Education improves "Quality of Care"... Get Informed!!   ...   Reduce the risk of complications.
HOME

LEARN ONLINE NOW
AND ALSO RECEIVE
FREE CD'S BY MAIL!
LEARN ALL PROCEDURES
ONLINE NOW
UNLIMITED ONLINE ACCESS
TO
ALL 6 PROCEDURES
SUBSCRIPTION GOOD FOR ONE YEAR
**RECEIVE A DVD WITH ALL (6) PROCEDURES BY MAIL FREE!

Proficient Procedures Unlimited Online Access

UNLIMITED ONLINE ACCESS
TO
INDIVIDUAL (SINGLE) PROCEDURE
SUBSCRIPTION GOOD FOR ONE YEAR
**RECEIVE THE PROCEDURAL CD BY MAIL FREE!






Lost Password?
No account yet? Register

PARACENTESIS

Paracentesis.  The procedure to remove abnormal collection of fluid from the peritoneal cavity.

INDICATIONS:
  • Differential diagnosis of ascites
  • Intraabdominal pressure causing respiratory distress
  • Differential diagnosis of acute peritonitis

CONTRAINDICATIONS:

  • Acute abdomen requiring immediate surgery (absolute contraindication)
  • Coagulopathy (relative contraindication)
  • Thrombocytopenia (relative contraindication)
  • Severe bowel distension (use extra caution or open technique)
  • Previous abdominal surgery, especially pelvic surgery
  • Pregnancy (necessitates using open technique above umbilicus after first trimester)
  • Distended bladder that cannot be emptied with a Foley catheter
  • Obvious infection at intended site of insertion (cellulitis or abcess)

COMPLICATIONS:

  • Bladder perforation
  • Small or large bowel perforation
  • Stomach perforation
  • Lacerations of major vessels (mesenteric, iliac, aorta)
  • Laceration of catheter or guide wire and loss in peritoneal cavity (might require laparotomy to recover catheter)
  • Abdominal wall hematomas 
  • Incisional hernias
  • Wound infection
  • Wound dehiscence
  • Inability to retrieve majority of instilled fluid
"Once you see it, you will never forget it."
"Trust your photogenic memory."

Informed and educated patients comply well and are satisfied !!
Procedures Presented By Physicians Certified By
The American Board of Internal Medicine and Medical Subspecialties

 

2003-2008, Proficient Procedures, Inc. USA