keep it simple stupid!!!)

[o2prn]

I read your post dyno and I thank God for nurses like your self who are real simple and to the point when explaining something that may not be easily understood by others. honestly when I read the first response to pleurodesis I along with the others had no idea what they were talking about, Thank you