Thoracentesis contraindications: Difference between revisions
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* Small fluid accumulations make thoracocentesis difficult and may increase the risk of pneumothorax. Ultrasound guidance helps in reducing the risk of pneumothorax or damage to lung tissue. | * Small fluid accumulations make thoracocentesis difficult and may increase the risk of pneumothorax. Ultrasound guidance helps in reducing the risk of pneumothorax or damage to lung tissue. | ||
* Positive pressure ventilation also increase the risk of pneumothorax. | * Positive pressure ventilation also increase the risk of pneumothorax. | ||
*Infection of the overlying skin. | |||
* Uncorrected coagulopathy and thrombocytopenia predispose to bleeding complications, however, the risk of bleeding can be decreased by use of small and finer needles. | * Uncorrected coagulopathy and thrombocytopenia predispose to bleeding complications, however, the risk of bleeding can be decreased by use of small and finer needles. | ||
* An uncooperative patient(esp.paediatric patients) can lead to damage to the underlying vascular structures and lung parenchyma. This can be avoided by generous use of sedation and analgesia. | * An uncooperative patient(esp.paediatric patients) can lead to damage to the underlying vascular structures and lung parenchyma. This can be avoided by generous use of sedation and analgesia. | ||
Revision as of 00:59, 8 August 2020
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Thoracentesis contraindications On the Web |
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American Roentgen Ray Society Images of Thoracentesis contraindications |
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Risk calculators and risk factors for Thoracentesis contraindications |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Contraindications
Absolute-
- Thoracentesis has no absolute contraindications.
Relative-
- Small fluid accumulations make thoracocentesis difficult and may increase the risk of pneumothorax. Ultrasound guidance helps in reducing the risk of pneumothorax or damage to lung tissue.
- Positive pressure ventilation also increase the risk of pneumothorax.
- Infection of the overlying skin.
- Uncorrected coagulopathy and thrombocytopenia predispose to bleeding complications, however, the risk of bleeding can be decreased by use of small and finer needles.
- An uncooperative patient(esp.paediatric patients) can lead to damage to the underlying vascular structures and lung parenchyma. This can be avoided by generous use of sedation and analgesia.