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Developing A 'pleural Team' To Run A Reactive Pleural Service.

R. Bhatnagar, N. Maskell
Published 2013 · Medicine

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Pleural disease is increasingly recognised as an important subspecialty within respiratory medicine, especially as cases of pleural disease continue to rise internationally. Recent advances have seen an expansion in the options available for managing patients with pleural disease, with access to local-anaesthetic thoracoscopy, indwelling pleural catheters and thoracic ultrasound all becoming commonplace. Pleural teams usually consist of a range of practitioners who can optimise the use of specialist services to ensure that patients with all types of pleural disease - who have traditionally needed extended admissions - are managed efficiently, often entirely as outpatients. A pleural service can also provide improved opportunities for enhancing procedural skills, engaging in clinical research, and reducing the costs of care. This article explores the justification for dedicated pleural services and teams, as well as highlighting the various roles of hospital personnel who might be most useful in ensuring their success.
This paper references
10.1111/j.1440-1843.2010.01832.x
Setting up a specialist pleural disease service
C. Hooper (2010)
10.1086/346037
Factors associated with death among adults <55 years of age hospitalized for community-acquired pneumonia.
T. Marrie (2003)
10.1378/CHEST.123.2.436
Accuracy of pleural puncture sites: a prospective comparison of clinical examination with ultrasound.
A. Diacon (2003)
10.1016/j.rmed.2007.12.007
Diagnostic accuracy of adenosine deaminase in tuberculous pleurisy: a meta-analysis.
Qiu-li Liang (2008)
10.1136/THORAX.58.SUPPL_2.II29
BTS guidelines for the management of malignant pleural effusions.
G. Antunes (2003)
10.1136/THORAXJNL-2012-202678.021
S15 Is Contrast-Enhanced Computed Tomography (CT) Scoring a Useful tool in Predicting Pleural Malignancy on Thoracoscopy?
B. Buckley (2012)
10.1164/rccm.200811-1729OC
Clinical impact and reliability of pleural fluid mesothelin in undiagnosed pleural effusions.
H. E. Davies (2009)
10.1378/CHEST.104.5.1486
The incidence of pleural effusion in a well-defined region. Epidemiologic study in central Bohemia.
M. Marel (1993)
10.1136/thx.2010.136978
Investigation of a unilateral pleural effusion in adults: British Thoracic Society pleural disease guideline 2010
C. Hooper (2010)
10.3201/eid1405.071011
Increasing Hospital Admissions for Pneumonia, England
C. Trotter (2008)
10.1378/CHEST.74.2.170
The incidence and clinical correlates of parapneumonic effusions in pneumococcal pneumonia.
D. A. Taryle (1978)
10.1016/J.LUNGCAN.2006.06.004
Efficacy of short-term versus long-term chest tube drainage following talc slurry pleurodesis in patients with malignant pleural effusions: a randomised trial.
Anna Goodman (2006)
10.1136/thoraxjnl-2011-200077
British Thoracic Society national pleural procedures audit 2010
C. Hooper (2011)
10.1136/thx.2010.137000
Management of pleural infection in adults: British Thoracic Society pleural disease guideline 2010
H. E. Davies (2010)
10.1378/CHEST.100.5.1328
Ultrasound-guided pleural biopsy with Tru-Cut needle.
D. Chang (1991)
10.1136/THORAXJNL-2012-202678.400
P117 Ambulatory and Inpatient Pleural Service – The Way Forward
P. Sura (2012)
10.1007/s00431-009-1132-8
The epidemiology of hospitalized children with pneumococcal/lobar pneumonia and empyema from 1997 to 2004 in Taiwan
P. Wu (2009)
10.1259/bjr/55980445
Multidetector CT imaging of pleura: comparison of two contrast infusion protocols.
V. Raj (2011)
10.1201/B13502-20
Pleural fluid analysis
S. Sahn (2008)
10.1136/pgmj.2009.087759
Survey of major complications of intercostal chest drain insertion in the UK
Ann Harris (2010)
Empyema: an increasing concern in Canada.
S. Spier (2008)
Rapid Response Report : Risks of Chest 12 Drain Insertion
A Harris
Pleural metastatic tumours and effusions. Frequency and pathogenic mechanisms in a post-mortem series.
F. Rodríguez-Panadero (1989)
10.1016/S0140-6736(03)13079-6
Standard pleural biopsy versus CT-guided cutting-needle biopsy for diagnosis of malignant disease in pleural effusions: a randomised controlled trial
N. Maskell (2003)
10.1038/sj.bjc.6602307
The expected burden of mesothelioma mortality in Great Britain from 2002 to 2050
J. Hodgson (2005)
CMJ1305-421-422-Toc.indd 422 CMJ1305-421-422-Toc
10.1136/thx.2010.136986
Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010
A. Macduff (2010)
10.1136/thoraxjnl-2012-202678.022
S16 A Large, Prospective, Multicentre Study Evaluating the Survival of Patients with Malignant Pleural Effusion According to the Underlying Cell Type
A. Clive (2012)



This paper is referenced by
10.1136/bmj.h4520
The modern diagnosis and management of pleural effusions
R. Bhatnagar (2015)
10.1016/j.ejim.2015.10.014
Safe site selection for chest drain insertion by trainee physicians - Implications for medical training and clinical practice.
J. Corcoran (2016)
10.1111/resp.12675
Diagnostic value of radiological imaging pre‐ and post‐drainage of pleural effusions
J. Corcoran (2016)
10.1016/J.ARBR.2017.10.001
The Utility of Ultrasonography in Diseases of the Pleura.
Lucía Ferreiro (2017)
10.1183/16000617.0019-2016
Malignant pleural effusion: from bench to bedside
I. Psallidas (2016)
10.1186/s12890-019-0919-2
Multidisciplinary approach to connective tissue disease (CTD) related pleural effusions: a four-year retrospective evaluation
H. Ip (2019)
10.12968/hmed.2015.76.7.376
Insertion of intercostal chest drains: who, where and when?
J. Corcoran (2015)
10.18535/JMSCR/V8I3.91
Comparison of Clinical Profile of Pleural Effusion with Special References to Various Biochemical Parameters in Patients Admitted to Government Tertiary Care Center
S. V. Birajdar (2020)
10.1513/AnnalsATS.202003-230ED
More Than Dollars and Cents: Putting a Price on Indwelling Pleural Catheter Drainage
Vineeth George (2020)
10.1183/16000617.0020-2016
Advanced medical interventions in pleural disease
R. Bhatnagar (2016)
10.1016/J.ARBRES.2017.05.028
Utilidad de la ultrasonografía en la enfermedad pleural
Lucía Ferreiro (2017)
10.1007/978-3-319-76457-3_15
Management of Pleural Burden in Metastatic Lung Cancer and Malignant Pleural Mesothelioma
Maria Parsonage (2019)
10.1016/J.RCE.2016.10.002
La importancia de las unidades especializadas en patología pleural para la formación posgraduada
M. Botana-Rial (2016)
10.1016/J.ARBRES.2019.05.007
Impacto clínico de una unidad de patología pleural en un hospital de tercer nivel
Ana Isabel Enríquez Rodríguez (2020)
10.1016/j.arbr.2020.02.001
Clinical Impact of a Pleural Unit in a Tertiary Level Hospital.
Ana Isabel Enríquez Rodríguez (2020)
10.1183/2312508x.10024519
The specialist pleural service: when, why and who?
Vineeth George (2020)
10.3978/j.issn.2072-1439.2015.04.42
Pleural procedural complications: prevention and management.
J. Corcoran (2015)
10.1136/postgradmedj-2013-132191
Asymptomatic re-expansion pulmonary oedema with bilateral infiltrates
M. Devine (2014)
10.21037/jtd.2017.01.12
Predictive models of malignant transudative pleural effusions.
L. Ferreiro (2017)
10.1513/AnnalsATS.201512-813LE
Differential Risk Factors for Chronic Obstructive Pulmonary Disease 30-Day Readmissions According to Indication for Readmission.
J. Glaser (2016)
10.1513/AnnalsATS.201512-825LE
The Undefined Value of Pleural Interventions in Advanced Heart Failure and Recurrent Pleural Effusions.
Christopher R Gilbert (2016)
10.12968/bjon.2020.29.14.816
Evaluating the impact of nurse practitioner involvement in a pleural procedures clinic.
Eleanor Peter (2020)
10.1136/postgradmedj-2014-133155
Intercostal chest drain insertion by general physicians: attitudes, experience and implications for training, service and patient safety
J. Corcoran (2015)
10.1016/j.chest.2018.05.027
Activity and Outcomes From a Dedicated Pleural On-Call Service.
R. Asciak (2018)
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