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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
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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.
Thorax follows guidelines on editorialindependence produced by the World Associationof Medical Editors and the code on goodpublication practice of the Committee onPublication Ethics.
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.
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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