ACCIDENTS FOLLOWING THORACENTESIS

Reexpansion pulmonary edema following thoracentesis.

Case Report An 89-year-old gentleman with a past medical history significant for severe aortic stenosis and atrial fibrillation on warfarin therapy presented to the Providence VA Medical Center for placement of a right-sided chest tube. Several weeks prior, the patient had fallen at home and developed a hemothorax after sustaining several rib fractures. At the time of his fall, he had undergone...

Patient-Centered Outcomes Following Thoracentesis

BACKGROUND Pleural effusions impact over 1.5 million people annually in the United States and cause significant morbidity. Although therapeutic thoracentesis is associated with improvement in respiratory parameters, unanswered questions remain regarding its impact. OBJECTIVE The purpose of this study was to investigate patient-centered outcomes, the need for additional pleural interventions, ...

Intercostal artery laceration following thoracentesis.

Intercostal artery laceration is an unusual complication following thoracentesis, and has been reported only in elderly patients. We report a case of a 78-year-old man who developed a massive hemothorax following thoracentesis. Post-thoracentesis radiograph revealed a substantial increase in pleural fluid, and emergency chest tube insertion identified the hemothorax. He underwent right thoracot...

Can ultrasound guidance reduce the risk of pneumothorax following thoracentesis?*, **

OBJECTIVE Thoracentesis is one of the bedside procedures most commonly associated with iatrogenic complications, particularly pneumothorax. Various risk factors for complications associated with thoracentesis have recently been identified, including an inexperienced operator; an inadequate or inexperienced support team; the lack of a standardized protocol; and the lack of ultrasound guidance. W...

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