(Transthoracic Needle Aspiration; Percutaneous Needle Aspiration)
|Female Torso with Respiratory System and Ribcage (Anterior View)|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Collapsed lung
- Damage to the liver or spleen
What to Expect
Prior to Procedure
- A complete physical exam
- X-ray —a test that uses radiation to take a picture of structures inside the body
- CT scan —a type of x-ray that uses a computer to make pictures of the inside of the body
- Ultrasound—uses sound waves to make pictures of the inside of the body
- Blood tests
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- You may receive a mild sedative about an hour before the procedure. It will help you relax.
- You may also have an injection of a local anesthetic. It will numb the area where the needle will be inserted.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
- Before the procedure, when the local anesthetic is injected, you may feel a brief sting.
- During the procedure, when the needle is inserted, you will probably feel some pressure. If you are having a lung biopsy, you will feel a quick, sharp pain when the needle touches your lung.
- You may rest for several hours after the procedure. A nurse will check on you and monitor your recovery.
- A few hours after the procedure, a chest x-ray or other imaging technique may be done. This is done to make sure a lung has not collapsed and that there is no bleeding.
- If there are no complications after four hours, you may go home.
- Rest at home for a day or two.
- Avoid strenuous activities for one week.
- You may remove the bandage after a day or two.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor's instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Pain that you cannot control with the medicines you have been given
- Cough, shortness of breath, or chest pain
- Coughing up blood
- Pain when taking a deep breath
- You feel your heart rate is fast
American Cancer Society http://www.cancer.org/
American Lung Association http://www.lungusa.org/
Canadian Cancer Society http://www.cancer.ca/
Canadian Lung Association http://www.lung.ca/
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Busick NP, Fretz PC, Galvin JR, et al. Transthoracic needle aspiration biopsy. Virtual Hospital website. Available at: http://www.vh.org . Accessed September 6, 2005.
Light R, Lee G (eds). Textbook of Pleural Diseases . London, England: Arnold; 2003.
Mason RJ. Murray & Nadel's Textbook of Respiratory Medicine . 4th ed. Philadelphia, PA: WB Saunders; 2005.
Murray JF, Mason RJ. Murray & Nadel’s Textbook of Respiratory Medicine . 4th ed. Philadelphia, PA: Saunders, 2007.
Ost D, et al. Clinical practice. The solitary pulmonary nodule. N Engl J Med . 2003;348:2535.
6/3/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Marcin Chwistek, MD
- Review Date: 03/2013 -
- Update Date: 03/15/2013 -