Ep. 453 Thoracentesis Best Practices with Dr. Paul Lewis

BackTable Vascular & Interventional

In this episode, Dr. Paul Lewis discusses best practices for thoracentesis. He shares insights on using image guidance, managing complex effusions, and managing complications such as pneumothorax and hemothorax. Dr. Lewis is an interventional radiologist at the University of Pittsburgh Medical Center.

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Laborie RenovaRP Centesis System

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SYNPOSIS

Dr. Lewis also speaks on patient selection, procedural techniques, equipment choices, and other troubleshooting tips. Additionally, the doctors cover procedural nuances such as bilateral thoracentesis and patient positioning and highlight the efficiency of the RenovaRP Centesis System.

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TIMESTAMPS

00:00 - Introduction

06:07 - Thoracentesis Procedure Walkthrough

16:49 - Equipment Used

22:14 - Troubleshooting

30:56 - Post-Procedural Care

36:12 - Complications

48:07 - Helpful Resources

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RESOURCES

Prospective comparison between a peristaltic pump and vacuum containers for paracentesis: Time, resources and safety:

https://pubmed.ncbi.nlm.nih.gov/38042055/

Paracentesis: Faster and easier using the RenovaRP® pump:

https://pubmed.ncbi.nlm.nih.gov/35548901/

Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions—Part II: Recommendations:

https://www.jvir.org/article/S1051-0443(19)30407-5/fulltext

The Impact of Gravity vs Suction-driven Therapeutic Thoracentesis on Pressure-related Complications: The GRAVITAS Multicenter Randomized Controlled Trial:

https://pubmed.ncbi.nlm.nih.gov/31711990/