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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:  Drainage.
Comparator:  Nodrainage. 

Population:  Ventilator-dependent adult critical care patients with pleural effusion.
Intervention:  Catheter drainage.
Comparator:  Needle thoracentesis. 

Population:  Ventilator-dependent adult critical care patients with pleural effusion.
Intervention:  Diuresis.
Comparator:  No diuresis

Working Group Members
William Chiu, MD - Team Leader
Faran Bokhari, MD, MBA
Nikolay Bugaev, MD
John J. Como, MD, MPH
Samuel Galvagno, DO, PhD
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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Eastern Association for the Surgery of Trauma

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