Advertisement
Research Article| Volume 2, ISSUE 6, P433-442, 1985

Thoracentesis in the emergency department

DOI:https://doi.org/10.1016/0736-4679(85)90253-7
Thoracentesis in the emergency department
Previous ArticleEmergency evaluation of the EKG right bundle branch block
Next ArticleEmergency cricothyrostomy—Technique and anatomical considerations
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Presented is a review of thoracentesis, a procedure with which the emergency physician should be familiar. The pathophysiology of pleural effusions is described and is followed by a review of the clinical presentation and diagnosis. Special attention is given to technique and interpretation of results.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Ingram Jr, R.H.
        Diseases of the pleura, mediastinum, and diaphragm.
        in: Petersdorf R.E. Harrison's Principles of Internal Medicine. McGraw Hill, New York1983: 1580-1584
        • DeGowin E.L.
        • DeGowin R.L.
        Bedside Diagnostic Examination.
        in: Macmillan, New York1982: 309-314
        • Manson R.M.
        • Rushing J.L.
        Respiratory tract and mediastinum.
        in: Krupp M.A. Chatton M.J. Current Medical Diagnosis and Treatment. Lange, Los Altos CA1984: 157-161
        • Mestitz P.
        • Purves M.
        • Pollard A.
        Pleural biopsy in the diagnosis of pleural effusions: A report of 200 cases.
        Lancet. 1958; 2: 1349-1353
        • Bevilaqua F.A.
        • Arunda C.
        Management of spontaneous pneumothorax with small lumen catheter manual aspiration.
        Chest. 1982; 81: 643-644
        • Sibu S.P.
        • Arrants J.E.
        • Kose A.
        • et al.
        Management of spontaneous pneumothorax.
        Ann Thorac Surg. 1976; 19: 501-504
      7. Geunter C.A. Welch M.H. Pulmonary Medicine. Lippincott, Philadelphia1977: 461
        • Simon R.R.
        • Brenner B.
        Procedures and Techniques in Emergency Medicine.
        in: Williams & Wilkins, Baltimore1982: 142-145
        • Baldwin I.N.
        • Fishner N.H.
        A simplified method of thoracentesis.
        Surg Gynecol Obstet. 1963; 142: 1321-1326
        • Munnell E.R.
        • Thomas E.K.
        Current concepts in thoracic drainage systems.
        Ann Thorac Surg. 1975; 19: 261-268
        • Brandstetter R.D.
        • Cohen R.P.
        Hypoxemia after thoracentesis: A predictable and treatable condition.
        JAMA. 1979; 242: 1060-1061
        • Griswold R.A.
        • Maguire C.H.
        Penetrating wounds of the heart and pericardium.
        Surg Gynecol Obstet. 1942; 74: 406-413
        • Light R.W.
        Pleural effusions.
        Med Clin North Am. 1977; 61: 1339-1351
        • Van Heerden J.A.
        • Laufenberg H.J.
        Simplified thoracentesis.
        in: Mayo Clin Proc. 43. 1965: 311-315
        • Cameron G.R.
        Pulmonary edema.
        Br Med J. 1948; 1: 965
        • Luisada A.A.
        • Cardi L.
        Acute pulmonary edema: Pathology, physiology and clinical management.
        Circulation. 1956; 13: 113-124
        • Trapnell D.H.
        • Thurston J.G.B.
        Unilateral pulmonary edema after pleural aspiration.
        Lancet. 1970; 1: 1367-1369
        • Murphy K.
        • Tomlanovich M.C.
        Unilateral pulmonary edema after drainage of a spontaneous pneumothorax.
        J Emerg Med. 1983; 1: 29-36
        • Yoo O.H.
        • Ting E.Y.
        The effects of pleural effusions on pulmonary function.
        Ann Rev Resp Dis. 1964; 89: 55-63
        • Karetsky M.S.
        • Kothari G.A.
        • Fourre J.A.
        • et al.
        Effect of thoracentesis on arterial oxygen tension.
        Respiration. 1978; 36: 96-103
        • Paddock F.K.
        The diagnostic significance of serous fluids in disease.
        N Engl J Med. 1940; 223: 1010-1015
        • Agostoni E.
        • Taglietti A.
        • Setnika I.
        Absorption force of the capillaries of the visceral pleura in determination of the intrapleural pressure.
        Am J Physiol. 1957; 191: 277-282
        • Stead W.W.
        • Sproul J.M.
        Pleural effusions.
        Diseasea-Month. 1964; 1: 48
        • Light R.M.
        • Macgregor I.
        • Luchsinger P.L.
        • Ball W.C.
        Pleural effusions: The diagnostic separation of transudates and exudates.
        Ann Intern Med. 1972; 77: 507-513
        • Wallach J.
        Interpretation of Diagnostic Tests.
        in: Little Brown, Boston1982: 145
        • Carr D.T.
        • Power M.H.
        Clinical value of measurements of concentration of protein in pleural fluid.
        N Engl J Med. 1958; 259: 926-927
        • Leuallen E.
        • Carr D.T.
        Pleural effusions: A statistical study of 436 patients.
        N Engl J Med. 1955; 252: 79-83
        • Rasmussen L.
        • Faber V.
        Hyaluronic acid in 247 pleural fluids.
        Scand J Resp Dis. 1967; 48: 366-371
        • Light R.W.
        • Erozan Y.C.
        • Ball W.C.
        Cells in pleural fluid: Their value in differential diagnosis.
        Arch Intern Med. 1973; 132: 854-860
        • Spriggs A.
        • Boddington M.
        The Cytology of Pleural Effusions.
        Grune & Stratton, New York1968
        • Zinneman H.H.
        • Johnson J.J.
        • Lyon R.H.
        Proteins and mucoproteins in pleural effusions.
        Am Rev Tuberc. 1957; 70: 247-255
        • Light R.W.
        • Ball W.C.
        Lactate dehydrogenase isoenzymes in pleural effusions.
        Am Rev Resp Dis. 1973; 108: 660-665
        • Barber L.M.
        • Mazzadi L.
        • Deakins D.D.
        • et al.
        Glucose levels in pleural fluid as a diagnostic aid.
        Dis Chest. 1957; 31: 680-687
        • Dodson W.
        • Hollingsworth J.
        Pleural effusions in rheumatoid arthritis: Impaired transport of glucose.
        N Engl J Med. 1966; 275: 1337-1342
        • Carr D.T.
        • Power M.H.
        Pleural fluid glucose with special reference to concentration in rheumatoid pleurisy with effusion.
        Dis Chest. 1960; 37: 321-324
        • Light R.W.
        • Ball W.C.
        Glucose and amylase in pleural effusions.
        JAMA. 1970; 225: 257-260
        • Light R.W.
        • MacGregor M.L.
        • Ball W.C.
        • et al.
        Diagnostic significance of pleural fluid pH and pCO2.
        Chest. 1973; 64: 591-596
        • Potts D.E.
        • Levin D.C.
        • Salin S.A.
        Pleural fluid pH in parapneumonia effusions.
        Chest. 1976; 70: 328-331

      Article info

      Publication history

      Accepted: December 17, 1984
      Received: October 1, 1984

      Identification

      DOI: https://doi.org/10.1016/0736-4679(85)90253-7

      Copyright

      © 1985 Published by Elsevier Inc.

      ScienceDirect

      Access this article on ScienceDirect

      The content on this site is intended for healthcare professionals.


      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties.


      RELX