Pleural Disease

Indwelling Pleural Catheters & Pleurodesis

Details IPC insertion technique, autopleurodesis acceleration, infection troubleshooting, talc pleurodesis protocols, and multidisciplinary malignant effusion care.

Malignant effusion • IPC management • PleurodesisReading time · 25mWord count · 3,830

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Exam mapping & scope

This chapter targets the AABIP IP Board domains on pleural disease: malignant and non‑malignant pleural effusions, tunneled/indwelling pleural catheters (IPCs), medical pleurodesis (talc slurry and poudrage), outpatient pathways, infection recognition/management, intrapleural enzyme therapy, and complications.

Focus this round

Autopleurodesis
Infection management
Program logistics

Interactive chapter

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Indwelling Pleural Catheters & Pleurodesis

Exam mapping & scope

Focus this round

Exam Mapping & Scope

By the end of this chapter, IP fellows and practicing pulmonologists will be able to:

Most testable facts and common traps

Pearls & Pitfalls

Indications

Relative Contraindications

Pre‑procedure Evaluation

Equipment & Setup

IPC insertion (ultrasound‑guided, outpatient)

Talc slurry through chest tube (inpatient or short stay)

Thoracoscopic talc poudrage (medical thoracoscopy)

Troubleshooting & Intra‑procedure Management

IPC drainage prescriptions

Infection (≈5-6% overall):

Special Populations

Evidence & Outcomes (select trials and themes)

Flow (Mermaid syntax)

Bullet algorithm notes

Algorithm B: Suspected IPC Infection

Treat

Table 2. IPC Infection—At‑a‑Glance Management

Table 3. Talc Pleurodesis—Technique Tips

Imaging & Figure Callouts (Placeholders)

Cases & Applied Learning

Question Bank (12 MCQs)

Controversies, Variability, and Evolving Evidence

Take‑Home Checklist

Abbreviations & Glossary

References (from references used in the primary documents)