Pleural Fluid Tapping Indications of Pleural fluid tapping Diagnostic Therapeutic Physical, biochemical, cytological and bacteriological study of pleural fluid Respiratory distress Massive collection Contraindications Contraindications 1.Coagulation disorder 2.Platelet abnormality 3.Severe cough Procedure Step-Wise Procedure 1.The total procedure is explained to the patient to make him /her comfortable and relaxed. 2.The patient sitting and leaning forward