Current/impending local symptom management | Right Decisions

Right Decisions
Scottish Cancer Network: Clinical Management Pathways
Lung Cancer
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Diagnostics and staging
Current/impending local symptom management

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Oligometastatic disease

Resection or RT for metastasis +/- lung resection or radiotherapy +/- SACT in NSCLC; SACT in small cell.

Pleural effusion

Talc Pleurodesis or Indwelling Pleural Catheter (IPC), ideally guided by patient choice.

If evidence of Trapped Lung for Indwelling Pleural Catheter (IPC).

Talc poudrage at thoracoscopy if required for tissue diagnosis.

Superior vena cava obstruction (SVCO)

Begin administration of steroids
Stent/Radiotherapy (NSCLC)
Chemotherapy (small cell)

Malignant spinal cord compression

Begin administration of steroids as per local guidelines, MRI within 24 hrs
Refer to Neurosurgery
Radiotherapy - start within 24 hrs of MRI
Chemotherapy if small cell

Malignant airway obstruction

Begin administration of steroids. Refer /discuss with Thoracic Surgeons or interventionalbronchoscopist (stent, recanalisation or cryotherapy) as per local guidelines.

Significant haemoptysis

Consider tranexamic acid, stop relevant meds, consider antibiotics.
Consider CT angiogram and discuss with interventional radiology, thoracic surgeons or interventional bronchoscopist.
Consider urgent RT.