Large-volume drainage of ascites for symptomatic relief in tense/refractory ascites.
Indications
- • Tense ascites
- • Diuretic-resistant ascites
Contraindications
- ⚠ As diagnostic tap
- ⚠ Uncorrected coagulopathy
Equipment
- • Paracentesis catheter or IV cannula 14–16 G
- • Drainage bag/bottle
- • Albumin (6–8 g per L removed if > 5 L)
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
As for diagnostic tap; USG mark.
Immediate complications
- ⚠ Hypotension
- ⚠ Post-paracentesis circulatory dysfunction
- ⚠ Bleeding
Delayed complications
- • Renal impairment
- • Hyponatremia
Recognition
- • Falling BP, urine output
Initial management
- • Albumin, IV fluid; stop drain
Prevention
- • Albumin replacement
- • Slow drainage
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
