Transudative pleural effusion

Case contributed by Chris Lim , 16 Jun 2020
Diagnosis certain
Changed by Mostafa Elfeky, 18 Jun 2020

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Age changed from 90 to 90 years.
Body was changed:
  • Point-of-care ultrasound can be utilised to identify pleural effusion(s) and locate appropriate sites for drainage. Ultrasound can also be used to provide real-time guidance for pleural drain insertion.

  • Light's criteria is used to determine if pleural effusions are transudative or exudative.
  • Pneumothorax represents the most common complication of thoracentesis and develops in approximately 3% of patients when ultrasound guidance is used (1)1. This is significantly lower than the rate of pneumothorax in blind thoracentesis, with pneumothorax complicating up to 30% of procedures (although multiple observational studies have demonstrated rates of <12%) (2,3).
  • Patients who are haemodynamically unstable or develop tension pneumothorax should undergo chest tube thoracostomy or needle decompression of the pleural space.
  • -<ul>
  • -<li>Point-of-care ultrasound can be utilised to identify pleural effusion(s) and locate appropriate sites for drainage. Ultrasound can also be used to provide real-time guidance for pleural drain insertion.</li>
  • -<li>Light's criteria is used to determine if pleural effusions are transudative or exudative.</li>
  • -<li>Pneumothorax represents the most common complication of thoracentesis and develops in approximately 3% of patients when ultrasound guidance is used (1). This is significantly lower than the rate of pneumothorax in blind thoracentesis, with pneumothorax complicating up to 30% of procedures (although multiple observational studies have demonstrated rates of &lt;12%) (2,3).</li>
  • -<li>Patients who are haemodynamically unstable or develop tension pneumothorax should undergo chest tube thoracostomy or needle decompression of the pleural space.</li>
  • -</ul>
  • +<p>Point-of-care ultrasound can be utilised to identify pleural effusion(s) and locate appropriate sites for drainage. Ultrasound can also be used to provide real-time guidance for pleural drain insertion.</p><p>Light's criteria is used to determine if pleural effusions are transudative or exudative.</p><p>Pneumothorax represents the most common complication of thoracentesis and develops in approximately 3% of patients when ultrasound guidance is used <sup>1</sup>. This is significantly lower than the rate of pneumothorax in blind thoracentesis, with pneumothorax complicating up to 30% of procedures (although multiple observational studies have demonstrated rates of &lt;12%) (2,3).</p><p>Patients who are haemodynamically unstable or develop tension pneumothorax should undergo chest tube thoracostomy or needle decompression of the pleural space.</p>

Updates to Study Attributes

Caption was changed:
Post-removal Chestchest X-ray (Day 1)

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