Symptoma

Thoracentesis

Puncture of Pleural Cavity for Aspiration

These patients presented with respiratory distress because of pleural effusion and underwent a total of 45 thoracenteses. There was no significant bleeding or other complications in this patient population. [ncbi.nlm.nih.gov]

  • Overeating

    Using a 25-gauge needle, place a wheal of local anesthetic over the insertion point. [merckmanuals.com]

    These patients underwent 45 US-guided thoracenteses over 26 months. Clopidogrel was not discontinued before the thoracentesis in patients presenting with symptomatic pleural effusion. [ncbi.nlm.nih.gov]

    The catheter is then fed over the needle introducer and fed all the way to the hub. [medcaretips.com]

    Choose the right thoracentesis and paracentesis device for your needs BD offers two innovative catheter-over-the-needle drainage devices for thoracentesis and paracentesis—a standard and an advanced system. [bd.com]

  • Chest Pain

    Patients' symptoms, including chest pain, chest discomfort, and cough were recorded simultaneously. RESULTS: There was no correlation between the amount of pleural fluid removed and the development of symptoms. [ncbi.nlm.nih.gov]

    If a large amount of fluid (eg, 500 mL) is withdrawn, monitor patient symptoms and blood pressure and stop drainage if the patient develops chest pain, dyspnea, or hypotension. [merckmanuals.com]

    These and other authors concluded that cough is a physiologic sign of lung re-expansion and should not prompt termination of the procedure ( Heidecker 2006 ). 0 If chest pain occurs during thoracentesis, pleuritic chest pain must be differentiated from [emcrit.org]

    Tell your provider if you feel short of breath or have chest pain. Normally, very little fluid is in the pleural space. A buildup of too much fluid between the layers of the pleura is called a pleural effusion. [nlm.nih.gov]

  • Skin Edema

    In the second case, we performed thoracentesis in a fetus with a unilateral pleural effusion and skin edema at the gestational age of 17 weeks. Complete resolution was achieved after a single thoracentesis, and the outcome was uneventful. [ncbi.nlm.nih.gov]

  • Leg Pain

    RESULTS: The most common rationale for the use of the supine position was back or leg pain in 6 patients and hemi-or quadriplegia in 4. The operators chose the posterolateral approach in all 15 patients. [ncbi.nlm.nih.gov]

  • Suggestibility

    Outpatients were called within 2 weeks after their procedure to determine whether they had any symptoms suggestive of hemothorax. [ncbi.nlm.nih.gov]

  • Quadriplegia

    RESULTS: The most common rationale for the use of the supine position was back or leg pain in 6 patients and hemi-or quadriplegia in 4. The operators chose the posterolateral approach in all 15 patients. [ncbi.nlm.nih.gov]

CONCLUSIONS: Although not indicated in international recommendations, ITTC is safe and effective as first-line treatment of CPPE, with limited invasiveness. [ncbi.nlm.nih.gov]

In addition to its role as a diagnostic tool, physicians also use thoracentesis as a palliative treatment option, to help ease these symptoms and make patients more comfortable throughout treatment. [maacenter.org]

If they do not, you doctor would likely prescribe treatment. [riaendovascular.com]

While it is known that malignant pleural effusion portends a poor prognosis, mortality of patients with nonmalignant effusions has not been well studied.This prospective cohort study evaluated 308 patients undergoing thoracentesis. [ncbi.nlm.nih.gov]

RPE following thoracentesis is rare, so it is hard to determine its exact prognosis. However, it seems to be a more benign process which usually responds to conservative measures. [emcrit.org]

BACKGROUND: Malignant pleural effusion (MPE) is an extremely common problem affecting cancer patients, and thoracentesis is an essential procedure in an attempt to delineate the etiology of the fluid collections and to relieve symptoms in affected patients [ncbi.nlm.nih.gov]

[…] thoracentesis: Indicated to relieve symptoms in patients with dyspnea caused by a large pleural effusion Diagnostic thoracentesis is usually not needed when the etiology of the pleural fluid is apparent (eg, viral pleurisy, typical heart failure). [merckmanuals.com]

Heidecker JHuggins JTSahn SADoelken P Pathophysiology of pneumothorax following ultrasound-guided thoracentesis. Chest 2006;130 (4) 1173- 1184 PubMed Google Scholar Crossref 27. [doi.org]

BACKGROUND: Routine manometry is recommended to prevent complications during therapeutic thoracentesis, but has not definitively been shown to prevent pneumothorax or reexpansion pulmonary edema. [ncbi.nlm.nih.gov]

[…] bottle then send to the lab R: To prevent incorrect results to the patient. 25.  Document the procedure, patient’s response, characteristics of fluid and amount, and patient response to follow-up. [slideshare.net]

Pleurodesis is most commonly done to prevent reaccumulation of malignant effusions. There are no absolute contraindications to thoracentesis. [merckmanuals.com]

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