PROCEDURE PERFORMED: Thoracentesis.
INDICATIONS FOR PROCEDURE: Pleural effusion. The patient has had increasing dyspnea, mild increase in her pleural fluid.
DESCRIPTION OF PROCEDURE: After obtaining written informed consent, the right pleural space was aspirated. Initial fluid was clear. With positioning of the plastic catheter, there was some mild bleeding, which stopped by the end of the procedure. A total of 800 mL of blood-tinged fluid was removed without difficulty. The patient had some shoulder pain initially but that resolved before the procedure was complete. She did not note any change in her shortness of breath. She will be reassessed in one week’s time.
DATE OF PROCEDURE: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Pleural effusion.
POSTOPERATIVE DIAGNOSIS: Pleural effusion.
PROCEDURE PERFORMED: Thoracentesis.
DESCRIPTION OF PROCEDURE: After informed consent was obtained, signed, the patient had ultrasound localization in the right hemithorax. The patient was sterilely prepped and topical lidocaine was induced. Stab incision was made and a thoracentesis catheter was inserted and 800 mL of clear yellow fluid was obtained without difficulty. The patient tolerated the procedure well. Postprocedure chest x-ray is pending.
DATE OF PROCEDURE: MM/DD/YYYY
PROCEDURE PERFORMED: Bilateral ultrasound-guided thoracentesis.
FINDINGS AND DESCRIPTION OF PROCEDURE: Following consent, the left pleural space was localized under ultrasound guidance. The skin was cleansed with Betadine and anesthetized with lidocaine 1%. The thoracentesis needle and catheter were aimed to introduce into the left pleural space without difficulty. The catheter was advanced and the needle was removed. A total of 1800 mL of yellow clear fluid was removed without difficulty. The procedure was stopped when no more fluid was able to be drained. The right pleural space was localized under ultrasound guidance. The skin was cleansed with Betadine and anesthetized with lidocaine 1%. The thoracentesis needle and catheter were introduced into the right pleural space without difficulty. The catheter was advanced and needle was removed. A total of 1800 mL of yellow fluid was removed from the right pleural space without difficulty. The procedure was stopped when no more fluid was able to be drained. We are going to take chest x-rays.
DATE OF PROCEDURE: MM/DD/YYYY
PROCEDURE PERFORMED: Left thoracentesis.
DESCRIPTION OF PROCEDURE: Informed consent was obtained. The patient was brought to the ultrasound department, seated upright. The left posterior chest was localized using ultrasound. The ninth posterior space in the posterior axillary line was selected. Betadine was used to prep the skin in the usual sterile fashion. Ten mL of 1% Xylocaine was used to infiltrate the skin and soft tissue. Subsequently, an 18 gauge drainage catheter was introduced over the rib in the pleural space, and free flowing clear, straw-colored pleural fluid was easily aspirated. The catheter was advanced and the needle removed. The catheter was hooked through a stopcock and opened to vacutainer suction. A total of 300 mL of fluid was easily drained. The flow was spontaneously ceased. The catheter was removed and procedure terminated. Post chest x-ray ordered. Studies were sent. The patient tolerated the procedure well.
IMPRESSION: Status post diagnostic and therapeutic thoracentesis on the left.
DATE OF PROCEDURE: MM/DD/YYYY
PROCEDURE PERFORMED: Right-sided thoracentesis.
ANESTHESIA: Lidocaine 1%.
INDICATION: Pleural effusion.
FINDINGS AND DESCRIPTION OF PROCEDURE: The right hemithorax at the eighth intercostal space in the scapular line was previously marked by ultrasound. The patient was put in sitting-up position and the mark was identified. The area was prepped and draped in the usual way. The skin was infiltrated with lidocaine 1%. Thoracentesis was performed with 14 gauge needle with catheter assistance. The catheter was deployed to be placed in the chest cavity. Once free fluid was obtained, approximately 1250 mL of serosanguineous fluid was obtained without any problems. Pleural effusion was tapped dry. The patient tolerated the procedure well. Some bleeding was noted from the puncture site after the needle was removed, which stopped with compression. No other complications were noted. Initial review was obtained to document lung expansion.
