Which position is best for thoracentesis?

March 22, 2020 Off By idswater

Which position is best for thoracentesis?

Best done with the patient sitting upright and leaning slightly forward with arms supported. Recumbent or supine thoracentesis (eg, in a ventilated patient) is possible but best done using ultrasonography or CT to guide procedure.

In which position should you place a mobile conscious patient to facilitate a thoracentesis procedure?

Patients who are alert and cooperative are most comfortable in a seated position (see the image below), leaning slightly forward and resting the head on the arms or hands or on a pillow, which is placed on an adjustable bedside table.

What is the best position for pleural effusion?

For most individuals with suspected pleural effusion, the oblique semi-supine position is preferable to the lateral decubitus position.

How will you assist a patient during a thoracentesis procedure?

Apply a small sterile dressing over the puncture site after the needle or catheter is removed. Monitor the patient’s vital signs, oxygen saturation, and breath sounds for several hours following the procedure. Check the dressing for drainage or bleeding. Report any abnormal findings to the health care provider.

What should I watch after thoracentesis?

What happens after thoracentesis?

  • Fever of 100.4°F (38°C) or higher, or as advised by your healthcare provider.
  • Redness or swelling of the needle site.
  • Blood or other fluid leaking from the needle site.
  • Feeling short of breath.
  • Trouble breathing.
  • Chest pain.

How long does it take to recover from thoracentesis?

Your chest may be sore where the doctor put the needle or catheter into your skin (the procedure site). This usually gets better after a day or two. You can go back to work or your normal activities as soon as you feel up to it.

What can go wrong with a thoracentesis?

The risks of thoracentesis include a pneumothorax or collapsed lung, pain, bleeding, bruising, or infection. Liver or spleen injuries are rare complications. Visit Thoracentesis for more information about this topic.

What should I expect during a thoracentesis?

During the thoracentesis, your doctor removes fluid from the pleural space. This eases your shortness of breath, chest pain, and pressure on your lungs. That fluid is then tested to figure out the reason behind the build-up.

Is chest X-ray necessary after thoracentesis?

It has been standard practice to obtain a chest x-ray after thoracentesis to rule out pneumothorax, document the extent of fluid removal, and view lung fields previously obscured by fluid, but evidence suggests that routine chest x-ray is not necessary in asymptomatic patients.

What is the procedure also known as thoracentesis?

Thoracentesis / ˌθɔːrəsɪnˈtiːsɪs /, also known as thoracocentesis (from the Greek θώραξ thōrax “chest, thorax”- GEN thōrakos -and κέντησις kentēsis “pricking, puncture”), pleural tap, needle thoracostomy, or needle decompression (often used term) is an invasive medical procedure to remove fluid or air from the pleural space for diagnostic or therapeutic purposes.