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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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Related Experiment Video

Updated: Jun 5, 2025

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Reducing Waste at the Bedside: A Resident-Led Project to Decrease Waste and Cost From Diagnostic Paracentesis.

Sara Gottesman1, Barbara Mensah2, Priyanka Jagannathan2

  • 1is a PGY-4 Chief Resident, Department of Internal Medicine, Dell Medical School, The University of Texas at Austin, Austin, Texas, USA.

Journal of Graduate Medical Education
|December 16, 2024
PubMed
Summary
This summary is machine-generated.

A new resident-designed paracentesis kit significantly reduced medical waste and saved $95 per procedure. This initiative empowers residents to minimize the environmental impact of healthcare waste during bedside procedures.

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Area of Science:

  • Medical waste reduction strategies
  • Healthcare sustainability initiatives
  • Resident education in procedural efficiency

Background:

  • Physicians are responsible for minimizing environmental harm from healthcare waste.
  • Resident physicians contribute to waste generation during bedside procedures.
  • The need for sustainable practices in medical settings is increasing.

Purpose of the Study:

  • To quantify waste reduction and cost savings from a novel resident-designed paracentesis kit.
  • To evaluate the impact of a streamlined kit on procedural waste at an academic medical center.
  • To assess the financial benefits of implementing essential-only procedural kits.

Main Methods:

  • Observational analysis of waste generated from standard paracentesis kits used by internal medicine residents.
  • Development of a novel paracentesis kit by residents, including only essential components.
  • Calculation of waste reduction and cost savings by comparing the novel kit to the standard hospital-provided kit.

Main Results:

  • Sixteen out of 29 items from the standard kit were discarded unused.
  • The novel kit demonstrated significant waste reduction potential.
  • An estimated cost saving of $95 per diagnostic paracentesis was achieved.

Conclusions:

  • Resident-led design of a diagnostic paracentesis kit effectively reduced both medical waste and procedural costs.
  • The initiative successfully engaged residents in improving the environmental sustainability of their clinical practices.
  • Streamlining procedural kits offers a viable strategy for enhancing healthcare sustainability and cost-efficiency.