Complicated Pleural Space Infections

First Things First (assess & treat for the following)

  • Does pt have pleural effusion & clinical picture consistent w/ pneumonia (eg, parapneumonic effusion)? Start empiric antibiotics after blood cultures are done.
  • Diagnostic thoracentesis for moderate to large effusions using ultrasound or CT guidance unless contraindicated (eg, severe coagulopathy)
  • Early thoracic surgery & interventional radiology consultation for complicated pleural space mgt

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Last updated: April 15, 2010