Atulkumar S. Patel, MD; Stuart C. Gordon, MD
To the editor: The results of recent studies (1) have documented the safety and efficacy of large-volume paracentesis in cirrhotic patients with tense ascites. Previously, however, such patients were generally hospitalized at least overnight to assure hemodynamic stability. Recent constraints imposed by high occupancy rates in our hospital have allowed us to do this procedure in an outpatient setting.
For a 16-month period, we did 41 paracenteses in 17 patients with refractory ascites. Patients were selected because of respiratory compromise or generalized discomfort. Nine men and eight women aged 31 to 76 years (mean age, 62) were treated. The cause
Patel AS, Gordon SC. Large-Volume Paracentesis in Outpatients. Ann Intern Med. ;110:325–326. doi: 10.7326/0003-4819-110-4-325_2
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Published: Ann Intern Med. 1989;110(4):325-326.
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