Empyema Guidelines

EMPYEMA GUIDELINES Dr.PREETHAM KUMAR REDDY CONSULTANT PEDIATRICIAN & INTENSIVIST RAINBOW CHILDREN’S HOSPITAL

Empyema ,[object Object],[object Object],[object Object]

Thoracic Empyema-- Stage 1 ,[object Object],[object Object],[object Object],[object Object]

Uncomplicated Effusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thoracic Empyema-- Stage 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thoracic Empyema-- Stage 3 ,[object Object],[object Object],[object Object],[object Object]

Etiology ,[object Object],[object Object]

US prevalence ,[object Object],[object Object],[object Object],[object Object],[object Object]

265 children with empyema admitted to the PGIMER, 1989–98 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic Evaluation ,[object Object],[object Object],[object Object],[object Object]

USG ,[object Object],[object Object],[object Object]

CT scan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Is CT Scan necessary ,[object Object],[object Object],[object Object],[object Object],[object Object]

Goal of treatment ,[object Object],[object Object],[object Object]

Stage 1/exudative stage ,[object Object],[object Object],[object Object],[object Object],[object Object]

Empirical antibiotics ,[object Object],[object Object]

Antibiotics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Drainage Options ,[object Object],[object Object],[object Object],[object Object],[object Object]

Empyema drainage ,[object Object],[object Object],[object Object]

Who what where ,[object Object],[object Object],[object Object]

Safe triangle for insertion of chest drains

Stage 2/fibronopurulent stage ,[object Object],[object Object],[object Object],[object Object],[object Object]

Fibrinolytics ,[object Object],[object Object],[object Object]

Stage 3/organizing stage Fibrinous peel, lung entrapment ,[object Object],[object Object],[object Object],[object Object]

Indications for Surgical Treatment ,[object Object],[object Object],[object Object]

Systematic Review of Optimal Treatment (Gates et al, 2004) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Empyema Guidelines

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Empyema Guidelines