The LSUHSC New Orleans
Emergency Medicine Interest Group

Presents

The Student Procedure Manual


Thoracentesis

by Aruna Akundi with
Wayne Berkowitz

Indications
Contraindications
Prerequisites
Equipment
Procedure
-Anterior thoracentesis for pneumothorax

-Posterior thoracentesis for pleural effusion
Follow-up
Complications

References

Indications

Contraindications

Absolute

Relative

Prerequisites

Equipment

Procedure

  1. Consider use of a narcotic for spasmodic or uncontrollable cough and I mg of subcutaneous atropine to prevent a vasovagal episode
  2. Drape and prep area around puncture site using sterile procedure
  3. Positioning

*Note: Special thoracentesis needles, "needle-over-cath-eter", can be used for this procedure and are preferred due to the reduction in risk of pleural or parenchymal injury.

Follow-up

Complications

References

  1. Feliciano DV. Thoracentesis. In: Benumof JL, ed. Clinical Procedures in Anesthesia and Intensive Care. Philadelphia, Pa: JB Lipincott Co; 1992: 297-300.
  2. Grogan DR, Irwin RS. Thoracentesis. In: Rippe JM, et al. eds. Procedures and Techniques in Intensive Care Medicine. Philadelphia, Pa: Little, Brown and Co; 1995: 156-161.

 


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