JOURNAL ARTICLE
REVIEW

Improving the safety of thoracentesis

Craig E Daniels, Jay H Ryu
Current Opinion in Pulmonary Medicine 2011, 17 (4): 232-6
21346571

PURPOSE OF REVIEW: Thoracentesis is a common bedside procedure associated with iatrogenic complications including pneumothorax. Experienced clinicians using optimal procedural techniques within a supportive system can achieve improvements in safety. However, clinicians have been relatively slow to adopt these changes. This review examines the available literature regarding procedural safety of thoracentesis with emphasis on best practice models to reduce iatrogenic complications.

RECENT FINDINGS: Recent studies have identified procedure-specific variables that are independently associated with iatrogenic pneumothorax including inexperienced operators, lack of ultrasound imaging, and large-volume aspiration of fluid. Development of a best practice model including procedural training within a focused procedural group that utilizes ultrasound imaging further improves thoracentesis procedural safety.

SUMMARY: Several procedural modifications have led to improvements in thoracentesis procedural safety in reducing iatrogenic complications. Herein, we review the known risks associated with thoracentesis and identify the modifiable and nonmodifiable risk factors. On the basis of recent studies, we make recommendations and encourage incorporation of 'best practice' techniques for thoracentesis procedures.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
21346571
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"