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EMPYEMA GUIDELINES Dr.PREETHAM KUMAR REDDY CONSULTANT PEDIATRICIAN & INTENSIVIST RAINBOW CHILDREN’S HOSPITAL
Empyema ,[object Object],[object Object],[object Object]
Thoracic Empyema
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]
[object Object],[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]
Thank You

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Empyema Guidelines