"severe thrombocytopenia (platelet count"
"Ultrasound guidance may be used in either a dynamic or static manner, although both should utilise the same pre-procedural scanning goals; the identification of the largest ascitic collection (3 cm being the minimum safe pocket) and where the abdominal wall is free of vessels or excessive adipose tissue."
"either approach necessitates a 45 degree angle of entry, either at the mid-point of the probe footprint (short axis) and advancing the needle in an out-of-plane manner, or slightly lateral to the probe footprint (long-axis), advancing in an in-plane manner."
"The Seldinger technique can be used to leave an ~8 Fr catheter in situ for therapeutic procedures. Alternatively a trocar catheter set can also be used."
"Gram stain, culture and sensitivity"
"Ultrasound guidance may be used in either a dynamic or static manner, although both should utilise the same pre-procedural scanning goals; the identification of the largest ascitic collection (3 cm being the minimum safe pocket) and where the abdominal wall is free of vessels or excessive adipose tissue."
"Gram stain, culture and sensitivity"
"Following the procedure, care should be taken with therapeutic procedures to avoid large fluid shifts. Albumin needs to be replaced parenterally to avoid disequilibrium, in recognition of the risk of post paracentesis circulatory collapse, most commonly indicated when >5 litres of fluid is vacated. Diuretics, salt and water restriction are frequently used."