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Listen "Breathwork - Pleural Effusions with Dr Laura Gleeson (Part 2)"
Episode Synopsis
This week, we speak to Dr. Laura Gleeson again—this time about pleural effusions. Our conversation covers all the pleural effusion basics, plus the nuances of radiology, when to insert a chest drain, and how to monitor it once it’s in place.
Chapters:
01:05 – Rapid fire round
04:23 – Pleural effusion intro
05:30 – Symptoms at presentation with pleural effusion
06:40 – Interpreting a white-out on CXR
07:20 – When to do further radiology/imaging
08:35 – CT pre or post chest drain insertion?
10:25 – Light’s criteria – can it always be trusted?
12:00 – What tests to send on your pleural fluid sample
14:15 – Chest drain indications
16:35 – Monitoring your chest drain
21:00 – Flushing the chest drain
22:20 – How much fluid to drain
25:00 – Removing the chest drain
27:10 – Empyema management
30:10 – Fibrinolysis
31:55 – Following up your pleural patients
34:10 – Take-home points
Show notes & resources:
Light’s criteria – MDCalc calculator | CHEST Clinics article
MIST trials – MIST2 – NEJM | MIST3 – ATS Journals
Chapters:
01:05 – Rapid fire round
04:23 – Pleural effusion intro
05:30 – Symptoms at presentation with pleural effusion
06:40 – Interpreting a white-out on CXR
07:20 – When to do further radiology/imaging
08:35 – CT pre or post chest drain insertion?
10:25 – Light’s criteria – can it always be trusted?
12:00 – What tests to send on your pleural fluid sample
14:15 – Chest drain indications
16:35 – Monitoring your chest drain
21:00 – Flushing the chest drain
22:20 – How much fluid to drain
25:00 – Removing the chest drain
27:10 – Empyema management
30:10 – Fibrinolysis
31:55 – Following up your pleural patients
34:10 – Take-home points
Show notes & resources:
Light’s criteria – MDCalc calculator | CHEST Clinics article
MIST trials – MIST2 – NEJM | MIST3 – ATS Journals
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