A STUDY OF SPIROMETRY IN PATIENTS OF PLEURAL EFFUSION BEFORE AND AFTER THORACENTESIS

Dr. Khushboo Jayeshkumar Shah; Dr. Savita Jindal; Dr. Vishakha Kapadia; Dr. Palak H Bhatt; Dr. Tanmay M Pansuriya; Dr Sanjay Tripathi

Volume : IX, Issue : VIII, August - 2020

A STUDY OF SPIROMETRY IN PATIENTS OF PLEURAL EFFUSION BEFORE AND AFTER THORACENTESIS

Dr. Khushboo Jayeshkumar Shah, Dr. Savita Jindal, Dr. Vishakha Kapadia, Dr. Palak H Bhatt, Dr. Tanmay M Pansuriya, Dr Sanjay Tripathi

Abstract :

Pleural effusion compromises lung functions and daily activity of patient.Removal of pleural fluid by thoracentesis cause relief of dyspnea and improves lung functions including improvement in FVC and FEV1.50 patients who came to OPD of L.G.Hospital between January 2019 to December 2019 and diagnosed to have unilateral pleural effusion on chest x-ray were enrolled for this study.Their spirometry parameters (FVC,FEV1 and ratio of FEV1/FVC) and dyspnea score(mMRC grade) were noted and analyzed before and after thoracentesis.Out of 50 patients with unilateral pleural effusion 35(70%) were male and 15(30%) were female with mean age�SD of 34�12.8 years.Majority 29(58%) had moderate amount of pleural effusion,12(24%) had minimal pleural effusion and 9(18%) had massive pleural effusion.After thoracentesis dyspnea has improved in these patients.Most 30(60%) patients had restrictive spirometry pattern before thoracentesis,which showed improvement and after thoracentesis 21(42%) patients had restrictive spirometry pattern.In all cases the difference in spirometry parameters FVC and FEV1 before and after thoracentesis came statistically significant,whereas difference in ratio of FEV1/FVC before and after thoracentesis came statistically non significant. Thoracentesis causes improvement in lung functions and decrease in dyspnea that helps patients to get better routine active life.