Thoracocentesis

Question 1

Answer 1

1. Hand hygiene! Use gloves!
2. Use kidney bowl for gathering things.
3. Find the correct punction site (7.–8. or 8.–9. intercostal space).
4. The punction site must be clipped and cleaned.
5. Preparation: remove the vacuum system of the butterfly needle, attach the butterfly catheter
   to the three-way extension line, attach the syringe.
6. Penetrate the skin, subcutaneous tissue and muscular layer. Make sure the hand holding
   needle rests against thoracic wall.
7. After penetrating turn the needle parallel to the wall.
8. Open the three-way extension line and aspirate.
9. Close the three-way extension line before removing the syringe.
10. Repeat aspiration. NB! Make sure the three-way extension line is closed correctly.
11. Before removing the needle close the valve towards the patient.
12. Remove the needle and place a clean swab on the puncture site.

Question 2

• Preparation:

Answer 2

remove the vacuum system of the butterfly needle, attach the butterfly catheter
to the three-way extension line, attach the syringe.

Question 3

Answer 3

NB! Make sure the three-way extension line is closed correctly.