In Reply The methods for our study were fully detailed in the eAppendix in the Supplement and included a comprehensive, 28-step recommended approach to performing medical thoracoscopy.1 One of these steps was ensuring even pleural coverage of talc. The article also made clear that procedures were performed while individuals were under local anesthesia and moderate sedation rather than general anesthetic.
Bhatnagar R, Maskell NA. Delivery of Talc for Pleurodesis of Malignant Pleural Effusions—Reply. JAMA. 2020;323(18):1855–1856. doi:10.1001/jama.2020.3268
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