Publications by authors named "Clare Fong"
The evolving role of medical thoracoscopy on therapeutic management of pleural disease.
Curr Opin Pulm Med
January 2025
Article Synopsis
- Medical thoracoscopy (MT) is a less invasive procedure widely accepted for diagnosing and managing pleural diseases, offering advantages for patients who cannot undergo general anesthesia.
- Recent advancements include new techniques for identifying malignant pleural effusions and the potential benefits of combining MT with talc poudrage and pleural catheter insertion to reduce hospital stays.
- The review discusses MT's role in treating a range of conditions beyond malignant effusions, including pneumothorax and pleural infections, highlighting its benefits and drawbacks compared to traditional methods for better clinical decision-making.
Background: Clinical practice guidelines on limitation of life-sustaining treatments (LST) in the intensive care unit (ICU), in the form of withholding or withdrawal of LST, state that there is no ethical difference between the two. Such statements are not uniformly accepted worldwide, and there are few studies on LST limitation in Asia. This study aimed to evaluate the predictors and outcomes of withholding and withdrawal of LST in Singapore, focusing on the similarities and differences between the two approaches.
View Article and Find Full Text PDFBackground: Thoracentesis and tube thoracostomy are common procedures with bleeding risks, but existing guidelines may be overly conservative. We reviewed the evidence on the safety of thoracentesis and tube thoracostomy in patients with uncorrected coagulopathy.
Research Question: Is it safe to perform thoracentesis and tube thoracostomy in patients with uncorrected coagulopathy?
Study Design And Methods: This systematic review was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines.