title: Changes to practice may help avoid 'double trouble'.
authors.affiliation: Critical Care Medicine Fellowship Director, Departments of Pulmonary and Critical Care, Respiratory Institute, Cleveland Clinic mirelee@ccf.org.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Mireles-Cabodevila
authors.affiliation: Pulmonary and Critical Care Medicine Fellowship Director, Departments of Pulmonary and Critical Care, Respiratory Institute, Cleveland Clinic.
authors.forename: Rendell W
authors.initials: RW
authors.lastname: Ashton
mesh_terms: D006801:Humans; D006876:Hydrothorax / Q000601:surgery*; D008297:Male; D019152:Paracentesis / Q000009:adverse effects*; D011030:Pneumothorax / Q000209:etiology*; D011654:Pulmonary Edema / Q000209:etiology*