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- Alexandra Dipper, Rahul Bhatnagar, and Nick Maskell.
- Respiratory Department, Musgrove Park Hospital, Taunton.
- Curr Opin Pulm Med. 2019 Jul 1; 25 (4): 380-383.
Purpose Of ReviewMalignant pleural effusion is a common cause of breathlessness and signifies advanced disease. Common options for definitive pleural intervention include insertion of an indwelling pleural catheter (IPC) or talc pleurodesis.Recent FindingsAdministration of graded talc through an IPC offers an increased chance of pleurodesis compared with IPC drainage alone and is not associated with a significant risk of adverse events.SummaryIn patients where an ambulatory treatment pathway is preferred, the increased chance of pleurodesis with talc administration via IPC can result in a faster time to device removal and may be associated with better quality of life and symptom scores.
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