In this meta-analysis of 24 studies involving 6605 thoracentesis, the overall rate of pneumothorax was 6%, and 1/3 of them required a chest tube. Protective factors were the use of USG and more user experience. Pneumothorax was more likely to occur during therapeutic thoracentesis and in patients with periprocedural symptoms. More experience and the use of USG can reduce the incidence of pneumothorax (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.