What are the indications for thoracocentesis?

Dx: puncture to discover the type of fluid accumulated Therapeutic: to get better breathing and decompression of lung tissue (for bilateral) Done under guide of US to reduce the risk of iatrogenic pneumothorax Needle is inserted at the upper part of the rib (where no innervation and vascularization) after anesthesia We should get rid of fluid periodically and gradually (max 1L/tap since it may cause ARDS if very rapid)