Pleural Empyema Treatment Explained by a Thoracic Surgeon | Delhi, India

Pleural Empyema: The infection That Fills Your Chest With Pus

Empyema is an infection in which pus develops in your pleural space.
Pus is a thick, discolored (white, yellow, pink or green) fluid that your body creates to help fight infection. It consists of white blood cells, dead tissue and bacteria.
Your pleural space is a hollow area (cavity) between your lungs and underneath your chest wall.

Without proper treatment, empyema can get worse and may be fatal. If you have symptoms of empyema, call a healthcare provider right away.
Other names for empyema include pyothorax and purulent pleuritis.

Yes, there’s a cure for empyema. Treatment includes removing pus from your pleural space and treating the infection, usually with antibiotics.

A provider will remove pus through thoracentesis in the early stages of empyema. They’ll use a thin needle to inject a local anesthetic into your skin and deeper tissue. They’ll then attach a larger needle/catheter device to withdraw the pus and drainage tubing to allow the pus to flow outside your body. If drainage isn’t enough, a provider may try to break up the pus through fibrinolytic therapy.

In the later stages of empyema, a provider may need to perform a more invasive procedure, such as surgically removing fibrous tissue (decortication), a thoracotomy or a video-assisted thoracic surgery (VATS) Decortication.

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Video Chapters:
00:00 Introduction to Pleural Empyema
00:19 What is Pleural Empyema
00:54 Causes of Pleural Empyema
01:33 Symptoms of Pleural Empyema
02:12 Diagnosis of Pleural Empyema
03:40 Treatment of Pleural Empyema
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