ultrasound guided paracentesis

3 Apr

SOME QUICK TIPS (via this Feb EP Monthly article by Drs. Wu & Pregerson):

 

have patient empty their bladder 

 

position upright with the head of the bed elevated at 45-60°

  • allows the bowel to float up
  • ascites collects in the lower abdomen

 

ultrasound for the Best Fluid Pocket

 

check for Subcutaneous Varices (and don’t tap that spot)

 

do the tap under ultrasound guidance (vs. marking & then blind tap)

 

References: EP monthly article with picture

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