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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.
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Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
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Clinical Manifestations:
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Tracheostomy Suctioning II: Procedure01:23

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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POCUS-Assisted Therapeutic Thoracentesis.

Major William C Moreo1, Kelly Ball

  • 1Author Affiliation: Army Nurse Corps, United States Army, Joint Base San Antonio, Texas (Moreo); and Interventional Pulmonology, UC San Diego Health, San Diego, California (Ball).

Advanced Emergency Nursing Journal
|September 22, 2025
PubMed
Summary
This summary is machine-generated.

Therapeutic thoracentesis, guided by point-of-care ultrasound (POCUS), offers symptom relief for large pleural effusions in the emergency department. This procedure, when performed by skilled practitioners, ensures safe and effective patient care.

Keywords:
POCUSdyspneahypoxiapleural effusionthoracentesisultrasound

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Area of Science:

  • Emergency Medicine
  • Pulmonology
  • Medical Procedures

Background:

  • Large pleural effusions can cause respiratory compromise and hemodynamic instability.
  • Factors like poor compliance and limited follow-up increase the need for emergency department (ED) interventions.
  • Therapeutic thoracentesis is a key procedure for managing symptomatic pleural effusions.

Purpose of the Study:

  • To provide a comprehensive overview of ultrasound-guided therapeutic thoracentesis in the ED.
  • To discuss indications, contraindications, and post-procedure care.
  • To highlight the role of the emergency nurse practitioner in optimizing this procedure.

Main Methods:

  • Review of therapeutic thoracentesis procedures.
  • Integration of point-of-care ultrasound (POCUS) for guidance.
  • Discussion of clinical decision-making for patient selection and management.

Main Results:

  • POCUS guidance enhances the safety and efficacy of thoracentesis.
  • Clear indications and contraindications are essential for appropriate patient selection.
  • Effective post-procedure care is crucial for preventing complications.

Conclusions:

  • Competence in thoracentesis and POCUS empowers emergency nurse practitioners.
  • Optimized procedural utilization leads to safe, high-quality care for patients with pleural effusions.
  • Ultrasound-guided thoracentesis is a valuable tool in the ED setting.