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  • Title: Outpatient talc administration via indwelling pleural catheters for malignant effusions.
    Author: Dipper A, Bhatnagar R, Maskell N.
    Journal: Curr Opin Pulm Med; 2019 Jul; 25(4):380-383. PubMed ID: 30998600.
    Abstract:
    PURPOSE OF REVIEW: Malignant 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 FINDINGS: Administration 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. SUMMARY: In 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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