Thoracentesis for the Diagnosis and Management of Pleural Effusions: The Current State of a Centuries-Old Procedure

Thoracentesis is a fundamental procedure in interventional pulmonology, providing both diagnostic and therapeutic value. This review article offers a comprehensive analysis of thoracentesis, delving into pleural anatomy, procedural techniques, indications, and recent advancements. The article detail...

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Main Authors: Michael J. Nicholson, Christopher Manley, Danish Ahmad
格式: 文件
语言:English
出版: MDPI AG 2023-12-01
丛编:Journal of Respiration
主题:
在线阅读:https://www.mdpi.com/2673-527X/3/4/20
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author Michael J. Nicholson
Christopher Manley
Danish Ahmad
author_facet Michael J. Nicholson
Christopher Manley
Danish Ahmad
author_sort Michael J. Nicholson
collection DOAJ
description Thoracentesis is a fundamental procedure in interventional pulmonology, providing both diagnostic and therapeutic value. This review article offers a comprehensive analysis of thoracentesis, delving into pleural anatomy, procedural techniques, indications, and recent advancements. The article details the evolution of thoracentesis, including the crucial role of ultrasound guidance and emerging approaches that enhance precision and minimize complications. It addresses the wide range of indications for thoracentesis in diverse clinical scenarios, from the diagnosis of pleural effusions to therapeutic drainage of pleural collections. Furthermore, this review explores the management of coagulopathy and anticoagulation pertaining to thoracentesis. It will also provide strategies for preventing and managing complications, ensuring that thoracentesis remains a well-tolerated procedure with minimal risks. This article concludes by examining future directions in thoracentesis, including potential innovations and trends that will shape the landscape of interventional pulmonary medicine. This review serves as an essential resource for pulmonologists, interventional radiologists, and healthcare professionals, offering a comprehensive update on thoracentesis.
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spelling doaj.art-40a2d1ebaafb4be98aea1dfdddfbe3422023-12-22T14:19:33ZengMDPI AGJournal of Respiration2673-527X2023-12-013420822210.3390/jor3040020Thoracentesis for the Diagnosis and Management of Pleural Effusions: The Current State of a Centuries-Old ProcedureMichael J. Nicholson0Christopher Manley1Danish Ahmad2Department of Thoracic Medicine and Surgery, Temple University Hospital, Philadelphia, PA 19140, USADivision of Pulmonary and Critical Care, Fox Chase Cancer Center, Temple University Health System, Philadelphia, PA 19140, USADivision of Pulmonary and Critical Care, Fox Chase Cancer Center, Temple University Health System, Philadelphia, PA 19140, USAThoracentesis is a fundamental procedure in interventional pulmonology, providing both diagnostic and therapeutic value. This review article offers a comprehensive analysis of thoracentesis, delving into pleural anatomy, procedural techniques, indications, and recent advancements. The article details the evolution of thoracentesis, including the crucial role of ultrasound guidance and emerging approaches that enhance precision and minimize complications. It addresses the wide range of indications for thoracentesis in diverse clinical scenarios, from the diagnosis of pleural effusions to therapeutic drainage of pleural collections. Furthermore, this review explores the management of coagulopathy and anticoagulation pertaining to thoracentesis. It will also provide strategies for preventing and managing complications, ensuring that thoracentesis remains a well-tolerated procedure with minimal risks. This article concludes by examining future directions in thoracentesis, including potential innovations and trends that will shape the landscape of interventional pulmonary medicine. This review serves as an essential resource for pulmonologists, interventional radiologists, and healthcare professionals, offering a comprehensive update on thoracentesis.https://www.mdpi.com/2673-527X/3/4/20thoracentesispleural effusionpleural fluidpleural spaceultrasound
spellingShingle Michael J. Nicholson
Christopher Manley
Danish Ahmad
Thoracentesis for the Diagnosis and Management of Pleural Effusions: The Current State of a Centuries-Old Procedure
Journal of Respiration
thoracentesis
pleural effusion
pleural fluid
pleural space
ultrasound
title Thoracentesis for the Diagnosis and Management of Pleural Effusions: The Current State of a Centuries-Old Procedure
title_full Thoracentesis for the Diagnosis and Management of Pleural Effusions: The Current State of a Centuries-Old Procedure
title_fullStr Thoracentesis for the Diagnosis and Management of Pleural Effusions: The Current State of a Centuries-Old Procedure
title_full_unstemmed Thoracentesis for the Diagnosis and Management of Pleural Effusions: The Current State of a Centuries-Old Procedure
title_short Thoracentesis for the Diagnosis and Management of Pleural Effusions: The Current State of a Centuries-Old Procedure
title_sort thoracentesis for the diagnosis and management of pleural effusions the current state of a centuries old procedure
topic thoracentesis
pleural effusion
pleural fluid
pleural space
ultrasound
url https://www.mdpi.com/2673-527X/3/4/20
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AT christophermanley thoracentesisforthediagnosisandmanagementofpleuraleffusionsthecurrentstateofacenturiesoldprocedure
AT danishahmad thoracentesisforthediagnosisandmanagementofpleuraleffusionsthecurrentstateofacenturiesoldprocedure