What is Ultrasound-Guided Pleural Procedures?
Thoracic ultrasound allows real-time visualisation of the pleural space, lung and diaphragm. Using ultrasound to guide pleural procedures improves accuracy and reduces complications such as pneumothorax and organ injury. It also helps assess the nature of the fluid, septations and pleural thickening.
Why it is done
- Guiding thoracentesis, drain insertion and pleural biopsy
- Assessing small or loculated effusions
- Bedside evaluation of breathlessness
Before the procedure
- Inform the team about blood thinners and allergies
- Blood tests (including clotting profile) may be checked
- An ultrasound of the chest will be performed to locate the fluid or air safely
- You can usually eat lightly unless sedation is planned
During the procedure
- Gel is applied and the probe is moved across the chest
- The safest entry point is marked or the needle is guided in real time
After the procedure
- Depends on the procedure performed
Safety & risks
Ultrasound itself is completely safe and painless; risks relate to the specific procedure it is used to guide.
Preparation instructions may differ for individual patients — please follow the specific advice given at your consultation.