USG Guided Tapping.pptx,Pleural fluid in lungs Cancer Lung Infection Symptom relief (if pleural effusion is making it hard to breath ) Blood clot in lungs, Cellulitis or herpes zoster Rukamanee Yadav

1. USG Guided Tapping
Rukamanee Yadav
Assistant Professor
Department of Radiology
& Imaging Technology
Mewar University

2. USG Guided Tapping
A pleural tapping is a procedure that drain the excess
fluid from thoracic cavity by the needle.
This procedure performed for diagnostic and therapeutic
purpose.
It is also known as Thoracentesis.
The USG guided Pleural tapping is also carried out to
determine the source of infection behind the fluid build
up as well as a diagnostic tool to effectively diagnose a
few disorders,
 like – Cancer tumors Pneumonia Chronic lung diseases
Congestive heart failure Cardio issues

3. Indications
 Pleural fluid in lungs
 Cancer
 Lung Infection
 Symptom relief (if pleural effusion is making it hard
to breath )
 Blood clot in lungs

4. Relative contraindications
 Bleeding disorder
 Uncooperative patient
 Cellulitis or herpes zoster at the site of thoracentesis
puncture
 Uncontrolled coughing

5. Equipments
 Local anesthetic
 25-gauge and 20- to 22-gauge needles,
 10-mL syringe
 Antiseptic solution
 gloves
 Thoracentesis needle and plastic catheter
 30- to 50-mL syringe
 Wound dressing materials
 containers for collection of fluid for laboratory tests
 Collection bags.
 Ultrasound machine

6. Patient preparation
 Take previous blood reports
 The chest radiograph is review before the procedure
to confirm the side of pleural abnormality.
 Patient should take light food two days before the
procedure.
 Take informed consent.

7. Conti..
You do not have to undergo any special prep for the
USG guided pleural tapping, but you would be
required to inform your doctor if you are currently
taking any medications on your own to alleviate your
current symptoms, whether you are pregnant or are
allergic to certain medications.

8. Position
The patient sitting upright and leaning slightly
forward with arms supported.
 Recumbent or supine thoracentesis (eg, in a
ventilated patient) is possible but best done using
ultrasonography or CT to guide procedure.

9. Conti…

10. Procedure
 Patient wear a hospital gown.
 Doctor perform the USG to determine the location of the
pleural fluid and to determine the target area.
 Mark the insertion point and prepare the area with a skin
cleansing agent.
 Then use a numbing agent so that you do not feel any
pain.
 Then using a long needle, he would insert the same
between ribs and into the pleural sac to drain the fluid
collected there.
 The pleural fluid would be transferred to a sterile
container and sent to the lab for processing.

11. Conti…
 The lab would process the same and carry out
various tests, the results of which should become
available in a short while.

12. Pleural effusion with ribs shadow , transducer is
placed perpendicular to the axis of ribs

13. Advantages
 Easy of use
 Radiation free technique
 Highly accurate
 Less chance of complications
 Real time visualization
 Portable scanner can used in emergency condition.
 Cost effective.

14. Complications
 Bleeding
 Pulmonary edema
 Hypotension
 Hemothorax due to damage to intercostal vessels
 Puncture of the spleen or liver
 Pain
 Swelling

15. THANK YOU