Critical Care Time 28. Pleural Disease Part 2: Effusions and more with Dr. Michal Sobieszczyk
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Jul 1, 2024 Dr. Michal Sobieszczyk, an interventionalist specializing in pleural disease, joins the hosts to discuss hepatic hydrothorax, pleural catheters, and parapneumonic effusion. Topics include the complexities of managing pleural effusions, advances in treatment options, challenges in research studies, and the importance of collaboration in patient care.
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Light's Criteria And PFO3 Explained
- Light's criteria classify pleural fluid as transudate or exudate using pleural and serum protein and LDH ratios.
- PFO3 is an alternative using pleural-only tests when serum labs are unavailable.
Always Collect Basic Pleural Fluid Tests
- Always send pleural fluid for Gram stain, culture, and cell count when sampling the pleural space.
- These basic tests are essential to avoid incomplete workups and delayed diagnosis.
Don't Let Light's Criteria Be Dogma
- Not every effusion follows textbook patterns; interpret Light's criteria in clinical context.
- Consider albumin gradient or clinical suspicion when results conflict with presentation.