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American Journal of Advances in Nursing Research

Volume 11, Issue 1, 2024
Mcmed International
American Journal of Advances in Nursing Research
Issn
XXX-XXXX (Print), 2349 – 0691 (Online)
Frequency
bi-annual
Email
editorajanr@mcmed.us
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Abstract
Title
CHYLOTHORAX A COMPLICATION OF CARDIOVASCULAR AND THORACIC SURGERY: A CASE REVIEW
Author
Raghu VA
Email
raghuva84@gmail.com
keyword
Chyle, Chylothorax, MCT, Effusion. Chyle, Chylothorax, MCT, Effusion. Chyle, Chylothorax, MCT, Effusion. Chyle, Chylothorax, MCT, Effusion. Chyle, Chylothorax, MCT, Effusion.
Abstract
Chylothorax, the accumulation of chyle in the pleural space, is a relatively rare cause of pleural effusion in children. Chylothorax is caused by injury or obstruction of the thoracic duct leading to chyle accumulation in the pleural space. It most commonly occurs from trauma or malignancy. However chylous effusions are rare, they have serious clinical consequences including cachexia, respiratory distress, malnutrition and immunodeficiency. A prompt diagnosis is needed to start treatment of the underlying cause. Treatment can be divided into conservative and surgical interventions. The conservative therapy includes intercostals decompression of the pleural effusion along with nutritional support (MCT diet) in the form of total parenteral nutrition, and reduction of chylous formation with somatostatin. Surgical interventions include thoracic duct ligation, pleuroperitoneal shunt and percutaneous embolisation. This case review will focus on causes, pathology, medical and surgical management as well as nursing management of children with chylothorax after cardiac and thoracic surgery.
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