Publications by authors named "J M Porcel"

Malignant pleural effusion (MPE) is common in individuals with cancer and typically reflects advanced disease. Most cases are symptomatic, with dyspnea and pain having a severe effect on the patient's quality of life (QOL). The management of MPE aims to relieve symptoms, improve QOL, prevent repeated pleural interventions, and minimize hospital admissions.

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To analyze the association between pleural effusion detected by chest point of care ultrasound (POCUS) and clinical outcomes in patients with septic shock admitted to an intensive care unit (ICU). A prospective evaluation of ICU patients with septic shock in whom chest POCUS was performed during the first 24 hours of diagnosis to identify the presence and characteristics of pleural effusion. Of 45 patients with septic shock, 17 (38%) had pleural effusion.

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Ultrasound has become an increasingly valuable tool for the assessment of body composition, offering several applications and indications in clinical practice. Ultrasound allows bedside evaluation of muscle mass, fat compartments, and extravascular water, providing a cost-effective, portable, and accessible alternative to traditional methods, such as Dual-energy X-ray Absorptiometry (DEXA), Bioelectrical Impedance Analysis (BIA), Computed Tomography (CT), and Magnetic Resonance Imaging (MRI). It is particularly useful in evaluating conditions, such as malnutrition, sarcopenia, and sarcopenic obesity, which require poor muscle mass to establish a diagnosis.

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Article Synopsis
  • Pleural effusion (PE) is commonly found in patients with acute decompensated heart failure (ADHF), but its effect on quality of life (QoL) is not well understood.
  • This study aimed to see if the presence of PE, detected by thoracic ultrasound (TUS), impacts the QoL of ADHF patients with a reduced ejection fraction (≤40%).
  • Results showed that patients with PE had significantly worse QoL scores (average of 40) compared to those without PE (average of 12), suggesting a strong link between the amount of pleural fluid and poorer QoL perceptions.
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Article Synopsis
  • Serum and pleural fluid tumor markers are important tools for diagnosing malignant pleural effusion (MPE) and understanding their role can improve patient management.
  • The article discusses key factors, including when to evaluate these markers, which ones are most useful, and how to interpret their levels and ratios to improve diagnostic accuracy.
  • It emphasizes the need for careful study designs and considerations to effectively use tumor markers in estimating cancer risks and making clinical decisions.
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