Paracentesis: Indications

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Indications for paracentesis include:

  • Decompensated cirrhosis
  • New onset ascites
  • Symptomatic ascites
  • Concern for SBP
  • Hepatic encephalopathy
  • Pre-exisiting ascites with hospital admission*

There are no true absolute contraindications.

Peritoneal carcinomatosis requires caution but can be done, assessing the local vasculature with a linear probe and doppler is critical.

Scars, ileus with large dilated loops, or large visible bruising should also be considered when risk:benefit of the procedure.

Coagulopathy and thrombocytopenia are discussed elsewhere.

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