Thoracentesis - Stanford University
THORACENTESIS
BEFORE YOU BEGIN
Indications Pleural effusion of unknown origin, concern for empyema, symptomatic treatment of a large pleural effusion. Two circumstances in which diagnostic thoracentesis is usually not required: when there is a small amount of pleural fluid and a secure clinical diagnosis (eg, viral pleurisy), or when there is clinically obvious heart failure (HF) without atypical features.
Relative Contraindications ? Uncooperative patient ? Uncorrected bleeding diathesis (INR >2.5, Plts 6), small amount of fluid ( ................
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