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Pleural Cavity

The pleural cavity is the potential space between the parietal and visceral pleura, which line the thoracic wall and lung surfaces, respectively.
This space normally contains a small amount of pleural fluid that acts as a lubricant, allowing the lungs to move smoothly during respiration.
Disorders affecting the pleural cavity, such as pleural effusions, pneumothorax, and pleural thickening, can have significant clinical implications and impact respiratory function.
Optimizing research protocols for investigating pleural cavity pathologies is crucial for advancing our understanding and management of these conditions.

Most cited protocols related to «Pleural Cavity»

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Publication 2011
Acclimatization Animals Animals, Laboratory Anti-Infective Agents, Local Aorta Cefazolin Chest Chest Tubes Coarctation, Aortic Homo sapiens Intubation, Intratracheal Isoflurane Ketamine Ligature Males Muscle Tissue New Zealand Rabbits Operative Surgical Procedures Oryctolagus cuniculus Patients physiology Pleural Cavity Pneumothorax Rabbits Silk Stainless Steel Sterility, Reproductive Sternum Suction Drainage Sutures Syringes Thoracic Aorta Thoracotomy Tissues Vicryl Xylazine

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Publication 2012
Cells Chest Chlorhexidine Cytological Techniques Diagnosis Drainage Echocardiography Edema Ethics Committees, Research Flow Cytometry Glucose Head Inpatient Lactate Dehydrogenase Light Lung Lymphoma Malignant Neoplasms Operative Surgical Procedures Outpatients Paracentesis Patients Pleura Pleural Cavity Pleural Effusion Pneumothorax Proteins Radiography, Thoracic Radiologist Respiratory Diaphragm Skin Sterility, Reproductive Therapeutics Thoracentesis Ultrasonics Wall, Chest X-Rays, Diagnostic
One hundred and thirty male (6–8 weeks old) C57BL/6 mice (obtained from Laboratory Animal Center of Faculty of Medicine of University of São Paulo) were acclimatized for 1 week. All animal care and experimental procedures were approved by the University Ethics Committee (CEUA/CAPPesq).
Animals were anesthetized using 35 mg/kg of ketamine hydrochloride (Cristalia, Brazil) and 5 mg/kg of xylazine hydrochloride (Bayer, Brazil) prior to all procedures. The right chest was cleansed with an alcohol solution (Rioquimica, Sao Paulo, Brazil). The intrapleural injection was performed using a 23-gauge needle attached to a 1-mL syringe containing the solution of cells which was introduced into the chest cavity at 1 cm lateral to the right parasternal line. The plunger of the syringe was removed and the needle was slowly advanced until it reached the pleural space, where the sub-atmospheric intrapleural pressure allowed the fluid to enter the pleural cavity spontaneously. The mice were monitored after the procedure until they were completely recovered.
Three groups of 40 mice each received concentrations of LLC at 0.1, 0.5 or 1.5 × 105 cells intrapleurally. These animals were subdivided into two groups; the first (30 animals per concentration of cells) were euthanized after 7, 14 or 21 days and the second group (10 animals per concentration of cells) were evaluated for survival expectancy. A control group of 10 animals received saline solution intrapleurally.
Mice were killed according to the study calendar; the abdominal wall was opened and the viscera were retracted to visualize the diaphragm. Pleural fluid (PF), when present, was gently aspirated and the volume was measured and placed in tubes for evaluation.
Publication 2015
Animals Animals, Laboratory Atmospheric Pressure Cells Chest Ethanol Ethics Committees Faculty Ketamine Hydrochloride Males Mice, Inbred C57BL Mus Needles Pleura Pleural Cavity Saline Solution Syringes Thoracic Cavity Vaginal Diaphragm Viscera Wall, Abdominal Xylazine Hydrochloride
Participants perform chest drain insertion on an accordingly prepared porcine model during the second training session. Performance is videotaped and rated by two different raters on-site using the modified OSATS tool for chest drain insertion (Table 1). The raters are blinded to the training status of the participants. An additional video-based evaluation is performed by a blinded rater according to the same scoring tool. The modified OSATS for chest drain insertion was evaluated in a pilot study and showed good construct validity for distinction between experience levels. Unblinding of raters or employees involved in data analysis and interpretation is not intended. To prevent selection bias, baseline characteristics including age, year of studies, previous experience, gender and hobbies will be compared. Baseline testing on a porcine model is not performed as the hypothesis is that the proposed curriculum, consisting of multimedia training material only, will directly improve performance. The aim of the training curriculum and study is to prepare novices for their first performance of chest drain placement. Baseline testing on a real model could disguise the effect of the training curriculum.

Objective structured assessment of the technical skills score for chest tube insertion

Correct identification of incision location1PoorThe chosen dissection plane deviates tremendously from the suggested site23SufficientThe chosen dissection plane deviates slightly from the suggested site45Excellent4th/5th intercostal space; mid/anterior axillary line
Correct plane of dissection subcutaneously1PoorBoth distance or execution of tunneling lack accuracy23SufficientEither distance or execution of tunneling lack accuracy45ExcellentBoth distance and execution of tunneling are accurate
Blunt dissection on top side of rib1PoorFlawed dissection; not carried out on top side of rib23SufficientSolid dissection carried out with minor errors45ExcellentConfident cut through the subcutaneous layers and intercostal muscles
Scissors/clamp guarded with other hand during dissection and pulled out without closing the instrument1PoorHazardous handling that might affect the patient23SufficientImprovable handling45ExcellentConfident handling of the used instruments
Digital exploration of pleural cavity on chest wall to rule out adhesions1PoorNo digital exploration23SufficientFinger inserted in pleural cavity45ExcellentDigital exploration in 360° with turning of the wrist rules out adhesions
Drain guarded with hand while being inserted1PoorHazardous handling that might affect the patient23SufficientImprovable handling45ExcellentConfident handling of the used instruments
Drain inserted into pleural cavity1PoorTube advancement is carried out poorly23SufficientTube advancement is carried out with minor errors45ExcellentForceps unclamped in time and tube manually advanced.
Estimate made of drain length1PoorEstimate deviates tremendously from rater’s opinion23SufficientEstimate deviates slightly from rater’s opinion45ExcellentOptimal estimate stated
Economy of time and motion1PoorMany unnecessary/disorganized movements23SufficientOrganized time/motion, some unnecessary movement45ExcellentMaximum economy of movement and efficiency
Amount of help/assistance needed from tutor1PoorTask could not be carried out without extensive assistance23SufficientTrainee only raises important questions in order to maximize performance45ExcellentAlmost no assistance needed; task is carried out confidently
Publication 2017
Axilla Chest Tubes Dissection Fingers Gender Movement Pigs Pleura Pleural Cavity Wall, Chest Wrist Joint
Each animal was sedated, anesthetized, and intubated at the animal research laboratory. The anesthesia was maintained with a continuous infusion of fentanyl and propofol. A transport respirator (Oxylog 3000, Dräger Medical, Lübeck, Germany) was used and adjusted to a tidal volume of 11 to 15 mL/kg, a respiratory rate of 10 to 12 breaths/min, a positive end expiratory pressure of 2 to 4 cm H2O, and an inspiratory oxygen fraction of 30%, to keep the end-tidal carbon dioxide level within the normal range (4 to 6.5 KPa). All animals were monitored with electrocardiogram, core temperature, invasive arterial blood pressure, oxygen saturation, and end-tidal carbon dioxide level. The hair on the animals’ chests was removed using an electrical shaver, and a 10-cm three-way stopcock catheter (BD Connecta, BD Medical, Franklin Lakes, NJ) was inserted into the pleural space through a small thoracotomy at the crossing of the fifth to seventh intercostals and anterior axillary line (Figure 1). This catheter was chosen because it was invisible on the CXRs. The surgical incision was closed by subcutaneous and cutaneous stitches. The PTX in each pig was created by 10 consecutive insufflations of air over 1 minute using a 50-mL syringe (Omnifix, B. Braun Medical, Melsungen, Germany) connected to the catheter. The three-way stopcock catheter was closed after each injection so no air escaped and the syringe refilled with air. At the radiology department, the animals were fixed in the supine position on a CT table. At the conclusion of data collection, each animal was euthanized with an injection of phenobarbital.
Publication 2012
Anesthesia Animals Animals, Laboratory Axilla Carbon dioxide Catheters Chest Electricity Electrocardiography Fentanyl Hair Inhalation Insufflation Mechanical Ventilator Oxygen Oxygen Saturation Phenobarbital Pleural Cavity Positive End-Expiratory Pressure Propofol Respiratory Rate Skin Surgical Wound Syringes Thoracotomy Tidal Volume X-Rays, Diagnostic

Most recents protocols related to «Pleural Cavity»

The AI-Rad solely analyzes the posterior-anterior (p.a.) view of chest X-ray images and creates secondary capture DICOM objects reporting on the results of the analysis. Each finding is marked on a copy of the analyzed X-ray image and listed in a table. Additionally, the AI-Rad provides a “confidence score” (CS) on a scale of 1 (low) to 10 (high) for each finding, which expresses the algorithm´s certainty for the presence of that particular finding. The manufacturer has preset the AI-Rad only to report findings with a CS ≥ 6, whilst findings with a CS ≤ 5 are not displayed.
The AI-Rad (version VA23A) is designed to detect five specific radiographic findings: Pulmonary lesions, consolidation, atelectasis, pneumothorax and pleural effusion. Pulmonary lesions, as defined by the AI-Rad, include lung nodules (rounded or oval opacities < 3 cm in diameter) and lung masses (pulmonary, pleural or mediastinal lesions > 3 cm in diameter). To detect pneumothoraces, the AI-Rad screens for radiographic signs suggestive of air in the pleural space. Likewise, the AI-Rad screens for radiographic signs suggestive of fluid in the pleural space for the detection of pleural effusions. Atelectasis are defined as increased opacities accompanied by volume loss, which, in turn, can be an abnormal displacement of fissures, bronchi, vessels, the diaphragm, or the mediastinum. The AI-Rad defines consolidations as increased parenchymal attenuation. This definition includes homogeneous increases of parenchymal attenuation (consolidation) that obscures pulmonary vessels and bronchi as well as hazy increases of parenchymal attenuation (ground glass opacity) that do not obscure pulmonary vessels and bronchi.
Publication 2023
A-A-1 antibiotic Atelectasis Blood Vessel Bronchi Chest Lung Mediastinum Pleura, Visceral Pleural Cavity Pleural Effusion Pneumothorax Respiratory Diaphragm X-Rays, Diagnostic
Pneumonia was diagnosed with chest radiography, and interpretation was accepted as written in the medical charts of patients, reporting either lobar pneumonia or bronchopneumonia, and empyema with or without pneumothorax. These reports are aligned to the WHO Standard for reporting chest radiographs in which there is presence of a dense or fluffy opacity that occupies a portion or whole of a lobe or of the entire lung, presence of fluid in the lateral pleural space between the lung and chest wall, or both.10 ,11 (link)The endpoints were number of pneumonia hospitalizations and deaths among children 3–24-month-old. The proportion of pneumonia hospitalizations was calculated before and after vaccination periods. The case-fatality rates were calculated from the deaths among the pneumonia admissions.
Publication 2023
Bronchopneumonia Child Empyema Hospitalization Lobar Pneumonia Lung Patients Pleural Cavity Pneumonia Pneumothorax Radiography, Thoracic Vaccination Wall, Chest
The study protocol and amendments were approved by the Memorial Sloan Kettering Cancer Center Institutional Review Board (IRB# 12-169, NCT01766739). All patients provided written informed consent to participate in the study, and all response and toxicity outcomes were documented. Patients were enrolled in groups of three and individually assessed for safety and dose-limiting toxicity. Inclusion and exclusion criteria are listed in the protocol (Supplementary Material). Patients were treated following the diagnosis of histologically or cytologically documented MPEs (due to primary non-small-cell lung carcinoma, MPM, and other histologies) and had free pleural space (partial or total) that permitted intrapleural drug instillation.
Publication 2023
Diagnosis Instillation, Drug Malignant Neoplasms Non-Small Cell Lung Carcinoma Patients Pleural Cavity Safety
Eligible patients were admitted into the hospital for treatment on protocol. The pleural effusion was drained via insertion of a chest tube or pleural catheter (PleurX™ Catheter, Becton, Dickinson and Company, Franklin Lakes, NJ). A chest CT scan was performed to document drainage of the effusion and to assess the extent of pleural disease. Within 72 hours of the CT scan, the virus was instilled as a bolus into the pleural space via the chest tube or pleural catheter. Up to 150 ml of additional saline was used to flush the chest tube or pleural catheter to ensure that all the treatment drug was instilled into the pleural space. The chest tube or pleural catheter was left clamped for 4 hours (+/- 1 hour), after which it was reopened and placed to drainage in order to drain the pleural space. As dictated by the patient’s clinical status, the chest tube was either left inserted or removed until the surgical procedure (video-assisted thoracoscopic surgery, VATS) was performed 2-7 days after treatment to collect MPE and obtain pleural biopsy.
Publication 2023
Aftercare Biopsy Catheters Chest Chest Tubes Drainage Flushing Operative Surgical Procedures Patients Pharmaceutical Preparations Pleura Pleural Cavity Pleural Diseases Pleural Effusion Saline Solution Thoracic Surgery, Video-Assisted Treatment Protocols Virus X-Ray Computed Tomography
BM and spleen were processed as previously described (Rothaeusler and Baumgarth, 2006 (link)). All buffers used for staining were azide free. Briefly, BM was harvested by injecting staining media through the marrow cavity of a long bone, and a single-cell suspension was made by pipette agitation and filtering through a 70-μm nylon mesh. A single-cell suspension of the spleen was made by grinding the tissue between the frosted ends of two microscope slides and filtered through a 70-μm nylon mesh. All samples were then treated with ACK lysis buffer (Rothaeusler and Baumgarth, 2006 (link)), refiltered through nylon mesh, and suspended in staining media. Peritoneal/pleural cavity cells were obtained using staining media flushed into and then aspirated from the peritoneal and pleural cavities with a glass pipette and bulb or a plastic pipette (Molecular Bio Products, Inc.). Trypan Blue exclusion dye was performed on all samples to identify live cells using a hemocytometer or an automated cell counter (Nexcelom Bioscience). Cells were blocked with anti-FcR (2.4.G2), washed, and stained with fluorescent antibodies (Table S2).
PtC-containing liposomes were generously provided by Aaron Kantor (Stanford University, Stanford, CA, USA). Dead cells were identified using Live/Dead Fixable Aqua or Live/Dead Fixable Violet stain (Invitrogen). Fluorescently labeled cells were read on either a four-laser, 22-parameter LSR Fortessa (BD Bioscience), or a five-laser, 30-parameter Symphony (BD Bioscience). FACS-sorting was done using a three-laser FACSAria (BD Bioscience) equipped with a 100-μm nozzle at low pressure to avoid PC death. Data were analyzed using FlowJo software (FlowJo LLC, kind gift of Adam Treister, Gladstone Institute, San Francisco, CA). Peritoneal B-1 cells are identified as Dump (CD4, CD8a, Nk1.1, F4/80, Gr-1), CD23, and CD19hi. Splenic CD4+ T cells were identified as Dump (CD19, CD8a, NK1.1, F4/80, Gr-1, TCRγδ, CD138), CD3+, and CD4+. BM and spleen B-1 cells are identified as Dump, CD23 C43+, IgD, IgM+, and CD19hi; and B-1PC are identified as Dump, CD23 C43+, IgD, IgM+, CD19lo/− and Blimp-1; and/or CD138+. FACSAria-sorted cells for adoptive transfer had a purity of >98% for peritoneal B-1 cells and peritoneal cells depleted of B-1 cells and >99% for splenic CD4 T cells.
Publication 2023
2'-deoxyuridylic acid Adoptive Immunotherapy Azides Bone Marrow Buffers CD4 Positive T Lymphocytes Cells Dental Caries Fluorescent Antibody Technique gamma-delta T-Cell Receptor Liposomes Medulla Oblongata Microscopy Nylons Peritoneum Pleural Cavity PRDM1 protein, human Pressure SDC1 protein, human Spleen Stains Tissues Trypan Blue Viola

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More about "Pleural Cavity"

The pleural cavity, also known as the pleural space, is a crucial anatomical region located between the parietal pleura (lining the thoracic wall) and the visceral pleura (covering the lungs).
This potential space normally contains a small amount of pleural fluid, which acts as a lubricant, allowing the lungs to move smoothly during respiration.
Disorders affecting the pleural cavity, such as pleural effusions (abnormal fluid buildup), pneumothorax (air leakage), and pleural thickening, can have significant clinical implications and impact respiratory function.
Optimizing research protocols for investigating these pleural cavity pathologies is crucial for advancing our understanding and management of these conditions.
When conducting research on the pleural cavity, scientists may utilize various tools and techniques, including the SpectraMax Paradigm microplate reader for fluid analysis, HEPES buffer for cell culture, RBC lysis buffer for sample preparation, the Casey TT counter for cell counting, hyaluronidase for tissue digestion, the BX63 microscope for detailed imaging, 6-0 silk suture for surgical procedures, anti-biotin microbeads for cell separation, the Avalight-HAL-S for illumination, and the LTF-240 for fluid flow analysis.
By incorporating these research tools and techniques, along with a deep understanding of the pleural cavity's anatomy and physiology, researchers can develop robust protocols to study the underlying mechanisms of pleural disorders, explore novel treatment approaches, and ultimately improve patient outcomes.
Staying up-to-date with the latest advancements in pleural cavity research is crucial for driving progress in this important field of study.