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==Indications==
==Indications==
This procedure is indicated when unexplained fluid accumulates in the chest cavity outside the lung. In more than 90% of cases analysis of pleural fluid yields clinically useful information. If a large amount of fluid is present, then this procedure can also be used therapeutically to remove that fluid and improve patient comfort and lung function.
The indications of Thoracocentesis can be divide into


The most common causes of pleural effusions are [[cancer]], [[congestive heart failure]], [[pneumonia]], and recent [[surgery]]. In countries where [[tuberculosis]] is common, this is also a common cause of pleural effusions.
==== Diagnostic- ====


* When thoracocentesis is done to take out small amount of pleural fluid for testing, to establish the cause of the disease.
* The most common causes of pleural effusions are [[cancer]], [[congestive heart failure]], [[pneumonia]], and recent [[surgery]]. In countries where [[tuberculosis]] is common, this is also a common cause of pleural effusions.
==== Therapeutic- ====
When cardiopulmonary status is compromised (i.e. when the fluid or air has its repercussions on the function of heart and lungs), due to air (significant [[pneumothorax]]), fluid ([[pleural effusion|pleural fluid]]) or [[blood]] ([[hemothorax]]) outside the lung, then this procedure is usually replaced with [[tube thoracostomy]], the placement of a large tube in the pleural space.
When cardiopulmonary status is compromised (i.e. when the fluid or air has its repercussions on the function of heart and lungs), due to air (significant [[pneumothorax]]), fluid ([[pleural effusion|pleural fluid]]) or [[blood]] ([[hemothorax]]) outside the lung, then this procedure is usually replaced with [[tube thoracostomy]], the placement of a large tube in the pleural space.



Revision as of 00:34, 8 August 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

Indications

The indications of Thoracocentesis can be divide into

Diagnostic-

  • When thoracocentesis is done to take out small amount of pleural fluid for testing, to establish the cause of the disease.
  • The most common causes of pleural effusions are cancer, congestive heart failure, pneumonia, and recent surgery. In countries where tuberculosis is common, this is also a common cause of pleural effusions.

Therapeutic-

When cardiopulmonary status is compromised (i.e. when the fluid or air has its repercussions on the function of heart and lungs), due to air (significant pneumothorax), fluid (pleural fluid) or blood (hemothorax) outside the lung, then this procedure is usually replaced with tube thoracostomy, the placement of a large tube in the pleural space.

References

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