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. | *Infection of the overlying skin.<ref name="FiserGraham2006">{{cite journal|last1=Fiser|first1=Debra H.|last2=Graham|first2=James|last3=Green|first3=Jerril W.|last4=Moss|first4=Michele|last5=Wankum|first5=Patricia C.|last6=Heulitt|first6=Mark J.|last7=Prince|first7=Audra|last8=Schexnayder|first8=Stephen M.|last9=Dick|first9=Rhonda M.|title=Pediatric Vascular Access and Centeses|year=2006|pages=151–182|doi=10.1016/B978-032301808-1.50018-3}}</ref> | ||
* 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 01:00, 8 August 2020
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Thoracentesis contraindications On the Web |
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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.[1]
- 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.
References
- ↑ Fiser, Debra H.; Graham, James; Green, Jerril W.; Moss, Michele; Wankum, Patricia C.; Heulitt, Mark J.; Prince, Audra; Schexnayder, Stephen M.; Dick, Rhonda M. (2006). "Pediatric Vascular Access and Centeses": 151–182. doi:10.1016/B978-032301808-1.50018-3.