Paracentesis -- an effective method of symptom control in the palliative care setting?

McNamara, P.
January 2000
Palliative Medicine;Jan2000, Vol. 14 Issue 1, p62
Academic Journal
Studies the use of paracentesis as a method of symptom control for patients with malignant ascites receiving palliative care. Indications for performing paracentesis; Common complications of the procedure; Effectiveness and safety of the method.


Related Articles

  • Ovarian Cancer and Ascites: A Questionnaire on Current Management in the United Kingdom. MacDonald, Robert; Kirwan, John; Roberts, Shelagh; Gray, Dawn; Allsopp, Lesley; Green, John // Journal of Palliative Medicine;Dec2006, Vol. 9 Issue 6, p1264 

    A questionnaire on ovarian cancer ascites management was sent to members of the British Gynaecological Cancer Society (BGCS), the National Gynaecological Oncology Nurses, and the Assoication of Palliative Medicine. Questions were asked on diuretics, hematologic investigations, paracentesis, and...

  • Peritoneal catheter for continuous drainage of ascites in advanced cancer patients. Sebastiano Mercadante; Giuseppe Intravaia; Patrizia Ferrera; Patrizia Villari; Fabrizio David // Supportive Care in Cancer;Aug2008, Vol. 16 Issue 8, p975 

    Abstract Introduction  Advanced cancer patients with refractory ascites do not often respond to dietary sodium restriction and diuretics. While paracentesis is effective, the condition invariably recurs, necessitating repeated procedures. A continuous peritoneal drainage by an indwelling...

  • Large-volume paracentesis in treatment of ascites. Kellerman, Paul S.; Linas, Stuart L.; Kellerman, P S; Linas, S L // Annals of Internal Medicine;6/15/90, Vol. 112 Issue 12, p889 

    Editorial. Presents evidence of the role of large-volume paracentesis in treatment of ascites. Accounts of related studies; Comparison from diuretic therapy; Complications.

  • The development of clinical guidelines on paracentesis for ascites related to malignancy. Stephenson, J; Gilbert, J // Palliative Medicine;May2002, Vol. 16 Issue 3, p213 

    Malignancy-related ascites gives rise to troublesome symptoms and carries a poor prognosis. Abdominal paracentesis is a widely used and effective procedure for symptom relief, but practice with regard to the procedure itself may vary considerably. Evidence obtained in the context of liver...

  • Palliative Treatment of Malignant Ascites #177. LeBlanc, Karen; Arnold, Robert M. // Journal of Palliative Medicine;Aug2010, Vol. 13 Issue 8, p1028 

    The article focuses on various palliative treatment approaches for patients with malignant ascites that are discussed in Fast Fact #176, wherein serum-ascites albumin gradient (SAAG) plays a role. It says that patients with hypertension who have greater SAAG are likely to respond to diuretics...

  • Deterioration in quality of life (QoL) in patients with malignant ascites: results from a phase II/III study comparing paracentesis plus catumaxomab with paracentesis alone. Wimberger, P.; Gilet, H.; Gonschior, A-K.; Heiss, M. M.; Moehler, M.; Oskay-Oezcelik, G.; Al-Batran, S-E.; Schmalfeldt, B.; Schmittel, A.; Schulze, E.; Parsons, S. L. // Annals of Oncology;Aug2012, Vol. 23 Issue 8, p1979 

    Background Malignant ascites (MA) is associated with poor prognosis and limited palliative therapeutic options. Therefore, quality of life (QoL) assessment is of particular importance to demonstrate new treatment value. Following the demonstration of the superiority of catumaxomab and...

  • Comparison of spontaneous ascites filtration and reinfusion with total paracentesis with intravenous albumin infusion in cirrhotic patients with tense ascites. Bruno, S.; Borzio, M.; Romagnoni, M.; Bartezzati, P.M.; Rossi, S.; Chiesa, A.; Podda, M. // BMJ: British Medical Journal (International Edition);6/27/92, Vol. 304 Issue 6843, p1655 

    Compares the efficacy of ascites filtration and reinfusion and total paracentesis in cirrhotic patients. Advantage of albumin over dextran in reducing intravascular volume; Cost-effectiveness of the procedures in treating tense ascites; Use of polygeline as replacement for human albumin.

  • A SINGLE CENTRE EXPERIENCE OF TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT (TIPSS) INSERTION FOR REFRACTORY ASCITES IN CIRRHOSIS. Ferguson, J.W.; Chillingworth, S.; Tripathi, D.; Therapondos, G.; Redhead, D.; Hayes, P.C. // Gut;Apr2003 Supplement 1, Vol. 52, pA108 

    Ascites is a common and serious complication of cirrhosis with a 2 year mortality of approximately 50%. The treatment options are limited with only 2 RCTs comparing TIPSS to paracentesis. As a tertiary referral centre we have performed over 550 TIPSS procedures and have audited TIPSS insertion...

  • The use of bedside ultrasound and community-based paracentesis in a palliative care service. Landers, Amanda; Ryan, Bridget // Journal of Primary Health Care;Jun2014, Vol. 6 Issue 2, p148 

    INTRODUCTION: There is little information, particularly in New Zealand, on the use of ultrasound to enhance clinical decision-making in a specialist palliative care service. Technological advances have resulted in increasingly portable, user-friendly ultrasound machines that can be used in the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics