Performance standards for therapeutic abdominal paracentesis

Hepatology : Official Journal of the American Association for the Study of Liver Diseases
Catherine M GrabauPatrick S Kamath

Abstract

Large-volume paracentesis, the preferred treatment for patients with symptomatic tense ascites due to cirrhosis, has traditionally been performed by physicians as an inpatient procedure. Our objectives were to determine (1) whether large-volume paracentesis could be performed safely and effectively by gastrointestinal endoscopy assistants and as an outpatient procedure, (2) whether the risk of bleeding was associated with either thrombocytopenia or prolongation of the prothrombin time, and (3) the resources used for large-volume paracentesis. Gastrointestinal endoscopy assistants performed 1,100 large-volume paracenteses in 628 patients, 513 of whom had cirrhosis of the liver. The preprocedure mean international normalized ratio for prothrombin time was 1.7 +/- 0.46 (range, 0.9-8.7; interquartile range, 1.4-2.2), and the mean platelet count was 50.4 x 10(3)/microL, (range, 19 x 10(3)/microL - 341 x 10(3)/microL; interquartile range, 42-56 x 10(3)/microL). Performance of 3 to 7 supervised paracenteses was required before competence was achieved. There were no significant procedure-related complications, even in patients with marked thrombocytopenia or prolongation in the prothrombin time. The mean duration of large-volume parace...Continue Reading

References

Feb 13, 1978·JAMA : the Journal of the American Medical Association·A Mallory, J W Schaefer
Jan 13, 1998·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·B A Runyon
Mar 23, 1999·The American Journal of Gastroenterology·A Minocha
May 25, 2002·Gastrointestinal Endoscopy·Glenn M EisenUNKNOWN American Society for Gastrointestinal Endoscopy
Jun 28, 2003·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Kevin P MooreVicente Arroyo
Mar 5, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Bruce A Runyon, UNKNOWN Practice Guidelines Committee, American Association for the Study of Liver Diseases (AASLD)

❮ Previous
Next ❯

Citations

Jan 16, 2010·Journal of General Internal Medicine·Michelle MouradAndrew D Auerbach
Dec 1, 2007·Seminars in Interventional Radiology·Leann S Stokes
Jul 15, 2011·The New England Journal of Medicine·Armando Tripodi, Pier Mannuccio Mannucci
Apr 9, 2005·Current Opinion in Gastroenterology·Guadalupe Garcia-Tsao
Aug 8, 2014·Obstetrical & Gynecological Survey·Hyeon Yu, Joseph M Stavas
Jun 7, 2007·Postgraduate Medical Journal·A KoulaouzidisB D Linaker
May 28, 2005·Digestive Diseases·Todd A Sheer, Bruce A Runyon
Nov 26, 2009·AJR. American Journal of Roentgenology·Stacy D O'ConnorThomas C Winter
May 15, 2010·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Darko MirkovićMilan Jovanović
Nov 26, 2009·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·A Monescillo Francia
Dec 31, 2008·World Journal of Gastroenterology : WJG·Bahaa Eldeen Senousy, Peter V Draganov
Apr 2, 2011·World Journal of Gastroenterology : WJG·Erwin Biecker
Jul 8, 2011·Digestive Diseases and Sciences·David H Van ThielAbdul Nadir
Apr 12, 2014·Gastrointestinal Endoscopy·Somashekar G KrishnaWilliam A Ross
Sep 26, 2014·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Vinay SundaramAbdullah M S Al-Osaimi
Aug 15, 2006·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Siva K MulpuruRobert Leonardo
Sep 2, 2015·Expert Review of Gastroenterology & Hepatology·Erin R LaneKaren F Murray
Mar 13, 2014·Critical Care Clinics·Nicholas HatchPedro J Roque
Nov 26, 2013·The Medical Clinics of North America·Iris W Liou
Mar 26, 2013·Transfusion clinique et biologique : journal de la Société française de transfusion sanguine·Y OzierA Dovergne
Mar 20, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Patrick G Northup, Stephen H Caldwell
Feb 24, 2016·Journal of Clinical and Experimental Hepatology·Harshad Devarbhavi, Arvind R Murali
May 1, 2012·Clinics in Liver Disease·Fredric D Gordon
Jun 21, 2012·Critical Care Clinics·Kevin Dasher, James F Trotter
Aug 10, 2010·Critical Care Nursing Clinics of North America·Preeti A Reshamwala
May 19, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Andrea De GottardiAntoine Hadengue
Jan 20, 2009·Clinics in Liver Disease·Armando Tripodi
Feb 26, 2008·Journal of Vascular and Interventional Radiology : JVIR·Paul R SobkinRobert K Kerlan
Dec 3, 2015·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Seena PatelAnn Eshenaur Spolarich
Oct 22, 2015·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Apurva ShahSoham Doshi
Jun 5, 2007·Best Practice & Research. Clinical Gastroenterology·Alexander L Gerbes
Oct 20, 2015·Bulletin du cancer·Vincent GamblinFarid El Hajbi
Jan 22, 2005·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Chih-Hao LinPatrick Chow-In Ko
Mar 3, 2005·Alimentary Pharmacology & Therapeutics·I Pache, M Bilodeau
Sep 16, 2005·Liver International : Official Journal of the International Association for the Study of the Liver·Hideki SakaiBruce A Runyon
Aug 8, 2009·British Journal of Haematology·Armando TripodiPier M Mannucci
Dec 17, 2009·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Russell VinikRobert C Pendleton
May 29, 2009·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Bruce A Runyon, UNKNOWN AASLD Practice Guidelines Committee
Dec 6, 2007·Alimentary Pharmacology & Therapeutics·F Poordad
Jun 27, 2007·Alimentary Pharmacology & Therapeutics·A TripodiA J Sanyal
Dec 6, 2007·Alimentary Pharmacology & Therapeutics·R S Brown

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
C-H LinP C-I Ko
Hepatology : Official Journal of the American Association for the Study of Liver Diseases
A L BoksH H Van Vliet
Hepatology : Official Journal of the American Association for the Study of Liver Diseases
B A Runyon
© 2021 Meta ULC. All rights reserved