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Why the patient of pleural effusion should lie towards the side of the lung which is having pleural effusion?
Wiki User
∙ 10y ago
To increase oxygenation/ventilation of the unaffected lung
Wiki User
∙ 10y ago
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Pleural fluid analysis?
DefinitionPleural fluid analysis examines fluid that has collected in the pleural space -- the small area outside of the lungs but inside the chest cavity.See also: Pleural effusionHow the test is performedA procedure called thoracentesis is used to get a sample of pleural fluid. The health care provider examines the sample to look for:Cancerous (malignant) cellsCellular makeupChemical contentTiny organisms that can cause disease (microorganisms)How to prepare for the testThe test is no more invasive than having blood drawn. There is no special preparation. Do not cough, breathe deeply, or move during the test to avoid injury to the lung.You may have a chest x-ray before or after the test. Tell your doctor if you take medicines to thin the blood.How the test will feelYou will sit on the edge of a chair or bed with your head and arms resting on a table. The health care provider will clean the skin around the insertion site and drape the area. A local pain-killing medicine (anesthetic) is injected into the skin, which stings a bit, but only for a few seconds.The thoracentesis needle is inserted above the rib into the pocket of fluid. As fluid drains into a collection bottle, many people cough a bit as the lung reexpands to fill the space where fluid had been. This sensation normally lasts for a few hours after the test is completed. Tell your health care provider if you have sharp chest pain or shortness of breath.Why the test is performedThe test is performed to determine the cause of a pleural effusion, and to relieve the shortness of breath that a large pleural effusion can cause.Normal ValuesNormally the pleural cavity contains less than 20 milliliters (4 teaspoons) of clear, yellowish (serous) fluid.Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.What abnormal results meanAbnormal results may indicate possible causes of pleural effusion, such as:Cancer (neoplasm)CirrhosisHeart failureInfectionIf the health care provider suspects an infection, a culture of the fluid is done to check for bacteria.The test may also be performed for hemothorax, a collection of blood in the pleura.What the risks areThe risks of thoracentesis are:Collapse of the lung (pneumothorax)Excessive loss of bloodFluid re-accumulationInfectionPulmonary edemaRespiratory distressSerious complications are uncommon.ReferencesBroaddus VC, Light RW. Pleural effusion. In: Mason RJ, Murray J, Broaddus VC, Nadel J, eds. Textbook of Respiratory Medicine. 4th ed. Philadelphia, Pa: Saunders Elsevier;2005:chap 68.
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