AI Article Synopsis
- The study aimed to understand how pediatric surgeons in Australia and New Zealand manage thoracic empyema in children.
- An online survey was conducted with members of the Australian and New Zealand Association of Paediatric Surgeons, where 67.5% responded, showing a preference for chest drains with fibrinolytics over video-assisted thoracoscopic surgery (VATS).
- Despite some variation in management approaches, all practices aligned with the recommendations of the Thoracic Society of Australia and New Zealand.
Article Abstract
Purpose: To define the spectrum of management for thoracic empyema in children in Australia and New Zealand.
Methods: Online survey of members of the Australian and New Zealand Association of Paediatric Surgeons (ANZAPS), limited to consultant/attending paediatric surgeons.
Results: A total of 54/80 (67.5%) members, from 16 paediatric surgical centres, responded. The majority (33/54, 61%) preferred chest drain with fibrinolytics, whilst 21/54 (39%) preferred video-assisted thoracoscopic surgery (VATS) with drain insertion. Urokinase was the most commonly used fibrinolytic (64%). There were no significant differences in management preferences between practising surgeons in Australia and New Zealand (p = 0.54), nor between consultants who had been practising a shorter (< 5 years) or longer (> 20 years) amount of time (p = 0.21). The practices described by the surveyed ANZAPS members were in line with the Thoracic Society of Australia and New Zealand recommendations for the management of paediatric empyema.
Conclusion: Across Australia and New Zealand there exists significant variation surrounding the intra- and post-intervention management of thoracic empyema in children. The surveyed paediatric surgeons demonstrated a preference for fibrinolytics over the use of VATS. All management regimens were within published local guidelines.
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| http://dx.doi.org/10.1007/s00383-021-04887-1 | DOI Listing |
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