Core IM | Internal Medicine Podcast

Mind The Gap Ep2: Part 2 of Paracentesis

7 snips
Nov 29, 2017
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ADVICE

Paracentesis Procedures

  • Should you check platelets and coagulation before a paracentesis?
  • Is it safe for non-specialists to perform paracenteses, and how should ascites fluid be collected?
INSIGHT

Pre-Paracentesis Labs

  • Checking INR and platelets before paracentesis in cirrhotic patients may not be necessary.
  • Studies show low complication rates even with abnormal values.
ADVICE

Who Can Tap?

  • General internists can safely perform paracenteses with similar outcomes as IR specialists.
  • They may even use fewer platelet and FFP transfusions.
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