Paracentesis-induced circulatory dysfunction: are there albumin alternatives?
نویسندگان
چکیده
منابع مشابه
What we know about paracentesis induced circulatory dysfunction?
Ascites is the most common complication in liver cirrhosis (LC), occurring in 60% of the patients with compensated LC within 10 years. Therapeutic paracentesis is an effective treatment for tension-type ascites, because it relieves the symptom more quickly than diuretics and shortens hospitalization. Refractory ascites is defined as fluid overload that is not controlled despite restriction of s...
متن کاملPrevention of paracentesis-induced circulatory dysfunction in cirrhosis: standard vs half albumin doses. A prospective, randomized, unblinded pilot study.
BACKGROUND Paracentesis-induced circulatory dysfunction is a well-known complication of large volume paracentesis. Albumin infusion (8g of albumin/L of ascites removed) is effective in preventing it, but high costs and scant availability limit its use. AIM To compare standard vs half albumin doses. METHODS Seventy cirrhotic patients treated with large volume paracentesis were randomized to ...
متن کاملThe impact of paracentesis flow rate in patients with liver cirrhosis on the development of paracentesis induced circulatory dysfunction
BACKGROUND/AIMS Ascites is a dreadful complication of liver cirrhosis associated with short survival. Large volume paracentesis (LVP) is used to treat tense or refractory ascites. Paracentesis induced circulatory dysfunction (PICD) develops if no plasma expanders are given with ominous complications. To study the effect of ascites flow rate on PICD development. METHODS Sixty patients with cir...
متن کاملAlbumin Reduces Paracentesis-Induced Circulatory Dysfunction and Reduces Death and Renal Impairment among Patients with Cirrhosis and Infection: A Systematic Review and Meta-Analysis
BACKGROUND Studies have suggested that albumin has a value in cirrhotic patients undergoing paracentesis but its value in infection and sepsis is less clear. We planned to perform a meta-analysis of the risk of adverse outcomes in cirrhotic patients with and without albumin use. METHODS We searched MEDLINE and EMBASE in January 2013 for randomized studies of cirrhotic patients that reported t...
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Amalgam has been the material of choice for restoring posterior teeth for more than 100 years. The past 25 years have witnessed significant advances in restorative materials themselves and in the bonding systems for retaining a restoration in the prepared tooth. As a result, there has been a shift toward resin composite materials during this same period because of concerns about the esthetics a...
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ژورنال
عنوان ژورنال: Egyptian Liver Journal
سال: 2020
ISSN: 2090-6226
DOI: 10.1186/s43066-020-00047-7