Paracentesis

(Redirected from Abdominal paracentesis)
Jump to navigation Jump to search


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Ascites Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Ascites from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Paracentesis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Paracentesis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Paracentesis

CDC on Paracentesis

Paracentesis in the news

Blogs on Paracentesis

Directions to Hospitals Treating Ascites

Risk calculators and risk factors for Paracentesis

Overview

Paracentesis

For detailed approaching on performing paracentesis watch the video below; {{#ev:youtube|bdnGQYfQhNA}}


Template:Interventions infobox

WikiDoc Resources for Paracentesis

Articles

Most recent articles on Paracentesis

Most cited articles on Paracentesis

Review articles on Paracentesis

Articles on Paracentesis in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Paracentesis

Images of Paracentesis

Photos of Paracentesis

Podcasts & MP3s on Paracentesis

Videos on Paracentesis

Evidence Based Medicine

Cochrane Collaboration on Paracentesis

Bandolier on Paracentesis

TRIP on Paracentesis

Clinical Trials

Ongoing Trials on Paracentesis at Clinical Trials.gov

Trial results on Paracentesis

Clinical Trials on Paracentesis at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Paracentesis

NICE Guidance on Paracentesis

NHS PRODIGY Guidance

FDA on Paracentesis

CDC on Paracentesis

Books

Books on Paracentesis

News

Paracentesis in the news

Be alerted to news on Paracentesis

News trends on Paracentesis

Commentary

Blogs on Paracentesis

Definitions

Definitions of Paracentesis

Patient Resources / Community

Patient resources on Paracentesis

Discussion groups on Paracentesis

Patient Handouts on Paracentesis

Directions to Hospitals Treating Paracentesis

Risk calculators and risk factors for Paracentesis

Healthcare Provider Resources

Symptoms of Paracentesis

Causes & Risk Factors for Paracentesis

Diagnostic studies for Paracentesis

Treatment of Paracentesis

Continuing Medical Education (CME)

CME Programs on Paracentesis

International

Paracentesis en Espanol

Paracentesis en Francais

Business

Paracentesis in the Marketplace

Patents on Paracentesis

Experimental / Informatics

List of terms related to Paracentesis

Overview

Paracentesis is a medical procedure used for a number of reasons:

Paracentesis for Ascites

The procedure is often done in doctors office or an out-patient clinic. In an expert's hands, it is very safe, although there is a very small risk of introducing an infection, causing excessive bleeding or perforating a loop of bowel.

During the procedure, patients are asked to lie down and expose their abdomen. After cleaning the side of abdomen with an antiseptic solution, physicians will numb a small area of skin and then insert a fairly large-bore needle (along with a plastic sheath) 2 to 5 cm to reach the peritoneal (ascitic) fluid. The needle is then removed, leaving the plastic sheath behind to allow drainage of the fluid. The fluid can be drained by gravity or by connection to a vacuum bottle. Up to 10 litres of fluid may be drained during the procedure. If fluid drainage is more than 5 litres, patients may receive intravenous serum albumin (25% albumin, 8g/L) to prevent hypotension (low blood pressure).

The procedure generally is not painful; patients require no sedation. As long as they are not very dizzy and maintain their blood pressure after the procedure, they can go home afterwards.

Ascitic fluid analysis

The serum-ascities albumin gradient can help determine the cause of the ascites. The ascitic white blood cell count can help determine if the ascites is infected.

Contraindications

Mild hematologic abnormalities do not increase the risk of bleeding.[1] The risk of bleeding may be increased if:[2]

References

  1. McVay PA, Toy PT (1991). "Lack of increased bleeding after paracentesis and thoracentesis in patients with mild coagulation abnormalities". Transfusion. 31 (2): 164–71. PMID 1996485.
  2. Ginès P, Cárdenas A, Arroyo V, Rodés J (2004). "Management of cirrhosis and ascites". N. Engl. J. Med. 350 (16): 1646–54. doi:10.1056/NEJMra035021. PMID 15084697.

External links

Template:Digestive system surgical procedures


Template:WikiDoc Sources