Albumin use in paracentesis

This module describes aspects related to albumin use in paracentesis.

Module overview

This module describes aspects related to albumin use in paracentesis.

Key Takeaways

  • Large volume paracentesis plus albumin is the treatment indicated for grade 3 ascites
  • The removal of ascites can induce a post paracentesis circulatory dysfunction (PPCD) in 30-40% of patients (in particular in paracenteses > 5 l)
  • PPCD is associated with the risk of early recurrence of ascites, hepatorenal syndrome, readmissions and death
  • Albumin infusion (8 gr/l removed) prevents PPCD

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