Thoracentesis is a clinical procedure used for fluid removal or air from the pleural space, that is a space between the membranes lining the lungs and the chest wall. Thoracentesis is usually done by a pulmonologist or an interventional radiologist. It is often considered to be a safe procedure, The risks and benefits of thoracentesis are assessed depending on the seriousness of the case, understanding the patient condition and clinical history.
Some of the potential benefits of thoracentesis include:
The purpose of thoracentesis involves relieving the symptoms that are the result of an accumulation of excess fluid or air in the pleural space and obtaining a fluid sample for diagnostic purposes. Thoracentesis is often performed for diagnostic or therapeutic purposes. As a diagnostic method, it permits the evaluation of the fluid collected, as it can help in determining the fluid accumulation cause such as infection, inflammation, cancer, or heart failure. As a therapeutic procedure, thoracentesis is useful in relieving symptoms like breath shortness, discomfort by fluid or air removal.
During thoracentesis, a healthcare provider involves using a catheter to puncture the chest wall and accessing the pleural space. The patient is often positioned in an upright or slightly leaning forward position with arms resting on a pillow or table. Skin cleaning is initiated and numbed with a local anesthetic to reduce the feeling of discomfort.
After the area is numbed, the healthcare provider starts inserting the needle or catheter through the chest wall, between the ribs, and into the pleural space. Next, the draining of the excess fluid or air is initiated through the needle or catheter into a collection container. The procedure might involve assessing the vital signs of a patient which includes blood pressure and oxygen levels, to ensure safety.
After the procedure, the healthcare team ensures removing the needle or catheter, and pressure is applied to the puncture site to avert the risk of bleeding. To cover the site, a bandage is applied. The obtained fluid is sent to a laboratory for further evaluation, and the results are used to assist for further treatment.
While thoracentesis is known to be a safe procedure, there are probable complications that can arise. Here are some of the thoracentesis complications which include:
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Thoracentesis procedure can be done as much as frequently required for certain conditions
When the excessive fluid is of unknown etiology, there is a need for thoracentesis procedure.
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