A Case of Acute Respirtory Distress Syndrome(ARDS) after Talc Pleurodesis.
10.4046/trd.2001.51.3.265
- Author:
Ki Up KIM
;
Kun Young CHA
;
Sang Hoon HAN
;
Yeo Il YUN
;
Sung Woo PARK
;
Do Jin KIM
;
Mun Jun NA
;
Soo Taek UH
;
Yong Hoon KIM
;
Choon Sik PARK
- Publication Type:Case Report
- Keywords:
Talc;
Pleurodesis;
Acute respiratory distress syndrome
- MeSH:
Anoxia;
Blood Gas Analysis;
Fever;
Humans;
Lung;
Lung Neoplasms;
Pleural Effusion;
Pleural Effusion, Malignant;
Pleurodesis*;
Pneumothorax;
Respiration, Artificial;
Respiratory Distress Syndrome, Adult;
Talc*;
Thorax
- From:Tuberculosis and Respiratory Diseases
2001;51(3):265-269
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Presently talc is one of the agents most commonly used for producing a pleurodesis in patients with either a recurrent pleural effusion or a spontaneous pneumothorax. Talc can be instilled into the pleural space either as an aerosol (insufflation) or as a suspension (slurry) in saline. They are quite effective in producing a pleurodesis. However, they rarely have acute serious adverse effects including acute respiratory distress syndrome, and recently a discussion for using pleurodesis has been reported. We experienced a case of acute respiratory distressed syndrome after talc pleurodesis. A 64 year old man, who was diagnosed lung cancer with a malignant pleural effusion at the same side, was treated by pleurodesis using talc to control the effusion. After 3 days, he suffered fever, chill and breathlessness. The chest PA and CT revealed a bilateral infiltration in both lungs and the blood gas analysis confirmed hypoxemia, which required mechanical ventilation.
