#The skin area is washed with an antiseptic
#Wear at least sterile gloves, and use sterile coverage on the ultrasound probe
#Preferably use a pigtail catheter, such as generally of French gauge around 7 - 10, and fixate a cannula inside it
#Have a scalpel ready for skin incision
#Infuse local anesthetic, such as 10 - 20 ml of 1% carbocaine, both superficially, at the rib above and below, and by the pleura