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Ultrasound-Guided Thoracentesis

You'll be able to plan and perform ultrasound-guided thoracentesis safely, from site selection through fluid analysis and complication management.

What this track covers

This track covers ultrasound identification and characterization of pleural effusions, safe needle and catheter technique, and interpretation of pleural fluid studies. It also addresses recognizing and preventing the procedure's major complications, including pneumothorax and re-expansion pulmonary edema.

What you will practice

  • Identify and quantify pleural effusion on ultrasound
  • Select an optimal insertion site while avoiding intercostal vessels and the diaphragm
  • Choose between diagnostic and large-volume therapeutic drainage
  • Apply Light's criteria to differentiate transudative from exudative effusions
  • Recognize early signs of pneumothorax or re-expansion pulmonary edema

Simulator scenario

A patient with a new large pleural effusion and worsening dyspnea who needs ultrasound assessment, site selection, and a decision between diagnostic and therapeutic drainage.

Board question topics

  • Ultrasound features distinguishing simple from complex effusions
  • Anatomic landmarks for safe needle trajectory
  • Light's criteria and pleural fluid interpretation
  • Recognition and management of post-procedure complications

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