Recommendations on the Use of Ultrasound Guidance for Adult Abdominal Paracentesis: A Position Statement of the Society of Hospital Medicine.
Journal
Journal of hospital medicine
ISSN: 1553-5606
Titre abrégé: J Hosp Med
Pays: United States
ID NLM: 101271025
Informations de publication
Date de publication:
02 01 2019
02 01 2019
Historique:
entrez:
4
1
2019
pubmed:
4
1
2019
medline:
23
9
2020
Statut:
epublish
Résumé
1. We recommend that ultrasound guidance should be used for paracentesis to reduce the risk of serious complications, the most common being bleeding. 2. We recommend that ultrasound guidance should be used to avoid attempting paracentesis in patients with an insufficient volume of intraperitoneal free fluid to drain. 3. We recommend that ultrasound guidance should be used with paracentesis to improve the success rates of the overall procedure. 4. We recommend that ultrasound should be used to assess the volume and location of intraperitoneal free fluid to guide clinical decision making of where paracentesis can be safely performed. 5. We recommend that ultrasound should be used to identify a needle insertion site based on size of the fluid collection, thickness of the abdominal wall, and proximity to abdominal organs. 6. We recommend that the needle insertion site should be evaluated using color flow Doppler ultrasound to identify and avoid abdominal wall blood vessels along the anticipated needle trajectory. 7. We recommend that a needle insertion site should be evaluated in multiple planes to ensure clearance from underlying abdominal organs and detect any abdominal wall blood vessels along the anticipated needle trajectory. 8. We recommend that a needle insertion site should be marked with ultrasound immediately before performing the procedure, and the patient should remain in the same position between marking the site and performing the procedure. 9. We recommend that using real-time ultrasound guidance for paracentesis should be considered when the fluid collection is small or difficult to access. 10. We recommend that dedicated training sessions, including didactics, supervised practice on patients, and simulation-based practice, should be used to teach novices how to perform ultrasound-guided paracentesis. 11. We recommend that simulation-based practice should be used, when available, to facilitate acquisition of the required knowledge and skills to perform ultrasoundguided paracentesis. 12. We recommend that competence in performing ultrasound-guided paracentesis should be demonstrated prior to independently performing the procedure on patients.
Identifiants
pubmed: 30604780
doi: 10.12788/jhm.3095
pmc: PMC8021127
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
E7-E15Subventions
Organisme : HSRD VA
ID : I50 HX002263
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001086
Pays : United States
Investigateurs
Saaid Abel-Ghani
(S)
Robert Arntfield
(R)
Jeffrey Bates
(J)
Michael Blaivas
(M)
Daniel Brotman
(D)
Carolina Candotti
(C)
Richard Hoppman
(R)
Susan Hunt
(S)
Venkat Kalidini
(V)
Ketino Kobaidze
(K)
Joshua Lenchus
(J)
Paul Mayo
(P)
Satyen Nichani
(S)
Vicki Noble
(V)
Martin Perez
(M)
Nitin Puri
(N)
Aliaksei Pustavoitau
(A)
Sophia Rodgers
(S)
Gerard Salame
(G)
Daniel Schnobrich
(D)
Kirk Spencer
(K)
Vivek Tayal
(V)
David Tierney
(D)
Informations de copyright
© 2019 Society of Hospital Medicine.
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