How is the patient positioned for a medical thoracoscopy (pleuroscopy)?

Updated: Apr 18, 2019
  • Author: Rajiv Malhotra, DO, MS, FCCP; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Answer

Positioning

Patients are placed in the lateral decubitus position with the involved side up, as shown in the image below.

Patient positioning for medical thoracoscopy. Patient positioning for medical thoracoscopy.

A round bolster is placed under the thorax when patient is in position to arch the vertebral column upward to maximize the intercostal spaces of the involved side. To further widen the intercostals spaces, the patient’s arm is placed at a right angle to the body. On very rare occasions, a dorsal decubitus position or a ventral decubitus position is used. [16]


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