Recommendations on the Use of Ultrasound Guidance for Adult Thoracentesis: A Position Statement of the Society of Hospital Medicine

• DOI: 10.12788/jhm.2940
• Publication Date: 2018-01-30T17:43:48Z
• Authors: Ria Dancel; Daniel Schnobrich; Nitin Puri; Ricardo Franco‐Sadud; Joel Cho; Loretta Grikis; Brian P. Lucas; Mahmoud El‐Barbary; ; Nilam J. Soni
• Keywords: Thoracentesis

Executive Summary: 1) We recommend that ultrasound should be used to guide thoracentesis reduce the risk of complications, most common being pneumothorax. 2) guidance increase success rate thoracentesis. 3) ultrasound-guided performed or closely supervised by experienced operators. 4) suggest complications from in mechanically ventilated patients. 5) identify chest wall, pleura, diaphragm, lung, and subdiaphragmatic organs throughout respiratory cycle before selecting a needle insertion site. 6) detect presence absence an effusion approximate volume pleural fluid clinical decision-making. 7) complex sonographic features, such as septations, decision-making regarding timing method drainage. 8) measure depth skin surface parietal pleura help select appropriate length determine maximum depth. 9) evaluate normal lung sliding pre- postprocedure rule out 10) avoiding delay interval change patient position time marking site performing 11) against routine radiographs patients who have undergone successfully with are asymptomatic postprocedure. 12) novices use for receive focused training ultrasonography hands-on practice procedural technique. 13) undergo simulation-based prior on 14) Learning curves become competent not completely understood, we tailored skill acquisition learner resources institution.