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inject
<br>5. Preferably use a pigtail catheter, generally of French gauge around 7 - 10, and fixate a cannula inside it
<br>6. Have a scalpel ready for skin incision
<br>7. Infuse Inject local anesthetic, such as 10 - 20 ml of 1% carbocaine, both superficially, at the rib above and below, and by the pleura
<br>8. Make a skin incision large enough for the catheter to pass
<br>9. Insert the catheter with the cannula until reaching within the pleural space.
