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Management of Pleural Effusion in Ventilator-Dependent Critical Care Patients2018

Type: New Practice Management Guideline (PMG)
Category: Surgical Critical Care
Committee Liaison: Brian H. Williams, MD, FACS


Team leader(s)

Ventilator-dependent patients in the Intensive Care Unit often develop pleural effusions. Pleural effusions may have an impact on lung compliance and expansion. Evacuation or reduction of pleural effusions may improve oxygenation and ventilator liberation. Drainage procedures and diuretic administration are associated with potential complications. This Practice Management Guideline will explore the benefits and risks of pleural effusion management in critical care.

Draft PICOS
Population:  Ventilator-dependent patients.
Intervention:  Catheter drainage.
Comparator:  No catheter drainage. 

Population:  Ventilator-dependent patients.
Intervention:  Thoracentesis.
Comparator:  No thoracentesis. 

Population:  Ventilator-dependent patients.
Intervention:  Diuretic administration.
Comparator:  No diuretic administration.

Working Group Members
William Chiu, MD - Team Leader
Faran Bokhari, MD, MBA
John J. Como, MD, MPH
Venessa P. Ho, MD, MPH
Natasha Keric, MD
Kosar Kwaja, MD, MBA, MSc
Dennis Kim, MD
Kaushik Mukherjee, MD, MSCI
Bryce Robinson, MD, MS
Christopher Towe, MD
Brian Williams, MD


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