Pulmonary aspiration
The Pulmonary aspiration page has had a significant revision, particularly in relation to antibiotic choices and the reduced importance of anaerobic bacteria in secondary pneumonia.
Respiratory
Pulmonary embolism flowchart
The Management of PE page has been updated with a new flowchart that corrects an error in the previous chart and simplifies things as well!
VTE in pregnancy
The PE in special populations page has been updated with a variety of minor improvements in wording and organisation.
Azygous lobe
The Chest imaging page has been updated with a new image of an azygous fissure and some additional information about it.
Target SpO2 < 96%
The Oxygen therapy page has been updated, including a clearer indication that target SpO2 in hospitalised patients should rarely be > 95%.
Needle induced pneumothorax
The Management of pneumothorax page has been updated to indicate that pneumothorax secondary to pleural needle puncture usually resolves with conservative treatment alone.
Pneumothorax size measurement
The Assessment of pneumothorax page has been updated to indicate that the BTS guidelines recommend measurement of the separation of the lung from the chest wall at the level of the hilum on CXR.
Pneumothorax – correction
The Abnormal intrathoracic gas page has been updated, including removing traumatic causes from the section on primary pneumothorax. Thanks to Farzad for picking this up.
Atypical cover for CAP
The Management of CAP page has been updated with some additional information about atypical antibiotic cover in CAP.
CXR of thymic mass
A CXR image of a thymic mass has been added to the Mediastinal masses page.
CT of aorto-bronchial fistula
A CT image of a thoracic aneurysm causing an aorto-bronchial fistula has been added to the Haemoptysis page.
Massive haemoptysis
The Haemoptysis page has been extensively revised and updated, with particular reference to the management of massive haemoptysis.
Haldane effect and CO2 retention in COPD
The Management of COPD page has been updated with the addition of the Haldane effect as a cause for CO2 retention in COPD and the removal of reduction of hypoxic drive of ventilation. Thanks to Farzad for the suggestion.
Tethered pneumothorax CXR
An Xray image of a tethered pneumothorax has been added to the Assessment of pneumothorax page.
PEFR and asthma action plans
The Assessment of asthma page has been updated with some additional information about the use of PEFR measurement as part of an asthma management plan.
CRP and procalcitonin in CAP
The Community acquired pneumonia page has been updated with some additional information about procalcitonin and CRP in CAP.
Pleural effusion
The Pleural effusion page has had some minor updates and the size of some of the images enlarged.
Light’s criteria for pleural effusion
The Pleural effusion page has been updated, including separation of Light’s criteria from other criteria used to classify pleural effusions into separate tables.
Underwater sealed drain image
A new image of an underwater sealed drain has been added to the Management of pneumothorax page.
ICC insertion location
The Management of pneumothorax page has been significantly revised with an expanded section on ICC insertion location choices.