conclusion safety-related parameters of posterolateral and posterior approaches in supine thoracentesis are far better than that of the conventional lateral approach. background in patients who have difficulty sitting, thoracentesis is attempted in a supine position via lateral approach. recently, a new table has been designed for supine thoracentesis. this table has gaps that allow access to t...

BACKGROUND In patients who have difficulty sitting, thoracentesis is attempted in a supine position via lateral approach. Recently, a new table has been designed for supine thoracentesis. This table has gaps that allow access to the posterolateral and posterior hemithorax. OBJECTIVES To compare important safety-related parameters between lateral, posterolateral, and posterior approaches in su...

BACKGROUND The aim of this study is to evaluate feasibility, safety and efficacy of accessing the pleural space with the patient supine or in lateral recumbent position, under constant ultrasonic guidance along the costophrenic sinus. METHODS All patients with pleural effusion, referred to thoracentesis or pleural drainage from February 2010 to January 2011 in two institutions, were drained e...

recess in the case of both mild PE and abundant PE. Our study has shown that this calculation can be done directly at the bedside without any radiation risk and it can improve the efficacy and safety of the decision making regarding patients with PE before thoracentesis. Conclusions A PSID is a useful tool that may integrate and complete the physical examination and may also provide additional ...

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...

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...