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Spirometric and Haemodynamic Changes after Therapeutic Thoracocentesis | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 8, Issue 1, 2011, Pages 79-84 | ||
| Authors | ||
| Falah A Deli; Haider Jabbar kadum; Hasan Saleh | ||
| Abstract | ||
| Objective: Pleural effusion is accumulation of plural fluid by different mechanisms. Thoracocentesis is associated with subjective improvement in many patients. The results of spirometric and haemodynamic changes after this procedure are controversial.We aimed to study the effect of therapeutic thoracocentesis on patients with pleural effusion by assessment of spirometric values and haemodynamic changes (blood pressure assessment). Materials and methods: This is a prospective study done in the medical ward, at Al Sader teaching hospital from 1 st march to the end of September 2008. Pleural effusions were documented clinically and by CXR. Pulmonary function was performed with a computed Spirometric analyzer. Spirometric measurements for forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), forced expiratory volume in the first second percent (FEV1)%, and peak expiratory flow rate (PEF) were performed according to the American Thoracic Society criteria and blood pressure measurements were also done. The lung function test (spirometric assessment) and blood pressure measurement were repeated 24 hours after thoracocentesis. The data were analyzed by using the SPSS Version l0, X 2 (Chi square) and a (p-value of <0.05) was regarded as statistically significant. Results: The study population consisted of 20 patients 10(50%) male and 10(50%) female with a mean age of 59.25 years , average weight 58.15 Kg, average height 154.85cm and average of pleural aspirate 1367.5cc, Pulmonary function (spirometer) before thoracocentesis ( FVC/1.47,FEV1/1. 21, FEV1%84.92,PEF2.52)and pulmonary function (spirometer) post-thoracocentesis (FVC/1.841,FEV1 1.503 ,FEV1%82.845,PEF2.9) Conclusion: Statistically significant improvement in spirometric values following thoracocentesis was observed in patients with pleural effusion while no changes in blood pressure measurements | ||
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