This statement reviews the optimum management of symptomatic MPE, management of trapped lung in MPE, management of loculated MPE, prognostic factors in MPE, whether there is a role for oncological therapies prior to intervention for MPE and whether a histological diagnosis is always required in MPE.
Evidence based guidance for the investigation of suspected MPM and the subsequent care and management of individuals with proven MPM.
Weak recommendations were made for (1) using ultrasound to guide pleural interventions (2) not performing pleural interventions in asymptomatic patients with MPE (3) using either an indwelling pleural catheter (IPC) or chemical pleurodesis in symptomatic patients with MPE and suspected expandable lung (4) performing large-volume thoracentesis to assess symptomatic response and lung expansion (5) using either talc poudrage or talc slurry for chemical pleurodesis (6) using IPC instead of chemical pleurodesis in patients with nonexpandable lung or failed pleurodesis (7) treating IPC-associated infections with antibiotics and not removing the catheter.
This review article, rather than formal guideline, published in the European Respiratory Review outlines the burden and spectrum of non-malignant pleural effusions and summarises the evidence base for management strategies.
Primary spontaneous pneumothorax affects young healthy people with a significant recurrence rate. This statement reviews the latest developments and concepts to improve clinical management and stimulate further research.
Clinical Practice Guidelines for diagnosis, treatment and follow-up
Thoracic Society of Australia and New Zealand Position Statement. Paediatric Empyema Thoracis: Recommendations for Management
British Thoracic Society evidence based guideline on the management of spontaneous pneumothorax.
The guideline addresses the investigation and medical management of pleural disease in adults and is divided into the following sections: 1. Investigation of a unilateral pleural effusion in
adults. 2. Management of spontaneous pneumothorax. 3. Management of a malignant pleural effusion. 4. Management of pleural infection in adults. 5. Local anaesthetic thoracoscopy. 6. Chest drain insertion and thoracic ultrasound.
British Thoracic Society guidelines for the management of pleural infection in children