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Search Results for Paracentesis
Abstract Number: 243
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Paracentesis is a commonly performed bedside procedure in hospitalized patients. It is often necessary for patients who are taking anticoagulant therapies and/or have disorders of hemostasis. Concerns about bleeding complications often lead to care delays, blood product transfusions, medication changes, and costly labs. Purpose: This study evaluates the safety and clinical outcomes for a […]
Abstract Number: 267
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients with refractory ascites often require large volume paracentesis (LVP) on a frequent basis. Most of the studies examining the clinical effects of LVPs, however, have looked only at one-time procedures. In addition, patients with ascites commonly present to the emergency department or require hospital admission for this procedure, leading to high health-care utilization. Our […]
Abstract Number: 270
Hospital Medicine 2020, Virtual Competition
Background: Testing of ascitic fluid is recommended in all patients admitted to the hospital and delay in paracentesis has been shown to increase in-hospital mortality. Academic hospitalists in collaboration with internal medicine residency programs are establishing medicine procedure services to address concerns about resident training in procedures and patient safety. Our aim in this study […]
Abstract Number: 321
SHM Converge 2024
Background: While many physicians graduate from residency with competency to perform bedside procedures such as lumbar punctures (LPs) and paracentesis, the skillset often wanes after years in practice. Though a dedicated procedure service with full-time equivalent support may be a solution in settings where hospitalists need to perform numerous procedures per day, at our large […]
Abstract Number: 328
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patients with ascites due to cirrhosis frequently have some degree of thrombocytopenia and prolongation of prothrombin time. However, major bleeding rates from paracentesis are reported to be less than 1% without use of any prophylactic blood products (plasma and/or platlets) and the mortality rate is 0.016%. Consequently, practice guidelines recommend against prophylactic transfusion of […]
Abstract Number: 368
SHM Converge 2024
Background: Hospital Medicine (HM) based procedure services have demonstrated improved outcomes for patients by reducing time to procedure, improving throughput, and decreasing length of stay. Notable barriers to service implementation and sustainability include staffing shortages, training, and payment models. Provision of bedside procedural care in the community teaching hospital setting may facilitate access to other […]
Abstract Number: 373
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Paracenteses are performed frequently at bedside by hospitalists, intensivists, gastroenterologists and emergency medicine providers. They are considered a core procedure that historically have been performed “blind” with only the use of percussion to determine the presence of fluid. With the rise of ultrasound based procedures the majority of paracenteses are now performed with ultrasound […]
Abstract Number: 687
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 56-year-old Caucasian male who presented from an outside hospital (OSH) for recurrent chylous ascites. Four years ago, he was diagnosed with unprovoked left subclavian and left internal jugular deep vein thromboses (DVTs) and had been placed on chronic warfarin therapy. At that time, he developed chylous ascites which resolved […]
Abstract Number: 691
SHM Converge 2023
Case Presentation: We present the case of a 67-year-old female with a history of GERD, diabetes, and remote breast cancer treated with lumpectomy, radiation, and tamoxifen who presented with one-month of persistent abdominal distension associated with anorexia, nausea, vomiting, and shortness of breath. In addition, she had one episode of severe epigastric pain that radiated […]
Abstract Number: 782
SHM Converge 2024
Case Presentation: A 64-year-old female with decompensated alcoholic liver cirrhosis was admitted to the hospital for lower abdominal pain. The initial paracentesis polymorphonuclear (PMN) leukocyte count was 149 cells/mm3, but the patient was found to have E. coli urinary tract infection. During the course of her treatment, the patient developed pancreatitis and her hepatic encephalopathy […]