Thoracentesis & Pleural Effusion Management
Painless bedside ultrasound-guided diagnostic and therapeutic evacuation of excess fluid in the pleural cavity to restore normal lung expansion and alleviate breathlessness.
Procedure Overview & Clinical Purpose
Pleural effusion involves abnormal accumulation of fluid around the lungs, leading to severe compressive breathlessness, chest pain, and hypoxemia. Dr. Kashyap performs precision ultrasound-guided thoracentesis and micro-pigtail catheter insertion at the bedside, safely draining fluid for immediate lung re-expansion while sending samples for definitive biochemical and microbiological analysis.
Key Patient Candidates & Symptoms
What Happens During the Procedure?
Bedside Ultrasound Mapping
High-resolution thoracic ultrasound identifies safest needle entry pocket, avoiding intercostal vessels.
Local Anesthetic Numbing
Chest wall skin and parietal pleura are completely numbed with local anesthetic for zero pain.
Gentle Fluid Aspiration / Catheter Drain
Excess fluid is safely evacuated into vacuum containers, allowing compressed lung tissue to re-expand.
Diagnostic Lab Profiling & Follow-up X-Ray
Fluid is analyzed for proteins, ADA, microbiology, and cytology to determine etiology.
How to Prepare Before Coming to the Hospital
- Bring all recent Chest X-rays, ultrasound chest films, and blood coagulation profile (PT/INR)
- Inform doctor if taking blood thinners (Ecosprin, Warfarin, Apixaban)
Dr. Kashyap Goyal, MBBS, MD, DM (Pulmonary, Critical Care & Sleep Medicine), MBA (PCHM)
Senior Pulmonologist, Critical Care & Sleep Specialist at Delhi Heart Institute, Bathinda & Vijay Hospital, Gidderbaha (MBBS, MD, DM (Pulmonary, Critical Care & Sleep Medicine), MBA (PCHM), AIIMS, DMC Ludhiana). Specializing in video bronchoscopy, difficult asthma biologics, computerized PFT, and polysomnography.
Schedule Your Procedure or Second Opinion
Book an OPD evaluation with Dr. Kashyap Goyal at Delhi Heart Institute, Bathinda, or discuss your case on WhatsApp.
Super-Specialist Pulmonology Services
