Paracentesis

/Tag:Paracentesis

A LESS INVASIVE MODIFICATION TO THE BEDSIDE PARACENTESIS FOR HOSPITALIZED PATIENTS AT HIGH RISK FOR BLEEDING COMPLICATIONS

Background: Paracentesis is a commonly performed bedside procedure in hospitalized patients. It is often necessary for patients who are taking anticoagulant therapies and/or have disorders of hemostasis. Concerns about bleeding complications often lead to care [...]

By | 2018-03-19T13:09:49+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on A LESS INVASIVE MODIFICATION TO THE BEDSIDE PARACENTESIS FOR HOSPITALIZED PATIENTS AT HIGH RISK FOR BLEEDING COMPLICATIONS

ASSOCIATION OF POST PARACENTESIS ALBUMIN DOSAGE AND ACUTE KIDNEY INJURY IN HOSPITALIZED PATIENTS

Background: Large volume paracentesis is commonly performed in patients with refractory ascites but can induce hypotension and kidney injury. There is evidence that administering albumin at 6-8 grams per liter (g/L) of ascites removed during [...]

By | 2019-03-11T14:19:15+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ASSOCIATION OF POST PARACENTESIS ALBUMIN DOSAGE AND ACUTE KIDNEY INJURY IN HOSPITALIZED PATIENTS

CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

Background: Patients with ascites due to cirrhosis frequently have some degree of thrombocytopenia and prolongation of prothrombin time. However, major bleeding rates from paracentesis are reported to be less than 1% without use of any [...]

By | 2019-03-11T14:23:45+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

EFFECT ON RESIDENT PROCEDURE VOLUME AND SUPERVISION AFTER IMPLEMENTATION OF AN INPATIENT PROCEDURE SERVICE

Background: The American Board of Internal Medicine suggests residents participate in a minimum of five abdominal paracentesis (AP), central venous catheter (CVC) placements, and lumbar punctures to ensure “adequate knowledge and understanding” of procedures performed [...]

By | 2019-03-11T14:17:27+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on EFFECT ON RESIDENT PROCEDURE VOLUME AND SUPERVISION AFTER IMPLEMENTATION OF AN INPATIENT PROCEDURE SERVICE

PERFORMING SAFE PARACENTESES: VALIDATING THE TWO-PROBE TECHNIQUE

Background: Paracenteses are performed frequently at bedside by hospitalists, intensivists, gastroenterologists and emergency medicine providers. They are considered a core procedure that historically have been performed “blind” with only the use of percussion to determine [...]

By | 2019-03-11T14:24:50+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on PERFORMING SAFE PARACENTESES: VALIDATING THE TWO-PROBE TECHNIQUE

PREVENTABLE PERIL OF PARACENTESIS: INCARCERATED UMBILICAL HERNIA

Case Presentation: A 34-year-old man with decompensated cirrhosis secondary to chronic hepatitis C (MELD 21) presented with a chief complaint of severe abdominal pain. He routinely received outpatient paracentesis weekly, which was last performed 4days [...]

By | 2019-03-11T14:44:51+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on PREVENTABLE PERIL OF PARACENTESIS: INCARCERATED UMBILICAL HERNIA

STOPPING THINGS WE DO FOR NO REASON: REDUCING UNNECESSARY NPO ORDERS PRIOR TO THORACENTESIS AND PARACENTESIS

Background: Ultrasound-guided thoracentesis and paracentesis are frequently performed for both diagnostic and therapeutic indications. While the risk of aspiration is low, our institution has historically required patients to be fasting for 4 hours prior to [...]

By | 2017-04-26T03:16:21+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on STOPPING THINGS WE DO FOR NO REASON: REDUCING UNNECESSARY NPO ORDERS PRIOR TO THORACENTESIS AND PARACENTESIS

TAKE MY PICTURE, PLEASE! DOES ULTRASOUND GUIDANCE REDUCE COMPLICATIONS IN INPATIENT PARACENTESIS?

Background: Ultrasound-guidance has become the standard for bedside procedures in the emergency and inpatient settings due to its perceived impact on first attempt success and complications. Prior literature on paracentesis notes a 10% rate of [...]

By | 2018-03-19T12:58:29+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on TAKE MY PICTURE, PLEASE! DOES ULTRASOUND GUIDANCE REDUCE COMPLICATIONS IN INPATIENT PARACENTESIS?