Pathway for Evaluation and Treatment of Child with Community-Acquired Pneumonia

Evaluation and Management of Pleural Effusion

Concern for effusion on XR that may require drainage1
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Obtain US of Chest

Consult General Surgery

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Free Flowing Fluid
Empyema
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Chest tube within 24 hours or
VATS within 48 hours
VATS within 48 hours
1. Effusions that may require drainage are those that the clinician is concerned are:
  1. Large and/or growing in size
  2. Impairing pulmonary function
  3. Organized and loculated
  4. Preventing adequate response to antibiotics