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  • drgoelmanoj@yahoo.co.in
Dr. Manoj K Goel
Director & Head
Dept of Pulmonology, Critical Care & Sleep Medicine
Fortis Memorial Research Institute,Gurugram(Delhi & NCR)

Details of procedure :

The site of pleural fluid aspiartion is first localised clinicoradiologically or with the help of USG if required.Antiseptic dressing and draping are done and local anaethesia is given in  and around the area of pleural fluid aspiartion. Using a appropriate syringe- needle set( with or without a 3 way canula- IV set) pleural fluid is aspirated from the pleural space (diagnostic/therapeutic)

 

Possible risks and complications:

The complications include pneumothorax, hemorrhage, subcutaneous emphysema, postoperative fever, empyema, wound infection, cardiac arrhythmias, reexpansion pulmonary edema, hypotension, seeding of chest wall in patients with mesothelioma, diaphragmatic tear and injury to surrounding organs.  Some patients may experience cough and dyspnea.   Pneumothorax secondary to pleural aspiration is about 5 %. Clinically, significant re-expansion pulmonary edema seems to occur in less than 1 % of the cases. Significant bleeding occurs in less than 1% cases.

Post procedure course: 

 

1) ) Postoperative oxygen supplementation may be required in some patients, particularly those with impaired lung function and those who have been sedated or those developing pneumothorax

2) A chest radiograph is carried out post procedure

3) Patients should observe for  pain chest, breathlessness, haemoptysis, surgical emphysema , excessive cough 

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