THORACOCENTESIS
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ScribdTranslationsTHORACOCENTESIS
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ScribdTranslationsINTRODUCT
ION
The accumulation of air and/or fluid in the pleural space is a
pathological process that interferes with respiratory physiology
normal and carries variable morbidity and mortality
Thoracentesis is the procedure used for
timely collection of pleural material for diagnostic purposes
(diagnostic thoracentesis) and/or therapeutics (thoracentesis
evacuator), and is performed percutaneously with a hollow needle
or a catheter-over-needle.
THORACOCENTESIS
Thoracentesis (CRT) consists of a punctual puncture of the chest wall
to remove fluid and/or air from the pleural space, using a fine hollow
needle or catheter-over-needle.
The accumulation of air and/or fluid in the pleural space is a pathological
process that interferes with normal respiratory physiology and entails
variable morbidity and mortality, depending on the amount and
characteristics of the accumulated material and its speed of establishment.
GUYS
Diagnostic Thoracentesis: applied to obtain a small volume of
pleural fluid (10-60 ml), a procedure used to obtain specific pleural
material for diagnostic purposes.
We distinguish 2 types of
CRT: 4 Evacuative or therapeutic Thoracentesis: it is used as an emergency
procedure for the removal of air and/or pleural fluid that pose a risk to
life. In certain circumstances, such as pneumothorax and large pleural
effusions
No amount or high density, it will be necessary to place a pleural drain.
INDICATIONS
Etiological diagnosis of pleural effusion; indicated for almost
all patients who have new or uncertain pleural fluid ≥ 10 mm
thick on CT, ultrasound, or lateral decubitus radiography.
Therapeutic removal of pleural fluid or air (as an initial measure
in a tension pneumothorax); Indicated to relieve symptoms in
patients with dyspnea caused by a large pleural effusion.
CONTRAINDICATIONS
There are no absolute contraindications for thoracentesis.
Relative contraindications include:
□ Lack of patient cooperation
□ Significant coagulation disorder or alterations
□ uncertain location of liquid
□ Minimum liquid volume
□ Alteration of the anatomy of the chest wall
□ Lung disease severe enough to cause life-threatening complications
□ Uncontrollable cough
□ Insufficient amount of pleural fluid
