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Table 1 Indications and contraindications to pleural drainage positioning

From: An easier and safe affair, pleural drainage with ultrasound in critical patient: a technical note

Indications

Contraindications (relative)

Recurrent malignant pleural effusion

Symptomatic patients caused by the effusions

Massive transudative or exsudative pleural effusion

Parapneumonic effusions

Weaning from mechanical ventilation

Coagulopathy, thrombocytopenia

Small to medium size pleural effusions in cardiac patients with more than moderate left ventricular dysfunction

Pulmonary bullae

Pulmonary, pleural or thoracic adhesions

Loculated pleural effusion or empyema

Recurrent pleural infections

Skin infection over the chest tube insertion site