If there is trapped lung after a thoracentesis in an outpatient setting, in a patient who has stable vitals and no dyspnea, is there a role of overnight observation?
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Do you consider inpatient observation for an outpatient in whom you discover a post-thoracentesis trapped lung?
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2 Answers
Mednet MemberInvited Expert
Pulmonology · Augusta University
Answered on
I am assuming this question came up because there was a pneumothorax post-thoracentesis, and you are suspecting entrapped lung.
If you are confident that the patient has an entrapped (trapped) lung and remains completely asymptomatic, overnight observation or hospitalization is not necessary.
In case...
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Mednet MemberInvited Expert
Pulmonology · Northwestern University Feinberg School of Medicine
Answered on
In these situations, it is important to use your clinical scenario -- including patient history and prior imaging -- to guide management.
I think it comes down to what your pre-test probability of the cause of the effusion is. If you're evaluating for a malignant effusion or another exudative/inflam...
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