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BackTable / VI / Podcast / Episode #453
Thoracentesis Best Practices
with Dr. Paul Lewis
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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BackTable, LLC (Producer). (2024, June 11). Ep. 453 – Thoracentesis Best Practices [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Paul Lewis
Dr. Paul Lewis is an interventional radiologist and assistant professor with UPMC in Pittsburgh, Pennsylvania.
Dr. Christopher Beck
Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.
Synopsis
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.
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
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/
Transcript Preview
There's always stuff to talk about with this procedure. One of the things I like talking about this procedure is, and don't get me wrong, neither me or you think that the thoracentesis is a sexy procedure, but I feel like thoracentesis, bone marrow biopsy, thyroid biopsies, sometimes it's like that really is the stuff that makes up a portion of your day, and the amount of data you know about it or the deep dives that you know about it is a little bit thin. I think the amount that we know about tips relative to the number of tips that a lot of IRs do is disproportionate. I like putting a spotlight on some of these procedures and I really appreciate you being here to help us do that.
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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