Thoracentesis - Revision history

Blsimpso at 21:36, 29 June 2021

2021-06-29T21:36:08Z

← Revisión anterior		Revisión del 21:36 29 jun 2021
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	*Connect tubing to catheter and to evacuated container and remove desired amount of fluid		*Connect tubing to catheter and to evacuated container and remove desired amount of fluid

	*Obtain post-procedure ~~CXRif~~:		*Obtain post-procedure CXR if:
	**Multiple needle passes required		**Multiple needle passes required
	**Air is aspirated		**Air is aspirated
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	==See Also==		==See Also==
	[[Pleural Effusion]]		[[Pleural Effusion]]

			==External Links==

			===Videos===
			{{#widget:YouTube\|id=pwOwmauhANQ}}

	==References==		==References==

2021-04-08T19:55:04Z

← Revisión anterior		Revisión del 19:55 8 abr 2021
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	~~[[File:Gray530.png\|thumb\|Left pleura cavity (viewed from left) showing intercostal bundles (vein, artery, and nerve) under ribs.]]~~
	==Indications==		==Indications==
	*New-onset pleural effusion (except obvious [[CHF]]-induced effusion)		*New-onset pleural effusion (except obvious [[CHF]]-induced effusion)
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	==Procedure==		==Procedure==
			[[File:Gray530.png\|thumb\|Left pleura cavity (viewed from left) showing intercostal bundles (vein, artery, and nerve) under ribs.]]
	*Choose insertion site/positioning		*Choose insertion site/positioning
	**Upright position in mid-scapular or posterior axillary line (usual technique)		**Upright position in mid-scapular or posterior axillary line (usual technique)

2021-04-08T19:54:40Z

Indications

← Revisión anterior		Revisión del 19:54 8 abr 2021
Línea 1:		Línea 1:
			[[File:Gray530.png\|thumb\|Left pleura cavity (viewed from left) showing intercostal bundles (vein, artery, and nerve) under ribs.]]
	==Indications==		==Indications==
	*New-onset pleural effusion (except obvious [[CHF]]-induced effusion)		*New-onset pleural effusion (except obvious [[CHF]]-induced effusion)

2021-04-08T16:03:23Z

Complications

← Revisión anterior		Revisión del 16:03 8 abr 2021
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	*Infection (2%)		*Infection (2%)
	*[[Hemothorax]]		*[[Hemothorax]]
	*Splenic injury		*[[Splenic injury]]
	*Diaphragmatic injury		*[[Diaphragmatic injury]]
	*Hepatic ~~Injury~~		*[[Hepatic injury]]
	*Vascular injury/bleeding		*[[Vascular injury]]/bleeding
	*Air embolism		*[[Air embolism]]
	*Reexpansion [[pulmonary edema]]		*Reexpansion [[pulmonary edema]]
	**Treatment should include supportive care with [[noninvasive ventilation]] as needed		**Treatment should include supportive care with [[noninvasive ventilation]] as needed

2021-04-03T10:28:53Z

Complications

← Revisión anterior		Revisión del 10:28 3 abr 2021
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	*Hepatic Injury		*Hepatic Injury
	*Vascular injury/bleeding		*Vascular injury/bleeding
			*Air embolism
	*Reexpansion [[pulmonary edema]]		*Reexpansion [[pulmonary edema]]
	**Treatment should include supportive care with [[noninvasive ventilation]] as needed		**Treatment should include supportive care with [[noninvasive ventilation]] as needed

2021-02-28T12:28:27Z

Complications

← Revisión anterior		Revisión del 12:28 28 feb 2021
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	==Complications==		==Complications==
	''Ultrasound-guidance significantly reduces complication rates''<ref>Mercaldi CJ, Lanes SF. Ultrasound guidance decreases complications and improves the cost of care among patients undergoing thoracentesis and paracentesis. Chest. 2013;143(2):532-538. doi:10.1378/chest.12-0447</ref>		''Ultrasound-guidance significantly reduces complication rates''<ref>Mercaldi CJ, Lanes SF. Ultrasound guidance decreases complications and improves the cost of care among patients undergoing thoracentesis and paracentesis. Chest. 2013;143(2):532-538. doi:10.1378/chest.12-0447</ref> video<ref>5 Minute Sono – Thoracentesis https://www.coreultrasound.com/5ms-thora/</ref>
	*[[Pneumothorax]] (4-19%)		*[[Pneumothorax]] (4-19%)
	*Cough (9%)		*Cough (9%)

2021-02-17T18:13:16Z

Equipment Needed

← Revisión anterior		Revisión del 18:13 17 feb 2021
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	*Chlorhexidine or betadine scrub		*Chlorhexidine or betadine scrub
	*Evacuated container		*Evacuated container
	*Ultrasound		*[[Ultrasound]]

	==Procedure==		==Procedure==

2021-02-17T18:12:57Z

Indications

← Revisión anterior		Revisión del 18:12 17 feb 2021
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	==Indications==		==Indications==
	*New-onset pleural effusion (except obvious CHF-induced effusion)		*New-onset pleural effusion (except obvious [[CHF]]-induced effusion)
	*Symptomatic pleural effusion		*Symptomatic pleural effusion

2021-02-17T18:09:48Z

Complications

← Revisión anterior		Revisión del 18:09 17 feb 2021
Línea 33:		Línea 33:

	==Complications==		==Complications==
			''Ultrasound-guidance significantly reduces complication rates''<ref>Mercaldi CJ, Lanes SF. Ultrasound guidance decreases complications and improves the cost of care among patients undergoing thoracentesis and paracentesis. Chest. 2013;143(2):532-538. doi:10.1378/chest.12-0447</ref>
	*[[Pneumothorax]] (4-19%)		*[[Pneumothorax]] (4-19%)
	*Cough (9%)		*Cough (9%)

2018-11-23T08:27:05Z

Complications

← Revisión anterior		Revisión del 08:27 23 nov 2018
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	==Complications==		==Complications==
	*Pneumothorax (4-19%)		*[[Pneumothorax]] (4-19%)
	*Cough (9%)		*Cough (9%)
	*Infection (2%)		*Infection (2%)
	*Hemothorax		*[[Hemothorax]]
	*Splenic ~~rupture~~		*Splenic injury
	*Reexpansion pulmonary edema		*Diaphragmatic injury
	**~~Dyspnea, tachypnea, cough, frothy sputum~~		*Hepatic Injury
	**treatment ~~with aggressive volume resuscitation~~		*Vascular injury/bleeding
			*Reexpansion [[pulmonary edema]]
			**Treatment should include supportive care with [[noninvasive ventilation]] as needed
			**Diuresis is not a primary treatment for reexpansion pulmonary edema

	==See Also==		==See Also==