Paracentesis, Appropriate Technique and Clinical Application
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Feb 12, 2018
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Abstract
Paracentesis is a diagnostic procedure used in patients with new-onset ascites. It can detect the presence of infection in patients with longstanding ascites. In cases of tense ascites, refractory ascites or restriction dyspnea it is widely used for therapeutical purposes. General knowledge of this procedure is of great importance as well as a detailed understanding of the technique, because its use is increasing in the emergency department, general hospitalization, and even in the intensive care unit. Taking all this into consideration we aim to emphasize on the proper use of this technique by the medical staff.
Keywords
paracentesis, ascites, liver cirrosis, malignanciesparacentesis, ascitis, cirrosis hepática.
References
1. Runyon B. Paracentesis of ascites fluid: A safe procedure. Arch Intern Med. 1986;146:2259-61.
2. Pinto PC, American J, Reynolds TB. Large-volume paracentesis in the nonedematous patient with tense ascites: Its effect on in intravascular volume. Hepatology. 1988;8(2):207-10.
3. Pinzello G, Simonetti RG, Craxi A, et al. spontaneous bacterial peritonitis: a prospective investigation in predominately nonalcoholic cirrhotic patients. Hepatology. 1983;3(4):545-9.
4. Koffel KK, Reed JS. The technique of abdominal paracentesis. J Crit Ill. 1986;1:45-50.
5. Thomsen T, Shaffer R, White B, Setnik G. Paracentesis. N Engl J Med. 2006;355:e21.
6. Reichman EF, Simon RR. Emergency medicine procedures. New York: McGraw Hill; 2003.
7. Runyon B. Care of patients with ascites. N Engl J Med. 1994;330(5):337-341.
8. Runyon B. Management of adult patients with ascites caused by cirrhosis. Hepatology. 1998;27(1):264-72.
9. Pache I, Bilodeau M. Severe hemorrhage following abdominal paracentesis for ascites in patients with liver failure. Aliment Pharmacol Ther. 2005;21:525-9.
10. Mannucci PM. Abnormal hemostasis tests and bleeding in chronic liver disease: Are they related? No. J Thromb Haemost. 2006;4:721-3.
11. Caldwell SH, Hoffman M, Lisman T, Macik BG, Northup PG, Reddy KR, et al. Coagulation disorders and hemostasis in liver disease: pathophysiology and critical assessment of current management.
Hepatology. 2006;44:1039-46.
12. Arnold C, Klaus H, Blum HE, et al. Acute hemoperitoneum after large-volume paracentesis. Gastroenterology. 1997;113(3):978-82.
13. Grabau CM, Crago SF, Hoff LK, Simon JA, Melton CA, Ott BJ, et al. Performance standards for therapeutic abdominal paracentesis. Hepatology. 2004;40:484-8.
14. McVay PA, Toy PT. Lack of increased bleeding after paracentesis and thoracentesis in patients with mild coagulation abnormalities. Transfusion. 1991;31:164-71.
15. Lam EY, McLafferty RB, Taylor LM, et al. Inferior epigastric artery pseudoaneurysm: A complication of paracentesis. J Vasc Surg 1998;28(3):566-9.
16. Stone J, Moak J. Feasibility of sonographic localization of the inferior epigastric artery before ultrasound-guided paracentesis: a case series. Am J Emerg Med. 2015;33(12):1795-8. doi: https://doi.org/10.1016/j.ajem.2015.06.067
17. Moore KP, Wong K, Gines P, et al. The management of ascites in
cirrhosis: Report on the Consensus Conference of the International Ascites Club. Hepatology. 2003;38(1):258-66.
18. Sandhu BS, Sanyal AJ. Management of ascites in cirrhosis. Clin Liver Dis. 2005;9:715-32.
19. Thomsen T, Shaffer R, White B, Setnik G. Paracentesis. N Engl J Med. 2006;355:e21.
20. Runyon BA. AASLD Practice Guidelines Committee. Management of adult patients with ascites due to cirrhosis: an update. Hepatology. 2009;49:2087-2107.
21. Insuasty MR, Restrepo JC. Paracentesis evacuante en pacientes cirróticos con ascitis a tensión: revisión del tema. Iatrea. 2010;23(3):259-67.
2. Pinto PC, American J, Reynolds TB. Large-volume paracentesis in the nonedematous patient with tense ascites: Its effect on in intravascular volume. Hepatology. 1988;8(2):207-10.
3. Pinzello G, Simonetti RG, Craxi A, et al. spontaneous bacterial peritonitis: a prospective investigation in predominately nonalcoholic cirrhotic patients. Hepatology. 1983;3(4):545-9.
4. Koffel KK, Reed JS. The technique of abdominal paracentesis. J Crit Ill. 1986;1:45-50.
5. Thomsen T, Shaffer R, White B, Setnik G. Paracentesis. N Engl J Med. 2006;355:e21.
6. Reichman EF, Simon RR. Emergency medicine procedures. New York: McGraw Hill; 2003.
7. Runyon B. Care of patients with ascites. N Engl J Med. 1994;330(5):337-341.
8. Runyon B. Management of adult patients with ascites caused by cirrhosis. Hepatology. 1998;27(1):264-72.
9. Pache I, Bilodeau M. Severe hemorrhage following abdominal paracentesis for ascites in patients with liver failure. Aliment Pharmacol Ther. 2005;21:525-9.
10. Mannucci PM. Abnormal hemostasis tests and bleeding in chronic liver disease: Are they related? No. J Thromb Haemost. 2006;4:721-3.
11. Caldwell SH, Hoffman M, Lisman T, Macik BG, Northup PG, Reddy KR, et al. Coagulation disorders and hemostasis in liver disease: pathophysiology and critical assessment of current management.
Hepatology. 2006;44:1039-46.
12. Arnold C, Klaus H, Blum HE, et al. Acute hemoperitoneum after large-volume paracentesis. Gastroenterology. 1997;113(3):978-82.
13. Grabau CM, Crago SF, Hoff LK, Simon JA, Melton CA, Ott BJ, et al. Performance standards for therapeutic abdominal paracentesis. Hepatology. 2004;40:484-8.
14. McVay PA, Toy PT. Lack of increased bleeding after paracentesis and thoracentesis in patients with mild coagulation abnormalities. Transfusion. 1991;31:164-71.
15. Lam EY, McLafferty RB, Taylor LM, et al. Inferior epigastric artery pseudoaneurysm: A complication of paracentesis. J Vasc Surg 1998;28(3):566-9.
16. Stone J, Moak J. Feasibility of sonographic localization of the inferior epigastric artery before ultrasound-guided paracentesis: a case series. Am J Emerg Med. 2015;33(12):1795-8. doi: https://doi.org/10.1016/j.ajem.2015.06.067
17. Moore KP, Wong K, Gines P, et al. The management of ascites in
cirrhosis: Report on the Consensus Conference of the International Ascites Club. Hepatology. 2003;38(1):258-66.
18. Sandhu BS, Sanyal AJ. Management of ascites in cirrhosis. Clin Liver Dis. 2005;9:715-32.
19. Thomsen T, Shaffer R, White B, Setnik G. Paracentesis. N Engl J Med. 2006;355:e21.
20. Runyon BA. AASLD Practice Guidelines Committee. Management of adult patients with ascites due to cirrhosis: an update. Hepatology. 2009;49:2087-2107.
21. Insuasty MR, Restrepo JC. Paracentesis evacuante en pacientes cirróticos con ascitis a tensión: revisión del tema. Iatrea. 2010;23(3):259-67.
How to Cite
Mosquera Klinger, G., Mayo Patiño, M., & Suárez, Y. (2018). Paracentesis, Appropriate Technique and Clinical Application. Universitas Medica, 59(1). https://doi.org/10.11144/Javeriana.umed59-1.para
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