Improving the safety of thoracentesis

Craig E. Daniels, Jay H. Ryu

Research output: Contribution to journalReview articlepeer-review

35 Scopus citations


PURPOSE OF REVIEW: Thoracentesis is a common bedside procedure associated with iatrogenic complications including pneumothorax. Experienced clinicians using optimal procedural techniques within a supportive system can achieve improvements in safety. However, clinicians have been relatively slow to adopt these changes. This review examines the available literature regarding procedural safety of thoracentesis with emphasis on best practice models to reduce iatrogenic complications. RECENT FINDINGS: Recent studies have identified procedure-specific variables that are independently associated with iatrogenic pneumothorax including inexperienced operators, lack of ultrasound imaging, and large-volume aspiration of fluid. Development of a best practice model including procedural training within a focused procedural group that utilizes ultrasound imaging further improves thoracentesis procedural safety. SUMMARY: Several procedural modifications have led to improvements in thoracentesis procedural safety in reducing iatrogenic complications. Herein, we review the known risks associated with thoracentesis and identify the modifiable and nonmodifiable risk factors. On the basis of recent studies, we make recommendations and encourage incorporation of 'best practice' techniques for thoracentesis procedures.

Original languageEnglish (US)
Pages (from-to)232-236
Number of pages5
JournalCurrent opinion in pulmonary medicine
Issue number4
StatePublished - Jul 2011


  • pneumothorax
  • safety
  • thoracentesis
  • ultrasonography

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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