Multimodal treatment for acute empyema based on the patient’s condition, including patients who are bedridden: A single center retrospective study

• DOI: 10.29390/cjrt-2021-032
• Publication Date: 2021-10-20T13:55:56Z
• Authors: Tomoki Nishida; Yuto Igarashi; Yuma Suno; Takaaki Murata; Katsunori Miyake; Naoko Isogai; Rai Shimoyama; Jun Kawachi; Hiroyuki Kashiwagi; Toshitaka Tsukiyama; Ryuta Fukai
• Keywords: Pleural cavity; Fibrinolytic therapy

The incidence of acute empyema has increased in various countries; some elderly patients with have contraindications for surgery under general anesthesia. Therefore, suitable management based on a patient's clinical condition is required.We evaluated the different surgical and nonsurgical therapeutic approaches available empyema. This was retrospective study 57 who received treatment our department between May 2015 February 2019. For did not initially improve drainage or combined fibrinolytic therapy, surgery, additional percutaneous performed their condition. We compared several factors pertaining to underwent versus treatment.Our showed that performance status 0-2 an American Society Anesthesiologists physical classification class II lower safely without major operative complications. combination repeated pleural cavity therapy appeared be reasonable option poor overall condition.For aging population, we think procedures strategy