Pleurocentesis / Thoracentesis


Pleural effusion is an abnormal accumulation of fluid in pleural cavity. Pleurocentesis is surgical outpatient procedure to remove fluid or air from pleural or chest wall cavity.

Indications
To determine the cause of pleural effusion and to remove pleural fluid therapeutically in the event of respiratory distress.

Precautions/Contraindications:
Thrombocytopenia, platelets < 50,000
Clotting abnormalities (Prothrombin time (PT), partial thromboplastin time prolongation >1.5 times normal), or anticoagulation therapy
Severe cough or hiccups (uncontrolled)

Pretreatment Evaluation
Signs and symptoms: Small pleural effusions are usually asymptomatic. Large pleural effusions may cause dyspnea, pleuritic chest pain, and dry cough.

Patient evaluation: General appearance, vital signs, fever, pulse oximetry.

Diagnostics: Chest x-ray; PA and lateral. Pleural fluid cause blunting of the costophrenic angles on chest x-ray. Blunting usually indicates that at least 300 ml of fluid is present.

Current CBC with platelets and differential, serum LDH, albumin, glucose, PT/PTT, chemistries as clinically indicated.

Patient Preparation
  • You are explained about purpose, risks/ benefits and steps of the procedure.
  • You do not need restrict fluids or diet.
  • You are requested to give proper consent.
  • Anaesthetic drug is infiltrated before doing the procedure to minimize the pain

Post Procedure
  • You are advised for chest x-ray to see fluid level or pneumothorax.
  • Specimens collected into sterile containers are sent to laboratory for various investigations to diagnose pathology.
  • You have to come and consult doctor if any breathing difficulty or excess cough.
  • Appointment will be given to you once reports come.


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Kolony Clinic is a subspecialty of internal medicine that deals with diseases of the lungs and the bronchial tubes, usually involving the evaluation of the upper respiratory tract (nose, pharynx and throat). This field is also known as chest medicine or respiratory medicine. The Clinic of Pulmonology is closely related to intensive care medicine, as it deals with patients requiring mechanical ventilation.

The clinic offers the best of technology and working environment to ensure the highest standards of patient care. Kolony Clinic has outstanding medical professionals with proven medical expertise in the field of pulmonary medicine and advanced respiratory care, capable of performing complex diagnostic and therapeutic procedures. The clinic offers expertise in diagnosis and management of diseases such as asthma, cystic fibrosis, chronic obstructive pulmonary disease (COPD), lung cancer, occupational respiratory diseases, Mycobacterium Avium Complex (MAC) lung disease, pulmonary fibrosis and sleep disorders. 

Dr. Dhaval Darji (MBBS DTDC) is one of the immensely experienced Pulmonologist and specialists in Pulmonary Medicine from Ahmedabad.


 

AREA OF EXPERTISE:

  • Asthma
  • Severe Asthma with Fungal sensitisation
  • Bronchiectasis
  • Bronchitis
  • Chronic Cough clinic(state of the art)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Common Cold
  • Idiopathic Pulmonary Fibrosis
  • Pneumonia
  • Sleep Apnea
  • Spirometry
  • Tuberculosis
  • Work-Related Asthma
  • Allergy

 
KOLONY CLINIC
15-16, Vishwamitra Complex,
Opp. Kalupur Commercial Bank,
Nr. Sardar Patel Colony,
Stadium Road, Ahmedabad-14.
 
DR. DHAVAL DARJI
(MBBS DTCD)
 
 
Call for appointment: +91 94296 14760, +91 97224 82392




Source :  by KOLONY CLINIC, Stadium Road, Ahmedabad.

Disclaimer : This tool does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. The content of these article if for information only, Information is gathered and shared from reputable sources; however, Ahmedabad Medical Guide is not responsible for errors or omissions in reporting or explanation. No individuals, including those under our active care, should use the information, resource or tools contained within to self-diagnosis or self-treat any health-related condition. Ahmedabad Medical Guide gives no assurance or warranty regarding the accuracy, timeliness or applicability or the content.

Publisher : Ahmedabad Medical Guide (P. R. Communication)  (www.ahmedabadbiz.blogspot.com, www.ahmedabadmedicalguide.blogspot.com)



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