Thoracentesis contraindications: Difference between revisions

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Revision as of 00:58, 8 August 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

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.
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.

@@ Line 4: / Line 4: @@
 ==Contraindications==
-An uncooperative patient or a [[coagulation]] disorder that can not be corrected are absolute contraindications.
-Relative contraindications are site of insertion has known bullous disease (e.g. [[emphysema]]), use of [[positive end-expiratory pressure]] (PEEP, see [[mechanical ventilation]]) and only one functioning [[lung]] (due to diminished reserve).
+==== 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.
+* 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.
+<br />
 ==References==