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Thoracentesis / ˌ θ ɔː r ə s ɪ n ˈ t iː s ɪ s /, also known as thoracocentesis (from Greek θώραξ (thōrax, GEN thōrakos) 'chest, thorax' and κέντησις (kentēsis) 'pricking, puncture'), pleural tap, needle thoracostomy, or needle decompression (often used term), is an invasive medical procedure to remove fluid or air from the pleural space for diagnostic or therapeutic ...
Complications that are sometimes associated with chest tubes include the potential for clogging, air leaks, infection, hemorrhage, re-expansion pulmonary edema.Injury to the liver, spleen or diaphragm is also possible if the tube is placed behind (inferior) to the pleural cavity or is mispositioned.
In cricothyrotomy, the incision or puncture is made through the cricothyroid membrane in between the thyroid cartilage and the cricoid cartilage Cricothyrotomy kit A cricothyrotomy is an incision made through the skin and cricothyroid membrane to establish a patent airway during certain life-threatening situations, such as airway obstruction by ...
The procedure was first described in 1805 by Félix Vicq-d'Azyr, a French surgeon and anatomist. [3] A cricothyrotomy is generally performed by making a vertical incision on the skin of the throat just below the laryngeal prominence (Adam's apple), then making a horizontal incision in the cricothyroid membrane which lies deep to this point.
Disposable trocars Laparoscopic instruments for insertion through trocars. A trocar (or trochar) is a medical or veterinary device used in minimally invasive surgery.Trocars are typically made up of an awl (which may be metal or plastic with a pointed or tapered tip), a cannula (essentially a rigid hollow tube) and often a seal.
The most common complications are lacerations of coronary arteries, and puncture of the left ventricle (with associated bleeding from both). [11] [12] Echocardiograms can help to identify complications. [12] Blind approaches are typically only advised in emergencies, and a guided approach is typically preferred (using echocardiography). [12] [8]
Drainage of the pericardium can be achieved by puncture (transcutaneously) or surgically. In the first case, small-bore catheters not suitable for the drainage of blood (e.g. hemopericard) are used. Pericardial drains are mostly used with the help of gravity.
Fistulas can result from incorrectly positioned equipment, high cuff pressures causing pressure sores or mucosal damage, a low surgical trachea site, repetitive neck movement, radiotherapy, or prolonged intubation. [20] A potential risk factor identified in a 2013 systematic review of the percutaneous technique was the lack of bronchoscopic ...