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Counterpoint: Should Pleural Manometry Be Performed Routinely During Thoracentesis? NoPleural Manometry Routine During Thoracentesis: No

Fabien Maldonado, MD; John J. Mullon, MD
Author and Funding Information

From the Division of Pulmonary and Critical Care Medicine and the Department of Medicine, Mayo Clinic College of Medicine.

Correspondence to: Fabien Maldonado, MD, Mayo Clinic College of Medicine, 200 1st St SW, Rochester, MN 55905; e-mail: maldonado.fabien@mayo.com


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2012 American College of Chest Physicians


Chest. 2012;141(4):846-848. doi:10.1378/chest.11-3233
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Extract

The recent explosion of diagnostic and therapeutic techniques available to pulmonologists is credited for the development of the subspecialization of interventional pulmonary medicine. It has also led many to revisit the way common pulmonary procedures, such as thoracentesis, have been performed historically. Although the benefit of using thoracic ultrasonography in improving the safety of thoracentesis have become evident only recently, pleural manometry was described more than a century ago.1 Out of favor for decades, it has in the past few years been the object of many publications highlighting its potential role in the diagnosis of unexpandable lung, as a safeguard against reexpansion pulmonary edema (REPE), and, perhaps, as a predictor of successful pleurodesis.

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