Some reports of acute respiratory distress syndrome (ARDS) have heightened safety concerns, but our department (Department of Respiratory Medicine for men, Pham Ngoc Thach Hospital, Ho Chi Minh city, Viet Nam) made a decision to use talc slurry for pleurodesis according to an American College of Chest Physicians Delphi Consensus Statement in 2001 for management of spontaneous pneumothorax.