Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Thoracentesis contraindications
Introduction
Contraindications
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
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.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Shaik Aisha sultana, [3]