Key points about thoracentesis

  • Thoracentesis removes fluid from the space around the lungs
  • The goal is to ease breathing and test the fluid if needed
  • The procedure is done with a needle while the patient is awake
  • It can help diagnose or treat lung problems
  • Most people go home the same day

Overview

Thoracentesis is a procedure used to take out fluid that has built up between the lungs and chest wall. This can help reduce pressure and improve breathing.

  • Also called a pleural tap
  • Often used when fluid causes shortness of breath
  • Fluid can be tested to find out why it’s there

Candidates for thoracentesis

Thoracentesis may be recommended if you have signs of fluid buildup in your chest.

  • People with lung infections like pneumonia or TB
  • People with heart or liver failure
  • People with cancer that has spread to the lungs
  • People with breathing trouble from fluid in the chest

Preparation for thoracentesis

You’ll get ready for thoracentesis with a few simple steps.

  • Tell your doctor about your medications
  • You may have blood tests or a chest X-ray first
  • You will not need to stop eating or drinking
  • Wear loose, comfortable clothing

Recovery from thoracentesis

Most people feel better soon after the procedure.

  • You may feel some soreness in your back
  • Rest for the day after the procedure
  • Watch for signs of problems like cough, chest pain or trouble breathing
  • Follow up with your doctor to review test results

Risks of thoracentesis

While the procedure is generally safe, there are some possible risks.

  • Pain or discomfort at the needle site
  • Bleeding or bruising
  • Infection
  • Collapsed lung (pneumothorax), although this is very rare

 

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