Part 10 Standard Operating Procedures (SO?) 10.1 Def: Ind: Meth: Thoracentesis R. Engelhardt Insertion ofa needle into the pleural cavity in order to remove excess pleural lui + Diagnostic thoracentesi: pleural effusion of unknown origin fhoracentesis: symptomatic pleucal effusion (dyspnea, pain, nt before further treatment of the underlying disease table cough), to re- Relative contraindications: hemorshagic diathesis, anticoagulation Thoracentesis set Item: ‘Type Quantity kin disinfectant 1 ton swabs Sterile 3 packs Compresses Sterile, 75 x75 em. 3 packs Drapes (fenestrated drapes) Sterile 1 Gloves Sterile size as needed 2 pairs Bed pads 1 Local anesthetic Vile 1% 2 Cannulas. 22G,0.7 mm 2 206, 0.9 mm x 40 mm 2 206, 0.9 mm x 70 mm 2 Intravenous catheter 18G, 13mm 2 166, 1.7mm 2 Disposable syringes 2 ml, 5 ml, 50 ml 2ofeach ‘Three-way stopcock Sterile 2 Connecting tubes Sterile, Luer-Lok system 2 Collection container 1000 ml 1 Sample tubes Sterile 5 Dressi 2 material Technique Preparation + Position of the patient: patient sitting comfortably, e.g. on edge ofthe bed + Puncture under stertle conditions: skin disinfection, sterile cover Puncture Site + Posterior (eg. posterior axillary line), upper border of a rib. ATTENTION: subcostal new rovascuiar bundle on lower border of each rib, Ultrasound location of effusion; alternatively: intercostal space below the fluid level + ATTENTION: puncture site should not be below the 6th or 7th intercostal space (danger of pun turing liver or spleen) Local Anesthesia of Skin and Parietal Pleura