Thoracentesis video (فيديو تعليمى)

[Dr.Ahmed Sabra]

Thoracentesis is used diagnostically to establish the cause of a pleural effusion. It can also be performed to drain large effusions that lead to respiratory compromise. Contraindications Limited data exist regarding the safety of thoracentesis in patients with coagulation abnormalities. The procedure is probably safe in patients with mild or moderate elevations of the prothrombin time or partial-thromboplastin time. The decision to use fresh-frozen plasma or platelet concentrates in patients with clinically significant coagulopathy or thrombocytopenia must be made on an individual basis. The procedure should be used with care in patients who are receiving mechanical ventilation, since positive-pressure . . . .
Chapters:


Introduction

Indications

Contraindications

Equipment

Preparation

Pleural fluid aspiration

Pleural fluid analysis

Complications
Abdominal paracentesis is performed as a diagnostic procedure to establish the etiology of new-onset ascites or to rule out spontaneous bacterial peritonitis in patients with preexisting ascites. Large-volume paracentesis is performed in hemodynamically stable patients with tense or refractory ascites to alleviate discomfort or respiratory compromise. Contraindications Many patients undergoing paracentesis will have baseline coagulopathy or thrombocytopenia. However, the incidence of clinically significant bleeding during paracentesis is extremely low, and routine use of fresh-frozen plasma or platelet concentrates is not recommended. Paracentesis should be avoided in patients with disseminated intravascular coagulation. The paracentesis needle should not pass through sites . . . .
Chapters:


Overview

Indications

Contraindications

Equipment

Preparation

Paracentesis

Analysis

Complications

http://@_@@_@@_@@_@@_@@_@@_@.nejm.org/@_@@_@@_@@_@@_@@_@@_@/vol355/issue15/images/small/11f1.gif
اضغط هنا (http://@_@@_@@_@@_@@_@@_@@_@.nejm.org/cgi/video/355/15/e16/NEJMvcm053812.wmv)