To drain a pleural effusion found on POCUS?

Suggested indications:

If underlying lung is recruitable (ref?)

Inverted diaphragm 

Specific indications e.g. Surgical, BTS guidelines 

Stalled wean + large effusion. If max distance between diaphragm measures >5cm then almost certainly >800ml and drainge will improve situation (ref?)
High RSB index

Overall nil definitive evidence, so take a pragmatic approach.

From CUSIC day @ICSSeminars

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