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University of Texas Health Science center at San Antonio

Internal Medicine Journal Club

 The University of Texas Medical School at San Antonio

 

 

ARS (opens in new window) - Proxy me

Journal Club - 2006-03-20

Case:

 

Initial drainage of malignant pleural effusions:

UpToDate

PIER:

  • Guidelines
    • ATS
    • BTS (search for "4.3.1 Size of intercostal tube")

Long term management: initial drainage only only versus drainage with pleurodesis versus chronic indwelling catheter

UpToDate

  • Search for "SUMMARY AND RECOMMENDATIONS"
  • Note new grading system for recommendations (based on GRADE)

PIER

Guidelines

  • ATS
  • BTS
    • "Intercostal tube drainage without pleurodesis is not recommended because of a high recurrence rate. [B]"
    • Also, search for "4.5 Long term indwelling pleural catheter drainage"