{"id":55,"date":"2018-06-05T14:43:07","date_gmt":"2018-06-05T14:43:07","guid":{"rendered":"https:\/\/www.arirespiratory.scot.nhs.uk\/?page_id=55"},"modified":"2018-06-06T08:57:15","modified_gmt":"2018-06-06T08:57:15","slug":"pleural-diseases-team","status":"publish","type":"page","link":"https:\/\/www.arirespiratory.scot.nhs.uk\/?page_id=55","title":{"rendered":"Pleural diseases team"},"content":{"rendered":"<section id=\"h.p_wfqL_3VUyExO\" class=\"yaqOZd\">\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_VgZxTIlLyExM\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<h1 id=\"h.p_IUTmEfkryExN\" class=\"zfr3Q duRjpb\">Who are we?<\/h1>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_elKUKyZ3yINS\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_vOHQPu_QyINQ\" class=\"hJDwNd-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_zOUViWT9yINR\" class=\"zfr3Q TYR86d\"><a class=\"dhtgD\" href=\"https:\/\/www.aberdeenlungs.com\/whos-who\/med-staff-consultants\/dr-ratna-alluri\">Dr Ratna Alluri<\/a> (Consultant)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-wNfPc jXK9ad D2fZ2 OjCsFc wHaque L6cTce-purZT L6cTce-pSzOP\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\"><\/div>\n<\/div>\n<\/div>\n<div id=\"h.p_E-x7aQlXycHq\" class=\"hJDwNd-AhqUyc-c5RTEf purZT-AhqUyc-c5RTEf pSzOP-AhqUyc-c5RTEf jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><img decoding=\"async\" class=\"CENy8b\" role=\"img\" src=\"https:\/\/lh5.googleusercontent.com\/pPQ9BoJoYsovCIOUfL8TJW0fAjZGtPPg3UKxq1OwtUQFBwPI315DTIFF3ClY4yNmesa6QjDVXliBHywMvSA2jnfDl3rP36MACH2W9Ge2be0qD-a4kaM=w271\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_7i0ms2MbyLYK\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p__GlA5HIHyLYH\" class=\"hJDwNd-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_NzgaRiSeyLYJ\" class=\"zfr3Q TYR86d\"><a class=\"dhtgD\" href=\"https:\/\/www.aberdeenlungs.com\/whos-who\/med-staff-consultants\/dr-mahendran-chetty\">Dr Mahendran Chetty<\/a> (Consultant)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-wNfPc jXK9ad D2fZ2 OjCsFc wHaque L6cTce-purZT L6cTce-pSzOP\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\"><\/div>\n<\/div>\n<\/div>\n<div id=\"h.p_mJLg7b512NOU\" class=\"hJDwNd-AhqUyc-c5RTEf purZT-AhqUyc-c5RTEf pSzOP-AhqUyc-c5RTEf jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><img decoding=\"async\" class=\"CENy8b\" role=\"img\" src=\"https:\/\/lh6.googleusercontent.com\/AGPbf_d6PMDQyfZ5VV954A1rIl1VjdIZ2ECq4lvdMzDd4ArV2A_uBF39GB1EZ0ErEepgKc6yGGXi4OW9yboymDnDwi4Vcnm1pbSrif3GmTs6EZvZ0Gr7=w271\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_jJ-x0rPqyOat\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_Xlta00NhyOaq\" class=\"hJDwNd-AhqUyc-c5RTEf purZT-AhqUyc-II5mzb pSzOP-AhqUyc-c5RTEf jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_x_5IyD5KyOas\" class=\"zfr3Q TYR86d\"><a class=\"dhtgD\" href=\"https:\/\/www.aberdeenlungs.com\/whos-who\/med-staff-consultants\/dr-patrick-fitch\">Dr Patrick Fitch<\/a> (Consultant)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-qWD73c jXK9ad D2fZ2 OjCsFc wHaque L6cTce-purZT L6cTce-pSzOP\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\"><\/div>\n<\/div>\n<\/div>\n<div id=\"h.p_Fcj15rDcykl6\" class=\"hJDwNd-AhqUyc-c5RTEf purZT-AhqUyc-c5RTEf pSzOP-AhqUyc-c5RTEf jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><img decoding=\"async\" class=\"CENy8b\" role=\"img\" src=\"https:\/\/lh3.googleusercontent.com\/NbOjLGN1uCFmQUpGlP1s6or13y94K85IUF0wCz0sCpc1fHSNSFFFqX5ARVYusmQqkhm5vDbU=w271\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_fAm0SUgwHFvm\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-Clt0zb purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_z0T8p4EAHFvj\" class=\"hJDwNd-AhqUyc-OiUrBf jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<h1 id=\"h.p_R0ebSOxCHFvl\" class=\"zfr3Q duRjpb\">Who do we see?<\/h1>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_aehz8NHoa5ny\" class=\"zfr3Q TYR86d\">We see patients with all forms of pleural disease e.g. unexplained pleural effusions, suspected pleural malignancy including mesothelioma, pneumothorax.<\/li>\n<li id=\"h.p_xyKZwfHF2Hiy\" class=\"zfr3Q TYR86d\">Tunnelled long term indwelling pleural catheters (TIPC) are also inserted for malignant pleural effusions.<\/li>\n<\/ul>\n<h1 id=\"h.p_9XJN5ykl0Z4V\" class=\"zfr3Q duRjpb\">How to refer a patient to the Pleural service?<\/h1>\n<p id=\"h.p_g9ttiyejbChT\" class=\"zfr3Q\"><strong>For General Practitioners<\/strong><\/p>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_7F2VorsdbChU\" class=\"zfr3Q TYR86d\">SCI-store referral marked &#8220;FAO pleural service&#8221; (or similar), should suffice.<\/li>\n<li id=\"h.p_6pq4SwIG2ZiP\" class=\"zfr3Q TYR86d\">Your referral is triaged accordingly to us.<\/li>\n<\/ul>\n<p id=\"h.p_hvH3PjHhbChV\" class=\"zfr3Q\"><strong>For colleagues within the hospital<\/strong><\/p>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_lopRqd1RbChV\" class=\"zfr3Q TYR86d\">In-patient review: See <a class=\"dhtgD\" href=\"https:\/\/www.aberdeenlungs.com\/for-staff-students\/who-is-on-call\">Rotawatch<\/a> for our in-patient Respiratory referral email.<\/li>\n<li id=\"h.p_DncZ4-J22bDZ\" class=\"zfr3Q TYR86d\">E-mail if referring Mon-Friday 0900-1700, unless a clinical emergency (if so, <a class=\"dhtgD\" href=\"https:\/\/www.aberdeenlungs.com\/for-staff-students\/who-is-on-call\">page the on call Respiratory Registrar).<\/a><\/li>\n<li id=\"h.p__5OQZReKbChW\" class=\"zfr3Q TYR86d\">Out-patient review: dictate a letter and ask your secretary to use the internal (electronic) referral system.<\/li>\n<\/ul>\n<h1 id=\"h.p_CxY0YJaca5Ln\" class=\"zfr3Q duRjpb\">Location of clinic<\/h1>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_8ldv3BxlT5Yy\" class=\"zfr3Q TYR86d\"><a class=\"dhtgD\" href=\"https:\/\/www.aberdeenlungs.com\/contact-find-us\">Ward 107 (Pleural procedure room)<\/a><\/li>\n<\/ul>\n<h1 id=\"h.p_2Ov8xbheT5Y0\" class=\"zfr3Q duRjpb\">Day of clinic<\/h1>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_iytlIYwqT5Y1\" class=\"zfr3Q TYR86d\">Wednesday morning<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-R6PoUb jXK9ad D2fZ2 OjCsFc wHaque L6cTce-purZT L6cTce-pSzOP\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-c5RTEf purZT-AhqUyc-c5RTEf pSzOP-AhqUyc-c5RTEf JNdkSc yYI8W \">\n<div class=\"oKdM2c\">\n<div id=\"h.p_nLfbsY8J0Wh7\" class=\"hJDwNd-AhqUyc-c5RTEf purZT-AhqUyc-c5RTEf pSzOP-AhqUyc-c5RTEf jXK9ad D2fZ2 OjCsFc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><img decoding=\"async\" class=\"CENy8b\" role=\"img\" src=\"https:\/\/lh5.googleusercontent.com\/N_5r1FCUpITNANp0p3e8O-jz1v976Uh1FAYTdvTOjmE7-kzZBGY3osdFmcCG5FvD37AI7Hjoxu1nCNDpKQXUH_idxj2kFTK3KC0pNMCGuWT_2bF49Mw=w271\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"oKdM2c\">\n<div id=\"h.p_cH58RTBiy1X7\" class=\"hJDwNd-AhqUyc-c5RTEf purZT-AhqUyc-c5RTEf pSzOP-AhqUyc-c5RTEf jXK9ad D2fZ2 wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<p id=\"h.p_bivn_YYPy1X_\" class=\"zfr3Q\">Chest X-ray noting a large left pleural effusion.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_FDefMOJtwf76\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_6yX69bJvwf73\" class=\"hJDwNd-AhqUyc-OwsYgb jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<p id=\"h.p_hRC_dnM-wf76\" class=\"zfr3Q\"><em>Here is a typical letter that you will receive if referred to our Pleural Clinic to get fluid removed from your chest. We call this a pleural tap or thoracocentesis:<\/em><\/p>\n<h1 id=\"h.p_mfhAVycXw3jc\" class=\"zfr3Q duRjpb\">Patient information for Aberdeen Royal Infirmary Pleural Clinic<\/h1>\n<p id=\"h.p_usXXbJZ-wggx\" class=\"zfr3Q\">1. You have been referred to the Respiratory Pleural clinic in Aberdeen as your chest x-ray has shown fluid around your lungs.<\/p>\n<p id=\"h.p_iIgtab9Xwggy\" class=\"zfr3Q\">2. <strong><u>Your appointment details are attached in the accompanying letter<\/u><\/strong>.<\/p>\n<p id=\"h.p_F7fDndi-wggz\" class=\"zfr3Q\">3. <strong>If you are on blood thinning medication (warfarin, ticagrelor, rivaroxaban, apixaban), please contact <a class=\"dhtgD\" href=\"https:\/\/www.aberdeenlungs.com\/whos-who\/secretarial-team\">Diane Mitchell<\/a> (Respiratory secretary) on 01224 551214 for further instructions<\/strong><\/p>\n<p id=\"h.p_lC6UKP0uwgg0\" class=\"zfr3Q\">Please bring an overnight bag as you may need to stay on the ward after tests. We suggest that you bring someone to drive you home.<\/p>\n<p id=\"h.p_K06mGzdExlp6\" class=\"zfr3Q\"><strong>4.<\/strong> <strong>What happens in clinic?<\/strong><\/p>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_Tkx_7pkkwgg2\" class=\"zfr3Q TYR86d\">You will be assessed by a respiratory doctor<\/li>\n<li id=\"h.p_SDgKUXNuwgg2\" class=\"zfr3Q TYR86d\">You may require an ultrasound scan\/sonogram (similar to a baby scan or heart scan) of your chest<\/li>\n<li id=\"h.p_zqXzUrwLwgg3\" class=\"zfr3Q TYR86d\">You may require drainage of the fluid and a biopsy of the lining of your lungs. This will be discussed with you at clinic.<\/li>\n<li id=\"h.p_Sdjd3CL_wgg7\" class=\"zfr3Q TYR86d\">The procedure is performed with local anaesthetic.<\/li>\n<li id=\"h.p_agnAg1Tqwgg8\" class=\"zfr3Q TYR86d\">You will be asked to sign a consent form for the test.<\/li>\n<li id=\"h.p_HIZHBLyLwgg8\" class=\"zfr3Q TYR86d\">You can usually go home afterwards.<\/li>\n<\/ul>\n<p id=\"h.p_RTWYiKAfwgg8\" class=\"zfr3Q\"><strong>5.<\/strong> <strong>What happens after the clinic or test?<\/strong><\/p>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_HDHxRseWwgg-\" class=\"zfr3Q TYR86d\">You may need an x-ray after drainage or biopsy<\/li>\n<li id=\"h.p_Aj0a7wgqwgg-\" class=\"zfr3Q TYR86d\">If you are feeling well, you will be able to go home.<\/li>\n<li id=\"h.p_hu-ldKTowgg-\" class=\"zfr3Q TYR86d\">You may have a stitch inserted in your skin after the test.<\/li>\n<li id=\"h.p_KxYiotxTwgg_\" class=\"zfr3Q TYR86d\">Keep the area dry and book an appointment with your GP practice for 5-7 days to have the stitch removed.<\/li>\n<li id=\"h.p_EoreXIHkwgg_\" class=\"zfr3Q TYR86d\">The doctor will inform you of any follow up arrangements. The results from samples taken usually take 2-3 weeks.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"hJDwNd-AhqUyc-R6PoUb jXK9ad D2fZ2 OjCsFc wHaque L6cTce-purZT L6cTce-pSzOP\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\"><\/div>\n<\/div>\n<\/div>\n<div id=\"h.p_mOcUs4U9xtVb\" class=\"hJDwNd-AhqUyc-II5mzb pSzOP-AhqUyc-II5mzb jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><img decoding=\"async\" class=\"CENy8b\" role=\"img\" src=\"https:\/\/lh3.googleusercontent.com\/jyfzJgyT_JoG5byG01E1aTd727zaxprlwpAjxhm0zo0zN_DZqQSu8k4QTQ9a9P1HYcfpn0468PGEioAL7L6XNSb4IM4uEgINDzzZWiwzKMvh3HH5QPY=w371\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.p_6RZd3VifzVTh\" class=\"yaqOZd\">\n<div class=\"yaqOZd IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"oKdM2c\">\n<div id=\"h.p_AE595chwzVTe\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb jXK9ad-SmKAyb-c4YZDc\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<p id=\"h.p_HxRyduOYzVTg\" class=\"zfr3Q\"><em>Here is some information if you need, in addition to a pleural tap, pleural biopsies and \/ or a chest drain inserted. <\/em><\/p>\n<p id=\"h.p_VDmnw9pQ1x4K\" class=\"zfr3Q\"><em>The picture above shows a patient who has needed a drain, and you can see that the fluid drains into a special bottle, allowing the lung to re-inflate and thus breathlessness improves.<\/em><\/p>\n<h1 id=\"h.p_ytYsW-oQzXFO\" class=\"zfr3Q duRjpb\">Patient information for Aberdeen Royal Infirmary Pleural Clinic<\/h1>\n<h2 id=\"h.p_95ZoTVcOzXH-\" class=\"zfr3Q JYVBee\">Pleural biopsy<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_IEonpPXUz-Z6\" class=\"zfr3Q TYR86d\">In addition to removing fluid (called a pleural tap, as described earlier), it is also possible at the same visit to also take tiny samples of the lining of the lungs, called the pleural membranes. These samples are called biopsies.<\/li>\n<li id=\"h.p_TfAH_BNN0C6F\" class=\"zfr3Q TYR86d\">Pleural biopsies are usually done to find the cause of a collection of fluid around the lung (pleural effusion) or other abnormality of the pleural lining.<\/li>\n<li id=\"h.p_Bk902xGvz-Z7\" class=\"zfr3Q TYR86d\">After local anaesthesia, a sample of the pleura (lining) is taken using a special biopsy needle.<\/li>\n<li id=\"h.p_9PBxkzygz-Z7\" class=\"zfr3Q TYR86d\">Your doctor will explain the procedure prior to it.<\/li>\n<\/ul>\n<h2 id=\"h.p_b5PFdK2fzXaQ\" class=\"zfr3Q JYVBee\">What is a chest drain?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_CH-4mlEuzXaU\" class=\"zfr3Q TYR86d\">A chest drain is a thin plastic tube that is inserted into the pleural cavity (space between lung and chest wall).<\/li>\n<\/ul>\n<h2 id=\"h.p_NKU8t5wozXaU\" class=\"zfr3Q JYVBee\">Why do you need a chest drain?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_H5IghQbYzXaV\" class=\"zfr3Q TYR86d\">Because your Chest X-Ray has shown signs of fluid or infection or air in the pleural space that needs to be drained.<\/li>\n<\/ul>\n<h2 id=\"h.p_dFh_kZ_GzXaV\" class=\"zfr3Q JYVBee\">How is it inserted?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_-XWAoh9HzXaV\" class=\"zfr3Q TYR86d\">You will be assessed by a Respiratory doctor.<\/li>\n<li id=\"h.p_BMMF4q-fzXaW\" class=\"zfr3Q TYR86d\">You may require an ultrasound scan\/sonogram (involves applying gel on your chest and using a hand-held device to roll over your chest; similar to a baby scan or heart scan).<\/li>\n<li id=\"h.p_NhGWL-AQzXaW\" class=\"zfr3Q TYR86d\">You will be asked to sit upright (figure on next page) or lie on your side.<\/li>\n<li id=\"h.p_kRiP9OCVzXaW\" class=\"zfr3Q TYR86d\">After cleaning the skin, local anaesthetic will be given to numb the area.<\/li>\n<li id=\"h.p_As_Oq54lzXaX\" class=\"zfr3Q TYR86d\">You will feel some pressure and tugging but no pain.<\/li>\n<li id=\"h.p_4h-husP3zXaX\" class=\"zfr3Q TYR86d\">A tube will be inserted with a suture to keep it in place.<\/li>\n<li id=\"h.p_vDalysj0zXaY\" class=\"zfr3Q TYR86d\">The tube will get connected to a bottle to drain the fluid or air.<\/li>\n<li id=\"h.p_FXiQZCto0shc\" class=\"zfr3Q TYR86d\">There may be some pain afterwards, but this will ease with analgesics (pain relief medication.)<\/li>\n<\/ul>\n<h2 id=\"h.p_vguTccDEzXaZ\" class=\"zfr3Q JYVBee\">Consent<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_GUpCDOPizXae\" class=\"zfr3Q TYR86d\">You will be asked to sign a consent form prior to the procedures. The doctors will be able to answer any questions, if you have any.<\/li>\n<\/ul>\n<h2 id=\"h.p_xjeGO8zGzXae\" class=\"zfr3Q JYVBee\">Can anything go wrong?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_82a0J2K5zXaf\" class=\"zfr3Q TYR86d\"><strong> T<\/strong>here is a small risk of infection or bleeding but every effort is made to prevent this happening.<\/li>\n<li id=\"h.p_88z2cgX0zXag\" class=\"zfr3Q TYR86d\">Sometimes air can leak out but this resolves in few days.<\/li>\n<\/ul>\n<h2 id=\"h.p_xk8AKQNYzXag\" class=\"zfr3Q JYVBee\">What happens after?<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_U6bl1segzXah\" class=\"zfr3Q TYR86d\">You may need an X-Ray after the procedure.<\/li>\n<li id=\"h.p_2h49M7N8zXai\" class=\"zfr3Q TYR86d\">The doctor will inform you of any follow up arrangements.<\/li>\n<li id=\"h.p_oD1qXhjxzXai\" class=\"zfr3Q TYR86d\">The results from samples taken usually take 1-2 weeks.<\/li>\n<\/ul>\n<h2 id=\"h.p_5hmUOlFizXai\" class=\"zfr3Q JYVBee\">Important things to let your doctor know<\/h2>\n<ul class=\"n8H08c UVNKR\">\n<li id=\"h.p_OXbSA1R0zXaj\" class=\"zfr3Q TYR86d\">If you are on any blood thinning medication (eg. clopidogrel, warfarin, rivaroxaban, dalteparin, ticagrelor or apixaban), please let us know.<\/li>\n<li id=\"h.p_YPENs9m71MgT\" class=\"zfr3Q TYR86d\">These may need to be stopped prior to the procedure.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Who are we? Dr Ratna Alluri (Consultant) Dr Mahendran Chetty (Consultant) Dr Patrick Fitch (Consultant) Who do we see? We see patients with all forms of pleural disease e.g. unexplained pleural effusions, suspected pleural malignancy including mesothelioma, pneumothorax. Tunnelled long term indwelling pleural catheters (TIPC) are also inserted for malignant pleural effusions. How to refer&hellip; <\/p>\n<p><a class=\"moretag\" href=\"https:\/\/www.arirespiratory.scot.nhs.uk\/?page_id=55\">Read the full article<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":19,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-55","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/55","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=55"}],"version-history":[{"count":1,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/55\/revisions"}],"predecessor-version":[{"id":57,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/55\/revisions\/57"}],"up":[{"embeddable":true,"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/pages\/19"}],"wp:attachment":[{"href":"https:\/\/www.arirespiratory.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}