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Pleural puncture (Thoracocentesis)

thoracentesis: Procedure and complications   ●Large volume thoracentesis is a therapeutic procedure that removes 1 liter or more of pleural fluid.  ●The indication for large volume thoracentesis is dyspnea due to a moderate to large pleural effusion confirmed by physical examination and chest radiography. Transudative pleural effusions due to liver failure and effusions associated with […]
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Suture Basics: Simple Interrupted Suture Instrument Tie

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Paracentesis Procedure- Ascites

Diagnostic and therapeutic abdominal paracentesis   ●Background Abdominal paracentesis is a simple bedside or clinic procedure in which a needle is inserted into the peritoneal cavity and ascitic fluid is removed. Diagnostic paracentesis refers to the removal of a small quantity of fluid for testing. Therapeutic paracentesis refers to the removal of 5 liters or […]
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Paracentesis #Ascitic tap

Evaluation of adults with ascites   ●Etiology There are numerous causes of ascites, but the most common cause of ascites in the United States is cirrhosis. Other common causes of ascites include malignancy-related ascites and ascites due to heart failure. Approximately 5 percent of patients will have two or even three causes for ascites formation.  […]
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Starting a Peripheral IV Catheter

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Thoracentesis

Ultrasound-guided thoracentesis   ●Thoracentesis is a percutaneous procedure where pleural fluid is removed from the pleural space. It should only be performed by clinicians with experience and who demonstrate competency with the procedure.    ●Most patients who have a newly detected pleural effusion should undergo diagnostic thoracentesis. Patients with symptomatic effusions, large effusions, or conditions […]
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