Today our topic of discussion is Procedure of Thoracentesis.
Procedure of Thoracentesis
Procedure
- Position the patient in Fowler’s.
- Bring patient to one side of bed with feet supported, arms and head leaning forward on cardiac table with pillows (Fig. 28.5)
- Unite gown to expose site for aspiration
- Instinct patient to avoid coughing and to remain immobile during procedure
- Explain that a feeling of deep pressure will be experienced while fluid is being aspirated from pleural space
- Provide sterile gloves to doctor
- Open sterile set and assemble 20 ml, 50 ml syringes, 20-22 G needles and aspiration needle
- Pour antiseptic solution to clean site
- After showing label to doctor clean top of local anesthetic bottle and assist to withdraw mediation
- Reassure patient and instruct to hold breath during insertion of aspiration needle (Fig. 28.6) As physician does procedure, observe for signs and symptoms of complications
- After fluid is withdrawn from pleural space, transfer to specimen container
- After needle is withdrawn, apply pressure over puncture site.
- Assist in sealing site with tincture benzoin swab.
Equipment
- A sterile tray containing
- Sponge holding forceps-1
- Dissecting forceps-1 .Syringe (5 mL) and 2 needles for giving local anesthesia
- 20 ml syringe with 1 leur lock to aspirate the fluid
- Aspiration needle No. 16 (long and short) 3 way stopcock
- Small bowls-2 to take the cleaning lotions
- Specimen bottles and slides
- Cotton swabs, gauze pieces and cotton pads .
- Gown, masks and gloves for the doctor
- Sterile dressing towels/slit.
- An unsterile/clean tray containing .
- Mackintosh and towel
- Kidney tray and paper bag
- Spirit, iodine and tincture benzoin
- Lignocaine 2%
- Suction apparatus with water seal drainage system.
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