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Thoracentesis complications

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Shaik Aisha sultana, [3]


Complications

Major complications-

  • Bleeding (intra thoracic or intra abdominal)
  • pneumothorax (3-30%),
  • hemopneumothorax,
  • hemorrhage
  • pleural space infection
  • puncture of diaphragm, spleen or liver (can be prevented by use of ultrasound guidance )
  • hypotension (low blood pressure due to a vasovagal response)
  • re-expansion pulmonary edema.(when large amounts of pleural fluid is removed, should not remove more than 1.5l/day)[1]

Minor complications-

  • dry tap (no fluid return),
  • subcutaneous hematoma or seroma
  • pain at the site of needle insertion
  • anxiety, dyspnea and cough (after removing large volume of fluid)

References

  1. Aelony, Yossef (2005). “Thoracentesis Without Ultrasonic Guidance”. Journal of Bronchology. 12 (4): 200–202. doi:10.1097/01.lab.0000186678.71362.c0. ISSN 1070-8030.

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