Thoracentesis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Synonyms and keywords: Thoracocentesis; pleural tap
Overview
Indications
Contraindications
Complications
Treatment
Interpretation of pleural fluid analysis
Analysis of Pleural Fluid
TRANSUDATIVE EFFUSIONS
EXUDATIVE EFFUSIONS
In contrast, exudates occur when the local factors influencing the accumulation of pleural fluid are altered. Exudates present more of a diagnostic dilemma. Pneumonia, malignancy, and thromboembolism account for most exudative effusions in the U
n clinical practice, exudative effusions can be separated effectively from transudative effusions using Light’s criteria. These criteria classify an effusion as exudate if one or more of the following are present: (1) the ratio of pleural fluid protein to serum protein is greater than 0.5, (2) the ratio of pleural fluid lactate dehydrogenase (LDH) to serum LDH is greater than 0.6, or (3) the pleural fluid LDH level is greater than two thirds of the upper limit of normal for serum LDH.
Light’s criteria are nearly 100 percent senTemplate:Respiratory system surgeries and other procedures