Drainage of Large Pleural Effusions Increases Left Ventricular Preload

Objectives The aim of the study was to investigate if pleurocentesis in patients with pleural effusion would lead to changes in systolic and diastolic function of the left ventricle. Design The study was descriptive, and patients were their own controls. Setting The setting was a single-center unive...

Full description

Saved in:
Bibliographic Details
Published in:Journal of cardiothoracic and vascular anesthesia 2014-08, Vol.28 (4), p.885-889
Main Authors: Hermansen, Johan F., BSc(Med), Juhl-Olsen, Peter, MD, PhD, Frederiksen, Christian A., MD, Christiansen, Lærke K., BSc(Med), Hørlyck, Arne, MD, Sloth, Erik, MD, PhD
Format: Article
Language:English
Subjects:
Aged
Anesthesia & Perioperative Care
Critical Care
drainage
Drainage - methods
echocardiography
Echocardiography, Doppler
Female
Follow-Up Studies
Heart Ventricles - diagnostic imaging
Heart Ventricles - physiopathology
hemodynamics
Humans
left ventricular
Male
Pleural Effusion - diagnostic imaging
Pleural Effusion - physiopathology
Pleural Effusion - surgery
pleural effusions
pleurocentesis
preload
Stroke Volume
Ventricular Function, Left - physiology
Ventricular Pressure - physiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives The aim of the study was to investigate if pleurocentesis in patients with pleural effusion would lead to changes in systolic and diastolic function of the left ventricle. Design The study was descriptive, and patients were their own controls. Setting The setting was a single-center university hospital. Participants Patients with pleural effusion requiring pleurocentesis were eligible for inclusion. Interventions The participants who had pleurocentesis performed were available for analysis. Measurements and Main Results Prior to pleurocentesis and approximately 1 hour after, patients were examined primarily with transthoracic echocardiography. The examination included measurements of left ventricular volumes and measures of diastolic function assessed by Doppler echocardiography. Thirty-five patients were included, and 11 later were excluded, yielding a study population of 24. Preload, expressed as left ventricular end-diastolic volume, increased significantly from before to after pleurocentesis (p = 0.014). None of the diastolic parameters showed significant results. Significant changes were observed for heart rate, supplementary O2 , respiratory frequency, and saturation. Conclusions Pleurocentesis increased left ventricular preload and improved respiratory function.
ISSN:1053-0770
1532-8422
DOI:10.1053/j.jvca.2013.11.018