Paracentesis Course

Paracentesis is a procedure to aspirate ascitic fluid from the peritoneal cavity. A diagnostic paracentesis can be performed for to determine the etiology of ascites or a therapeutic paracentesis can be performed for symptomatic ascites.  The paracentesis course uses advanced ultrasound-compatible simulators and Caldwell needles to train clinicians how to perform an ultrasound-guided paracentesis.  This course also covers ascitic fluid analysis, the management of refractory ascites, diuretic-resistant ascites, and how to manage paracentesis complications.

Our paracentesis training is a component of our live Hospitalist and Emergency Procedures CME course which teaches clinicians how to perform the 20 most essential procedures needed to work in the ER, ICU, and hospital wards.

CLICK HERE to find out more about our premier live Hospitalist and Emergency Procedures CME course

Paracentesis Course

Paracentesis Lab Photos

Paracentesis Video

Paracentesis Video

 

Paracentesis Course trains students in:

 

  • Indications for a paracentesis
  • Contraindications for a paracentesis
  • Complications of a paracentesis
  • Equipment for a paracentesis
  • Proper positioning and technique for a paracentesis
  • Ultrasound-guided paracentesis
  • Paracentesis troubleshooting
  • Ascitic fluid analysis
  • Coding for a paracentesis

Paracentesis Photos

Paracentesis Reference Card

Paracentesis Reference Card

Paracentesis Reference Card

Paracentesis Blogs

Which cirrhotic patients are at high risk for bleeding during hospital procedures?

by Joseph Esherick, M.D., FAAFP, FHM

This blog will offer some expert recommendations to help guide the safety of hospital procedures at different platelet and coagulation profiles.

Why are Patients with Cirrhosis Readmitted to the Hospital?

by Joseph Esherick, M.D., FAAFP, FHM

Top causes for hospital readmission in patients with cirrhosis were acute complications of cirrhosis (especially hepatic encephalopathy), substance abuse, and cancer complications.

Safety of Draining Patients Dry During Large Volume Thoracentesis

by Joseph Esherick, M.D., FAAFP, FHM

A historical myth in procedural medicine is the operator should limit removal of pleural fluid to 1.5 L during thoracentesis because of the risk of re-expansion pulmonary edema or pneumothorax. New evidence supports safety of large volume thoracentesis until no fluid remains.

Alternative Tests to Differentiate Pleural Effusion Exudates from Transudates

by Joseph Esherick, M.D., FAAFP, FHM

This meta-analysis analyzed 20 studies and nearly 3,500 patients. The study found that, on the average, a pleural cholesterol level of 55 mg/L or more had an 88% sensitivity, 96% specificity and positive likelihood ratio for an exudate of 20.3. On the other hand, a pleural cholesterol level below 55 mg/L has a negative likelihood ratio of 0.12 suggesting a transudate. In addition a pleural fluid/serum cholesterol ratio of 0.3 or more has 94% sensitivity and 87% specificity for a pleural exudate. A P/S cholesterol ratio less than 0.3 has a negative likelihood ratio of 0.07.3

Hospitalist and Emergency Procedures CME Courses Available

Register HERE 21 days before the course to SAVE $50-150 and get the following:

  1. 12 month online access to Online CME course, procedure video bundle, instructional posters
  2. Indefinite online access to PDFs of all course lectures, course handouts, and HPC Adult Critical Care and Emergency Drug Reference Drug