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Related Experiment Videos

Single-needle insertion technique for thoracocentesis for bilateral pleural effusions

B Petrikovsky1, B Gross, R Spinazzola

  • 1Department of Obstetrics and Gynecology, North Shore University Hospital- Cornell University Medical College, Manhasset, NY 11030, USA.

Fetal Diagnosis and Therapy
|January 1, 1996
PubMed
Summary

A novel single-needle technique successfully drained bilateral pleural effusions in a fetus with hydrops, enabling lung expansion and a positive neonatal outcome.

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Area of Science:

  • Fetal Medicine
  • Thoracic Surgery
  • Neonatal Care

Background:

  • Hydrops fetalis and bilateral pleural effusions pose significant risks to fetal well-being.
  • Traditional thoracic drainage techniques can be challenging due to fetal positioning.
  • Intervention is often necessary to improve fetal lung development and survival.

Observation:

  • A 28-week fetus presented with hydrops and bilateral pleural effusions.
  • Conventional drainage methods were not feasible due to persistent unfavorable fetal position.
  • A single-needle supradiaphragmatic insertion technique was employed.

Findings:

  • The technique involved draining the dependent effusion by passing a needle through the nondependent effusion.
  • The needle navigated the midline pleura via an avascular plane.

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  • Successful drainage led to complete lung expansion in the fetus.
  • The neonate experienced a favorable outcome.

    • Implications:

    • This single-needle approach offers a viable alternative for fetal pleural effusion drainage when traditional methods fail.
    • It potentially reduces procedural complexity and improves safety in complex fetal interventions.
    • Further research can explore the broader applicability and long-term benefits of this technique in managing fetal hydrops.