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Dr Romila Bahl, Consultant, UCLH
With thanks to Dr Paul Atkinson,
CEM Level 2 Chair, Addenbrooke’s Hospital
Pleural Effusion
Features
• Anechoic – if pure fluid – seen as black on the USS
• Some echogenicity – if pus or blood seen –can use colour flow to differentiate from liver and spleen (NB identify diaphragm)
• Are dependant
• Can compress the lung
Regulations around chest drain
insertion
• BTS – British Thoracic Society
BTS 2008 – Paediatric chest
drain
NPSA
NPSA
NPSA
NPSA
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