Diagnosis and / or therapeutic purposes, the example of a special needle to obtain fluid between the lung membranes of the process is called thoracentesis.
Thoracentesis is required why?
Normally a very small amount of liquid is located between the membranes covering the lungs. Is the accumulation of fluid between the lung membranes 'pleural effusion is called'.
Pneumonia (pneumonia), pulmonary tuberculosis, heart failure and certain types of heart inflammation of the membrane, some kidney and liver diseases, rheumatic diseases, cancer diseases and parasitic diseases, fluid collected between the lung membranes.
Collection of fluid between the lung membranes, lungs, creating pressure on the child / hastanızda can lead to respiratory distress. The amount of fluid between the lung membranes further increased by increasing respiratory distress, life-threatening for your child can create. This is a special liquid to be taken out with a needle (thoracentesis), can reduce your child's respiratory distress, and microbiological and biochemical methods and the examination of the fluid that causes fluid to collect konulmasına can help diagnose the disease.
Different microbes (eg bacteria, viruses, fungi), and treatment of lung membranes and cause the liquid to be used for the collection of drugs could be different according to the microbes, microbe identification led to the collection of fluid is very important. Pleural effusions caused by germs called bacteria prepared liquid emissions under the microscope examination of bacteria stained with special dyes to produce bacteria cultures occurrence and determined that the cause of bacterial infection. Produced in liquid culture of bacteria, germs used antibiotics are effective, this is not understandable. Collection of fluid between the lung membranes of bacteria associated with pneumonia, only the early stages of the disease with antibiotic treatment period with good compared with the inflammation or surgical chest tube should be emptied.
Collection of fluid between the membranes of microbe identification of patients diagnosed with lung / thoracentesis needs to be done to determine the cause. Thoracentesis is done today for diagnosis of lung patients and accurate diagnosis konulamayabilir substitute for review of fluid between the membranes there is another method. For this reason, early diagnosis and appropriate treatment as soon as the patient needs to be done thoracentesis.
Preparation before Thoracentesis
Interference with you and your child's doctor before / patient's age and mental status information for the transaction will consult with appropriate hastanızla. Patient's significant medical problems, use drugs, have bleeding problems or are allergic to substances (drugs, latex gloves, plaster, etc.) or other diseases should tell your doctor before the procedure.
Your doctor will discuss with you information about your permission to take action to be taken after giving your patient a consent form imzalatacaktır you.
Intervention before the patients do not have to remain hungry. Before the procedure, go the toilet during the venture would be beneficial in terms of being comfortable.
Thoracentesis How?
Thoracentesis is a procedure usually lasts 15-30 minutes. The patient is placed on the examination table leans slightly forward, puts his arms up or removes a pillow. Thoracentesis done in the region deleted from the skin with an antiseptic solution, sterile cloth to clean the area with the hole covered over. Done in the process, by means of a needle uyuşturulur regional, and then again between the membranes covering the lungs with a needle is entering the accumulated liquid. Absolutely motionless during the procedure the patient should stop. If the patient is a child, and with a calm and motionless durabilecekse kept by medical personnel may not be required in the appropriate position. Infants and young children may need to be kept in a proper position by medical personnel. Selected from among the ribs with a special needle for passing the liquid sample after the needle is removed. During this process the patient may feel a slight pain. Thoracentesis is planned evacuation of the liquid may take time.
Thoracentesis your doctor can find out details about the method.
What happens after Thoracentesis?
After Thoracentesis initiative on the skin where pressure is applied for 2-3 minutes with sterile gauze, liquid or blood is drawn from the control. This place is closed with sterile gauze and pasted on the plaster. Tape must be removed no later than 24 hours later.
Do not lift up the patient after the procedure, your doctor interview, yürütmeyin and do not leave the hospital.
After the procedure, sometimes pain where the needle may be intruded, in this case, the patient may need to be given a drug painkillers such as paracetamol orally. Aspirin should not be used could make a bleeding tendency.
Are there any risks of thoracentesis?
Thoracentesis process may be some risks, albeit low probability.
May develop allergic reaction to medication and rarely used for local anesthesia.
Sometimes you may need to repeat the initiative can not be obtained from the fluid by thoracentesis.
Rarely venture from the prolonged bleeding or fluid leaking from the lung membranes can be. These conditions can be treated appropriately. After leaving the hospital can draw attention to deal with the situation immediately tell your doctor to call.
Between the air can escape during the process of lung membranes (pneumothorax) or blood collected from lung membranes (hemothorax). These undesirable consequences if not treated properly the patient may be lost. Therefore, post-thoracentesis chest X-ray detected an emergency treatment to be captured and will be made if such an undesirable situation.
Very low probability of interference due to vascular and nerve damage may develop.
Source: Pediatric Infectious Diseases Society - translated by google
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