{"id":4312,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/pleuraleffusions\/"},"modified":"2023-09-13T15:45:23","modified_gmt":"2023-09-13T14:45:23","slug":"pleuraleffusions","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/pleuraleffusions\/","title":{"rendered":"Pleural Effusions"},"content":{"rendered":"\n<p class=\"has-alert-red-color has-text-color\"><strong>This page was last reviewed 21-05-20<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Services<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The &#8216;pleural service&#8217; includes:&nbsp; out-patients pleural diagnostics and therapeutics (including therapeutic aspiration and long-term indwelling pleural catheters)<\/li>\n\n\n\n<li>The service can usually accommodate urgent referrals but not emergencies<\/li>\n\n\n\n<li>CXR or CT imaging is essential before referral<\/li>\n\n\n\n<li>The common causes of pleural effusion are cancer, para-pneumonic, left ventricular failure. Less common causes are TB, connective tissue disease<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with pleural effusion confirmed on CXR<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suspected Pneumothorax should attend A+E (RIE)&nbsp; or MAU (WGH)<\/li>\n\n\n\n<li>Pleural plaques\/pleural thickening. See Refhelp section on &#8216;<a href=\"\/refhelp\/guidelines\/OccupationalRespiratoryDisease\" target=\"_blank\" rel=\"noreferrer noopener\">occupational chest disease<\/a>&#8216; for guidance<\/li>\n\n\n\n<li>Small\/moderate bilateral pleural effusions in patients with documented left ventricular dysfunction.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>RIE<\/strong>: Use&nbsp;<strong>SCI FAO of Dr John McCafferty<\/strong>&nbsp;or email&nbsp;<a rel=\"noreferrer noopener\" href=\"mailto:RIE.Respiratoryoncall@nhslothian.scot.nhs.uk\" target=\"_blank\">RIE.Respiratoryoncall@nhslothian.scot.nhs.uk<\/a><\/li>\n\n\n\n<li><strong>WGH<\/strong>: Use&nbsp;<strong>SCI: FAO Dr Andrew Leitch&nbsp;<\/strong>or email&nbsp;<a rel=\"noreferrer noopener\" href=\"mailto:pleuralservice.wgh@nhslothian.scot.nhs.uk\" target=\"_blank\">pleuralservice.wgh@nhslothian.scot.nhs.uk<\/a>&nbsp;(emails reviewed daily during the week)<\/li>\n\n\n\n<li><strong>St John&#8217;s<\/strong>: use&nbsp;<strong>SCI FAO of Respiratory Consultant<\/strong><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Respiratory-Lothian-COPD-Guidance-April-2018-v0-4-Combined-2-1.pdf\" data-type=\"attachment\" data-id=\"10030\" target=\"_blank\" rel=\"noreferrer noopener\">Lothian COPD Guidance April 2018 v0 4 Combined<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.nice.org.uk\/\" data-type=\"URL\" data-id=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.sign.ac.uk\/\" data-type=\"URL\" data-id=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>This page was last reviewed 21-05-20 Services<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4381,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[603],"class_list":["post-4312","page","type-page","status-publish","hentry","category-pleuraleffusions"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/respiratory\/pleuraleffusions\/\" rel=\"tag\">Pleural Effusions<\/a>","rttpg_excerpt":"This page was last reviewed 21-05-20 Services","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4312","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4312"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4312\/revisions"}],"predecessor-version":[{"id":14348,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4312\/revisions\/14348"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4381"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}