Thoracentesis: Difference between revisions
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==Procedure== | ==Procedure== | ||
Routine [[ultrasonography]] can help obtain fluid samples and reduce complications according to [[randomized controlled trial]]s.<ref name="pmid3521416">{{cite journal |author=Kohan JM, Poe RH, Israel RH, ''et al'' |title=Value of chest ultrasonography versus decubitus roentgenography for thoracentesis |journal=Am. Rev. Respir. Dis. |volume=133 |issue=6 |pages=1124–6 |year=1986 |month=June |pmid=3521416 |doi= |url= |issn=}}</ref><ref name="pmid12576363">{{cite journal |author=Diacon AH, Brutsche MH, Solèr M |title=Accuracy of pleural puncture sites: a prospective comparison of clinical examination with ultrasound |journal=Chest |volume=123 |issue=2 |pages=436–41 |year=2003 |month=February |pmid=12576363 |doi= |url=http://www.chestjournal.org/cgi/pmidlookup?view=long&pmid=12576363 |issn=}}</ref><ref name="pmid2183735">{{cite journal |author=Grogan DR, Irwin RS, Channick R, ''et al'' |title=Complications associated with thoracentesis. A prospective, randomized study comparing three different methods |journal=Arch. Intern. Med. |volume=150 |issue=4 |pages=873–7 |year=1990 |month=April |pmid=2183735 |doi= |url= |issn=}}</ref> | Routine [[ultrasonography]] can help obtain fluid samples and reduce complications according to [[randomized controlled trial]]s.<ref name="pmid3521416">{{cite journal |author=Kohan JM, Poe RH, Israel RH, ''et al'' |title=Value of chest ultrasonography versus decubitus roentgenography for thoracentesis |journal=Am. Rev. Respir. Dis. |volume=133 |issue=6 |pages=1124–6 |year=1986 |month=June |pmid=3521416 |doi= |url= |issn=}}</ref><ref name="pmid12576363">{{cite journal |author=Diacon AH, Brutsche MH, Solèr M |title=Accuracy of pleural puncture sites: a prospective comparison of clinical examination with ultrasound |journal=Chest |volume=123 |issue=2 |pages=436–41 |year=2003 |month=February |pmid=12576363 |doi= |url=http://www.chestjournal.org/cgi/pmidlookup?view=long&pmid=12576363 |issn=}}</ref><ref name="pmid2183735">{{cite journal |author=Grogan DR, Irwin RS, Channick R, ''et al'' |title=Complications associated with thoracentesis. A prospective, randomized study comparing three different methods |journal=Arch. Intern. Med. |volume=150 |issue=4 |pages=873–7 |year=1990 |month=April |pmid=2183735 |doi= |url= |issn=}}</ref> | ||
The amount of fluid sent for cytology should be at least 60 mL if only direct smear/cytospin is used; whereas 150 mL should be sent if both direct smear/cytospin and cell block preparations are used.<ref name="pmid19741064">{{cite journal| author=Swiderek J, Morcos S, Donthireddy V, Surapaneni R, Jackson-Thompson V, Schultz L et al.| title=Prospective study to determine the volume of pleural fluid required to diagnose malignancy. | journal=Chest | year= 2010 | volume= 137 | issue= 1 | pages= 68-73 | pmid=19741064 | |||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=19741064 | doi=10.1378/chest.09-0641 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> | |||
==Complications== | ==Complications== | ||
Revision as of 04:54, 3 February 2010
A thoracentesis is an operative surgical procedure to " to remove fluid from the space between the lining of the outside of the lungs (pleura) and the wall of the chest."[1][2]
Procedure
Routine ultrasonography can help obtain fluid samples and reduce complications according to randomized controlled trials.[3][4][5]
The amount of fluid sent for cytology should be at least 60 mL if only direct smear/cytospin is used; whereas 150 mL should be sent if both direct smear/cytospin and cell block preparations are used.[6]
Complications
References
- ↑ MedlinePlus Medical Encyclopedia: Thoracentesis. National Library of Medicine. Retrieved on 2008-06-23.
- ↑ Thomsen TW, DeLaPena J, Setnik GS (October 2006). "Videos in clinical medicine. Thoracentesis". N. Engl. J. Med. 355 (15): e16. DOI:10.1056/NEJMvcm053812. PMID 17035643. Research Blogging.
- ↑ Kohan JM, Poe RH, Israel RH, et al (June 1986). "Value of chest ultrasonography versus decubitus roentgenography for thoracentesis". Am. Rev. Respir. Dis. 133 (6): 1124–6. PMID 3521416. [e]
- ↑ Diacon AH, Brutsche MH, Solèr M (February 2003). "Accuracy of pleural puncture sites: a prospective comparison of clinical examination with ultrasound". Chest 123 (2): 436–41. PMID 12576363. [e]
- ↑ Grogan DR, Irwin RS, Channick R, et al (April 1990). "Complications associated with thoracentesis. A prospective, randomized study comparing three different methods". Arch. Intern. Med. 150 (4): 873–7. PMID 2183735. [e]
- ↑ Swiderek J, Morcos S, Donthireddy V, Surapaneni R, Jackson-Thompson V, Schultz L et al. (2010). "Prospective study to determine the volume of pleural fluid required to diagnose malignancy.". Chest 137 (1): 68-73. DOI:10.1378/chest.09-0641. PMID 19741064. Research Blogging.
External links
Thoracentesis - Information for patients from MedlinePlus (United States National Library of Medicine).