Renaissance of paracentesis in the treatment of ascites.
The dangers of large-volume paracentesis have been overemphasized in the past. Recent data fail to show hypovolemia or any other complications ascribable to 5-L paracentesis when it is accompanied by IV infusion of 40 gm of albumin. Other data question the need for albumin infusion. Large-volume paracentesis is now a therapeutic option for relief of symptomatic, tense ascites, and, in company with sodium restriction, for chronic management of ascites refractory to diuretics.
University of Southern California School of Medicine, Los Angeles.
T B
TB
Reynolds
D001201:Ascites / Q000628:therapy*; D004232:Diuretics / Q000627:therapeutic use; D004322:Drainage; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008103:Liver Cirrhosis / Q000628:therapy*; D010953:Plasma Volume / Q000502:physiology; D011677:Punctures
D004232:Diuretics