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How To Use Continuous Wall Suction for Paracentesis

By Jordan Jeong, DO, Justin McNamee, DO, and Mark Rosenberg, DO, MBA, FACEP, FACOEP-D | on July 9, 2014 | 3 Comments
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11. Figure 7 shows your final setup.

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Explore This Issue
ACEP Now: Vol 33 – No 07 – July 2014

Dr. JeongDr. Jeong is an emergency medicine resident at St. Joseph’s Regional Medical Center in Paterson, New Jersey.

 

Dr. McNameeDr. McNamee is chief resident of the emergency medicine residency at St. Joseph’s.

 

 

Dr. RosenbergDr. Rosenberg is chair of the department of emergency medicine, chief of geriatrics emergency medicine, and chief of palliative medicine at St. Joseph’s.

 

References

  1. De Gottardi A, Thevenot T, Spahr L, et al. Risk of complications after abdominal paracentesis in cirrhotic patients: a prospective study. Clin Gastroenterol Hepatol. 2009;7:906-9.
  2. Wiese SS, Mortensen C, Bendtsen F. Few complications after paracentesis in patients with cirrhosis and refractory ascites. Dan Med Bull. 2011;58:A4212.
  3. Nelson WP 3rd, Rosenbaum JD, et al. Hyponatremia in cirrhosis following paracentesis. J Clin Invest. 1951;30:738-44.
  4. Sharma A. Pulmonary oedema after therapeutic ascitic paracentesis: a case report and literature review of the cardiac complications of cirrhosis. Eur J Gastroenterol Hepatol. 2010;22:241-5.

Pages: 1 2 3 | Single Page

Topics: Abdominal and GastrointestinalEmergency DepartmentEmergency MedicineEmergency PhysicianParacentesisProcedures and Skills

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3 Responses to “How To Use Continuous Wall Suction for Paracentesis”

  1. October 22, 2015

    tyler Reply

    Tried this using the red cardinal suction canisters, which have liners. Could not get it to work. The liner gets sorta sucked up in the distal (patient) canister, and fluid kinda flows through it into the proximal (wall) canister, which fills up and cuts off suction at the valve. Is this brand dependent?

    • October 23, 2015

      Jordan Jeong Reply

      Hey Tyler, I think I’m following what you are describing but I do not believe it is brand dependent as we use the blue cardinal suction canisters. However we don’t have/use soft liners. This may be causing your issue. Although as long as the tubes are hooked up to the correct ports it should work. I’d like to help you get this working though. I use it all the time and it makes life much easier for me at least.

  2. March 10, 2019

    Angel Farro Reply

    Hello, I am a emergency medicine physician from Perú, and my question is about the proped pressure of the suction that you recommend, and the time when a volume of 5 liters can be extracted. Thank you.

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