About Pleural Procedures & Thoracentesis
Fluid (pleural effusion) or air (pneumothorax) can collect between the lung and chest wall, causing breathlessness. Thoracentesis removes fluid with a needle for diagnosis and relief; other pleural procedures include chest drain insertion.
Procedures are guided by ultrasound for safety.
Also known as: Pleural tap, chest drain
Who is it recommended for?
Your doctor may recommend this if you have:
- Pleural effusion
- Pneumothorax
- Breathlessness due to fluid
- Diagnosis of infection, TB or cancer
How is it done at AKG Hospital?
- Ultrasound Fluid location is marked.
- Local anaesthesia Skin and chest wall are numbed.
- Drainage Fluid is drained with a needle or a drain is placed.
- Analysis Fluid is sent for tests.
How to prepare
- Blood tests including clotting
- Adjust blood thinners
Recovery & aftercare
Breathing often improves immediately. A chest X-ray may be done afterwards.
Benefits
- Rapid relief
- Ultrasound-guided safety
- Helps reach a diagnosis
Risks & when to seek help
Risks include pain, bleeding, infection and pneumothorax.
Frequently asked questions
Is thoracentesis painful?
Local anaesthesia makes it tolerable; you may feel pressure.
This page gives general information to help you understand Pleural Procedures & Thoracentesis. It does not replace a consultation — your doctor will advise what is right for you.

