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  • thorax.bmj.com

    BTS Pleural Disease Guideline 2010

    British Thoracic SocietyPleural Disease Guideline Group

    August 2010 Vol 65 Supplement II

    ThoraxAN INTERNATIONAL JOURNAL OF RESPIRATORY MEDICINE

    65

    Vol 65 Supplem

    ent II Pages ii1ii76TH

    OR

    AX

    August 2010

    thoraxjnl_65_S2_cover.qxd 8/3/10 12:48 PM Page 1

  • thoraxjnl_65_S2_cover.qxd 8/3/10 12:48 PM Page 2

  • Journal of theBritish Thoracic Society

    Editor-in-ChiefJ A Wedzicha (UK)

    EditorS L Johnston (UK)

    Associate EditorsJ S Brown (UK)P M A Calverley (UK)M Dusmet (UK)J S Elborn (N Ireland)A J Fisher (UK)J M FitzGerald (Canada)J A Fleetham (Canada)N M Foley (UK)I Hall (UK)J R Hurst (UK)R Hubbard (UK)D A Lomas (UK)D M Mannino (USA)F D Martinez (USA)C Robertson (Australia)B Schonhofer (Germany)G A Silvestri (USA)G I Town (New Zealand)M K B Whyte (UK)

    Statistical EditorsJ Gibson (UK)L Tata (UK)

    Images EditorsJ M FitzGerald (Canada)J R Mayo (Canada)J C Hogg (Canada)

    Letters EditorJ R Hurst (UK)

    Lung Alert EditorsA Bhowmik (UK)J Quint (UK)

    President, British ThoracicSocietyP Corris

    Production EditorJulia Dimitriou

    Journal ManagerClaire Folkes

    PublisherJulie Solomon

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    Aims and Scope: Thorax enjoys an enviableand longstanding reputation for publishingclinical and experimental research articlescovering many disciplines, including pathology, immunology and surgery

    International Advisory Board

    AN INTERNATIONAL JOURNAL OF RESPIRATORY MEDICINE

  • BTS Pleural Disease Guideline 2010

    British Thoracic Society Pleural Disease Guideline Group:

    a sub-group of the British Thoracic Society Standards of Care Committee

  • The BTS Pleural Disease Guideline is endorsed by:

    Royal College of Physicians, London Royal College of Surgeons of England

    Royal College of Physicians of EdinburghRoyal College of Surgeons of Edinburgh

    Royal College of Physicians and Surgeons of GlasgowRoyal College of Radiologists

    Royal College of AnaesthetistsRoyal College of Pathologists

    College of Emergency MedicineSociety for Acute Medicine

    Association for Clinical BiochemistryBritish Society of Clinical Cytology

  • Journal of the British Thoracic Society

    Impact Factor: 7.04Editor-in-Chief

    J A Wedzicha (UK)

    Editor

    S L Johnston (UK)

    Associate EditorsJ S Brown (UK) J R Hurst (UK)P M A Calverley (UK) D A Lomas (UK)M Dusmet (UK) D M Mannino (USA)J S Elborn (N Ireland) F D Martinez (USA)A J Fisher (UK) C Robertson (Australia)J M FitzGerald (Canada) B Schonhofer (Germany)J A Fleetham (Canada) G A Silvestri (USA)N M Foley (UK) G I Town (New Zealand)I Hall (UK) M K B Whyte (UK)R Hubbard (UK)

    Statistical Editors

    L Tata (UK)J Gibson (UK)

    Images Editors

    J M FitzGerald (Canada)J R Mayo (Canada)J C Hogg (Canada)

    Letters Editor

    J R Hurst (UK)

    Lung Alert Editors

    A Bhowmik (UK)J Quint (UK)

    President, British Thoracic Society

    P Corris

    Editorial Office

    BMJ Publishing Group Ltd, BMA House,Tavistock Square, London WC1H 9JR, UKT: +44 (0)20 7383 6147F: +44 (0)20 7383 6668E: thorax@bmjgroup.com

    ISSN: 0040-6376 (print)ISSN: 1468-3296 (online)

    Disclaimer: Thorax is owned and published by theBritish Thoracic Society and BMJ Publishing GroupLtd, a wholly owned subsidiary of the British MedicalAssociation. The owners grant editorial freedom tothe Editor of Thorax.

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    Thorax is intended for medical professionals and isprovided without warranty, express or implied.Statements in the Journal are there sponsibility oftheir authors and advertisers and not authorsinstitutions, the BMJ Publishing Group Ltd, theBritish Thoracic Society or the BMAunless otherwisespecified or determined by law. Acceptance ofadvertising does not imply endorsement.

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    Copyright: 2010 BMJ Publishing Group Ltd andthe British Thoracic Society. All rights reserved; nopart of this publication may be reproduced, stored ina retrieval system or transmitted in any form or byany means, electronic, mechanical, photocopying,recording or otherwise without the prior permissionof Thorax.

    Thorax is published by BMJ Publishing Group Ltd,typeset by TNQ Books & Journals, Chennai, Indiaand printed in the UK on acid-free paper by BuxtonPress, Buxton, UK.

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    BTS Pleural Disease Guideline 2010ii1 Introduction and methods: British Thoracic

    Society pleural disease guideline 2010I Du Rand, N Maskell

    ii4 Investigation of a unilateral pleural effusion inadults: British Thoracic Society pleural diseaseguideline 2010C Hooper, Y C G Lee, N Maskell, on behalf of theBTS Pleural Guideline Group

    ii18 Management of spontaneous pneumothorax:British Thoracic Society pleural diseaseguideline 2010A MacDuff, A Arnold, J Harvey, on behalf of theBTS Pleural Disease Guideline Group

    ii32 Management of a malignant pleural effusion:British Thoracic Society pleural diseaseguideline 2010M E Roberts, E Neville, R G Berrisford,G Antunes, N J Ali, on behalf of the BTS PleuralDisease Guideline Group

    Online supporting documentation is available atwww.brit-thoracic.org.uk

    ii41 Management of pleural infection in adults:British Thoracic Society pleural diseaseguideline 2010H E Davies, R J O Davies, C W H Davies,on behalf of the BTS Pleural Disease GuidelineGroup

    ii54 Local anaesthetic thoracoscopy:British Thoracic Society pleural diseaseguideline 2010N M Rahman, N J Ali, G Brown, S J Chapman,R J O Davies