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