Interesting perspective. I was both trained with and have practiced ~10 years under the notion that diuretics can and do have a role in removing extra-vascular volume essentially via osmosis, with the caveat that sometimes additional intra-vascular colloidal support is necessary. In my own anecdotal experience, training and practicing in…
Interesting perspective. I was both trained with and have practiced ~10 years under the notion that diuretics can and do have a role in removing extra-vascular volume essentially via osmosis, with the caveat that sometimes additional intra-vascular colloidal support is necessary. In my own anecdotal experience, training and practicing in the Mid-Atlantic area of the U.S., I have never observed thoracentesis to be a first-line intervention for known CHF-related/transudative effusions outside of acute respiratory failure.
Interesting perspective. I was both trained with and have practiced ~10 years under the notion that diuretics can and do have a role in removing extra-vascular volume essentially via osmosis, with the caveat that sometimes additional intra-vascular colloidal support is necessary. In my own anecdotal experience, training and practicing in the Mid-Atlantic area of the U.S., I have never observed thoracentesis to be a first-line intervention for known CHF-related/transudative effusions outside of acute respiratory failure.