Paediatric Palliative Care Guidelines
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Edition/Revision: 1.0
Archived

Approaches targeted to different causes of dyspnoea - Pleural effusion - Archived

Causes
  • Usually malignant when seen in the palliative care setting.
Interventions
  • Analgesia
  • Pleural drainage
  • Pleurodesis
Notes
  • Pleural drainage in children usually demands admission to hospital, sedation or anaesthesia.
  • Following drainage malignant effusions usually reaccumulate within a few days or at most weeks.  Indwelling chest drain insertion may be appropriate in a small number of patients who gain significant symptomatic relief from drainage of pleural fluid on repeated occasions.
  • Pleurodesis is painful in a significant minority of cases.
  • Pleurodesis is unsuccessful in a significant minority of cases.
Edition/Revision: 1.0
Created 18 Jul 2013 - Archived
Validated 19 Jul 2013 by Ian Back
Last modified 2 Apr 2020
Sat 04 Apr 2020 07:21:09 GMT +0100 (DST)
Last modified 2 Apr 2020