Revision as of 17:57, 2 June 2009 by Brian Blank (talk | contribs)
Jump to: navigation, search
ICD-10 code:
ICD-9 code: 54.91
Other codes:

WikiDoc Resources for Paracentesis


Most recent articles on Paracentesis

Most cited articles on Paracentesis

Review articles on Paracentesis

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


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

Trial results on Paracentesis

Clinical Trials on Paracentesis at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Paracentesis

NICE Guidance on Paracentesis


FDA on Paracentesis

CDC on Paracentesis


Books on Paracentesis


Paracentesis in the news

Be alerted to news on Paracentesis

News trends on Paracentesis


Blogs on Paracentesis


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


Paracentesis en Espanol

Paracentesis en Francais


Paracentesis in the Marketplace

Patents on Paracentesis

Experimental / Informatics

List of terms related to Paracentesis

Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [1] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.


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.


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


  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

Cost Effectiveness of Paracentesis

| group5 = Clinical Trials Involving Paracentesis | list5 = Ongoing Trials on Paracentesis at Clinical Trials.govTrial results on ParacentesisClinical Trials on Paracentesis at Google

| group6 = Guidelines / Policies / Government Resources (FDA/CDC) Regarding Paracentesis | list6 = US National Guidelines Clearinghouse on ParacentesisNICE Guidance on ParacentesisNHS PRODIGY GuidanceFDA on ParacentesisCDC on Paracentesis

| group7 = Textbook Information on Paracentesis | list7 = Books and Textbook Information on Paracentesis

| group8 = Pharmacology Resources on Paracentesis | list8 = AND (Dose)}} Dosing of ParacentesisAND (drug interactions)}} Drug interactions with ParacentesisAND (side effects)}} Side effects of ParacentesisAND (Allergy)}} Allergic reactions to ParacentesisAND (overdose)}} Overdose information on ParacentesisAND (carcinogenicity)}} Carcinogenicity information on ParacentesisAND (pregnancy)}} Paracentesis in pregnancyAND (pharmacokinetics)}} Pharmacokinetics of Paracentesis

| group9 = Genetics, Pharmacogenomics, and Proteinomics of Paracentesis | list9 = AND (pharmacogenomics)}} Genetics of ParacentesisAND (pharmacogenomics)}} Pharmacogenomics of ParacentesisAND (proteomics)}} Proteomics of Paracentesis

| group10 = Newstories on Paracentesis | list10 = Paracentesis in the newsBe alerted to news on ParacentesisNews trends on Paracentesis

| group11 = Commentary on Paracentesis | list11 = Blogs on Paracentesis

| group12 = Patient Resources on Paracentesis | list12 = Patient resources on ParacentesisDiscussion groups on ParacentesisPatient Handouts on ParacentesisDirections to Hospitals Treating ParacentesisRisk calculators and risk factors for Paracentesis

| group13 = Healthcare Provider Resources on Paracentesis | list13 = Symptoms of ParacentesisCauses & Risk Factors for ParacentesisDiagnostic studies for ParacentesisTreatment of Paracentesis

| group14 = Continuing Medical Education (CME) Programs on Paracentesis | list14 = CME Programs on Paracentesis

| group15 = International Resources on Paracentesis | list15 = Paracentesis en EspanolParacentesis en Francais

| group16 = Business Resources on Paracentesis | list16 = Paracentesis in the MarketplacePatents on Paracentesis

| group17 = Informatics Resources on Paracentesis | list17 = List of terms related to Paracentesis