Publications by authors named "Ivana Gilcrist Chiew Sian Phua"
Background: Indwelling pleural catheters (IPCs) are an effective first line option for the management of symptomatic malignant pleural effusions. However, patients with IPCs often require unplanned healthcare encounters (UHEs) due to complications or concerns with IPC care and drainage.
Local Problem: There is a lack of readily accessible IPC-specific educational material to support caregiver training (CGT).
Article Synopsis
- The study evaluates the effectiveness and safety of medical thoracoscopy (MT) for diagnosing malignant pleural effusions (MPEs) in 141 patients from January 2020 to December 2022 at a tertiary hospital.
- It found a high diagnostic accuracy of 95.7%, with lung and breast cancers being the most frequently diagnosed types, and molecular profiling for cancer mutations was successfully completed for all malignancy cases.
- Major complications were rare, occurring in only 2.1% of patients, and overall, MT proved to be a safe and beneficial procedure in managing suspected MPEs without significant adverse outcomes.
A Retrospective Cohort Study Evaluating the Safety and Efficacy of Sequential versus Concurrent Intrapleural Instillation of Tissue Plasminogen Activator and DNase for Pleural Infection.
Ken Junyang Goh Wui Mei Chew Jasmine Chiat Ling Ong Carrie Kah-Lai Leong Imran Bin Mohamed Noor Ivana Gilcrist Chiew Sian Phua
Pulm Med
February 2024
Methods: We conducted a retrospective review of patients with pleural infection requiring intrapleural therapy at two tertiary referral centres.
Results: We included 84 (62.2%) and 51 (37.