What Is It?
Thoracentesis is a medical procedure used to remove excess fluid from the pleural space, the area between the lungs and the chest wall. Causes of build up of this fluid varies, including recent surgery, cancer, infection and heart failure.
How is the Procedure Performed?
Local anesthesia is often administered to numb the skin and tissues over the insertion site. Once the area is numb, a needle is inserted through the skin and into the pleural space. This is typically done under ultrasound guidance to ensure accurate placement and to avoid puncturing any underlying structures, such as the lung. Once the needle is properly positioned, a syringe or vacuum container is attached to the needle, and the excess fluid is withdrawn. The amount of fluid removed depends on the patient’s condition and the reason for the thoracentesis. Throughout the procedure, the patient’s vital signs, such as blood pressure, heart rate, and oxygen levels, are monitored closely. The healthcare provider will also watch for any signs of complications, such as bleeding or a pneumothorax (air leaking into the space between lung and chest wall, causing collapse of the lung).
How Do I Prep For The Procedure?
Fasting is not required – you may eat and drink normally. You can drive yourself home. You may be asked to hold blood thinning medications.
What Happens After The Procedure?
After the fluid has been removed, the needle is removed, and a bandage is applied to the insertion site. The patient may be asked to remain lying down for a short period and will be monitored for any signs of complications. A chest x-ray will be taken to ensure there have been no complications, such as a pneumothorax.
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