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Indwelling pleural catheters: evidence for and management
  1. Richard Davidson,
  2. Michael Carling,
  3. Karl Jackson,
  4. Avinash Aujayeb
  1. Respiratory Department, Northumbria Healthcare NHS Foundation Trust, North Shields, UK
  1. Correspondence to Dr Avinash Aujayeb, Respiratory Department, Northumbria Healthcare NHS Foundation Trust, North Shields, UK; avinash.aujayeb{at}


The incidence of pleural disease is increasing, and pleural medicine is increasingly recognised as a subspecialty within respiratory medicine. This often requires additional training time. Once underresearched, the last decade has seen an explosion in evidence related to the management of pleural disease. One of the cornerstones of pleural effusion management is the insertion of an indwelling pleural catheter. This allows patient-centred outpatient management and now has a robust evidence base. This article summarises evidence as well serves as a practical guide to the management of any complications related to an indwelling pleural catheter that might present on an acute take.

  • respiratory medicine
  • adult thoracic medicine

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  • Twitter @RichardCHD, @MichaelGCarling, @realkarljackson, @avinashaujayeb

  • Contributors RD, MC and KJ wrote the initial draft. AA revised the article and is the overall guarantor of the content. All authors then revised and agreed to the final article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.