Paracentesis

/Tag:Paracentesis

Abstract Number: 1076

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

Abstract Number: 373

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

Abstract Number: 328

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

Abstract Number: 147

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

Abstract Number: 65

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

HM2018 Abstract Number: 243

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

HM2018 Abstract Number: 113

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?

HM2017 Abstract Number: 142

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