RT Journal Article SR Electronic T1 Advanced medical interventions in pleural disease JF European Respiratory Review JO EUROPEAN RESPIRATORY REVIEW FD European Respiratory Society SP 199 OP 213 DO 10.1183/16000617.0020-2016 VO 25 IS 140 A1 Bhatnagar, Rahul A1 Corcoran, John P. A1 Maldonado, Fabien A1 Feller-Kopman, David A1 Janssen, Julius A1 Astoul, Philippe A1 Rahman, Najib M. YR 2016 UL http://err.ersjournals.com/content/25/140/199.abstract AB The burden of a number of pleural diseases continues to increase internationally. Although many pleural procedures have historically been the domain of interventional radiologists or thoracic surgeons, in recent years, there has been a marked expansion in the techniques available to the pulmonologist. This has been due in part to both technological advancements and a greater recognition that pleural disease is an important subspecialty of respiratory medicine. This article summarises the important literature relating to a number of advanced pleural interventions, including medical thoracoscopy, the insertion and use of indwelling pleural catheters, pleural manometry, point-of-care thoracic ultrasound, and image-guided closed pleural biopsy. We also aim to inform the reader regarding the latest updates to more established procedures such as chemical pleurodesis, thoracentesis and the management of chest drains, drawing on contemporary data from recent randomised trials. Finally, we shall look to explore the challenges faced by those practicing pleural medicine, especially relating to training, as well as possible future directions for the use and expansion of advanced medical interventions in pleural disease.Technological advances and greater availability of techniques give a broad range of interventions for pleural disease http://ow.ly/ZNya2