Type your tag names separated by a space and hit enter

Thoracentesis

Thoracentesis is a topic covered in the Pocket ICU Management.

To view the entire topic, please or purchase a subscription.

Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

Anesthesia Central

-- The first section of this topic is shown below --

First Things First

  • Thoracentesis is the invasive, percutaneous access of the pleural space for removal of pleural fluid or air.
  • As such, the procedure requires a written informed consent from the patient or his/her power of attorney.
  • Indications
  • Determine the diagnosis of the etiology of a pleural effusion: suspected infection, hemothorax, or empyema; effusion not explained by clinical presentation.
  • Provide therapeutic drainage of pleural effusion: large or massive effusion.
  • Absolute Contraindications
  • Severe hemodynamic and/or respiratory instability: treat/optimize before attempting thoracentesis.
  • Severe coagulopathy (platelet count <50,000; INR >1.5; fibrinogen <100)
  • Portal hypertension with coexisting pleural varices
  • Infection at the site of planned thoracentesis (i.e., varicella zoster, cellulitis)
  • Relative Contraindications
  • Mechanical ventilation with high level of PEEP (>10 cm H2O)
  • Presence of single lung (i.e., following pneumonectomy)
  • Small effusion (<1 cm on lateral decubitus CXR)

-- To view the remaining sections of this topic, please or purchase a subscription --

Last updated: May 5, 2010

Citation

"Thoracentesis." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534070/all/Thoracentesis.
Thoracentesis. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534070/all/Thoracentesis. Accessed April 23, 2019.
Thoracentesis. (2010). In Pocket ICU Management. Available from https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534070/all/Thoracentesis
Thoracentesis [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2019 April 23]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534070/all/Thoracentesis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Thoracentesis ID - 534070 Y1 - 2010/05/05/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534070/all/Thoracentesis PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -