Articles tagged "Thoracentesis"

Which cirrhotic patients are at high risk for bleeding during hospital procedures?

by Joseph Esherick, M.D., FAAFP, FHM

This blog will offer some expert recommendations to help guide the safety of hospital procedures at different platelet and coagulation profiles.

Safety of Draining Patients Dry During Large Volume Thoracentesis

by Joseph Esherick, M.D., FAAFP, FHM

A historical myth in procedural medicine is the operator should limit removal of pleural fluid to 1.5 L during thoracentesis because of the risk of re-expansion pulmonary edema or pneumothorax. New evidence supports safety of large volume thoracentesis until no fluid remains.

Which cirrhotic patients are at high risk for bleeding during hospital procedures?

by Joseph Esherick, M.D., FAAFP, FHM

The standard tests to assess bleed risk do not accurately predict bleed risk in cirrhotic patients during bedside procedures.

Periprocedural Bleeding Risk for Thrombocytopenia, Coagulopathy, Antiplatelets and Anticoagulation

by Joseph Esherick, M.D., FAAFP, FHM

This blog summarizes the 2019 Society of Interventional Radiology for Periprocedural Management of Image-guided Procedures with regards to thrombocytopenia, coagulopathies, antiplatelets and anticoagulation

Simulation Based Training Improves Airway Management Skills

by Joseph Esherick, M.D., FAAFP, FHM

Simulation-based procedural training has been shown to improve procedural competence, safety, operator confidence and most importantly patient safety for every bedside procedure studied. Now, a new systematic review and meta-analysis confirms that simulation-based training in airway management improves procedural competence with direct laryngoscopy, endotracheal intubation, video laryngoscopy, laryngeal mask airway insertion, and King tube airway insertion.

Ultrasound-Guided Thoracentesis is Probably Safe Even When Patients are Taking Clopidogrel (Plavix)

by Joseph Esherick, M.D., FAAFP, FHM

A prospective cohort single center study was conducted to analyze the risk associated with patients undergoing thoracentesis or small-bore chest tube placement while taking clopidogrel.