DEPARTMENT OUR DEPARTMENTS Intercostal Chest Drain Insertion (Tube Thoracostomy) Pulmonary Function Testing Pleurocentesis/Thoracentesis Skin Prick Allergy Testing Pulmonary Rehabilitation Sleep Study or Polysomnography Medical Thoracoscopy Bronchoscopy Medical Thoracoscopy Medical thoracoscopy is usually performed by Pulmonologists in the endoscopy suite under local anesthesia and with intravenous conscious sedation/analgesia. Indications Any undiagnosed pleural effusions Pleurodesis with talc insufflation through thoracoscope. Parapneumonic effusions and acute empyema with risk – benefit stratification over vats ( video assisted thoracoscopic surgery) with help of ultrasonography and CT thorax. Before The Test Routine hematological and biochemical blood analysis Coagulation parametres Medications reviewed including blood thinners Imaging( x-ray chest, usg , ct scan of lung) Evaluation of comorbities Previous pleural fluid / pus analysis Talc powder for pleurodesis During The Test Thoracoscopy usually done in operation theatre under local or general anesthesia by anesthetist depending upon the indication. Usally patient has to lying down in left or right lateral position on o.t. Table. Pleural biopsies, adhesiolysis and drainage of pleural collections are to be done through trocar inserted into intercostal space with usg guidance. Simultaneous talc powder insufflation done if indicated After The Test Intercostal chest drainage tube is inserted into pleural cavity and attached with underwater seal. X-ray chest is reviewed for lung expansion. You are advised to stay nil by mouth for some hours after procedure due to effect of anesthesia. You are advised to stay in hospital for 24 hours or 3 to 5 days depending upon clinical indication. Sometimes you are discharged with ICD tube in situ.