Ambulatory emergency care units are present in many hospitals and accommodate patients who need urgent medical assessment or procedures but do not require inpatient admission to achieve this. This article reports on a project undertaken in the ambulatory care unit at the Royal United Hospital Bath, which introduced a nurse-led paracentesis service with the intention of reducing waiting times an...

In this paper we describe the development of an interactive virtual reality (VR) system that aims to realistically simulate specific paracentesis clinical procedures (particularly the procedure involved in the catheterization of the subclavian vein). A simplified elasto-static finite element model is used for the physically based simulation of the deformable tissues, particularly skin deflectio...

Infection of the ascitic fluid is a treatable complication which can easily escape diagnosis. The clinical features are recorded in this paper. The use of a special trocar and cannula may reduce the risk of infection after paracentesis.

We report a case of unexpected ventilatory impairment that occurred during per-oral endoscopic myotomy (POEM) under general anesthesia. A 73-year-old woman underwent POEM for Jackhammer esophagus. The patient developed hypercarbia, pneumoperitoneum, and severe subcutaneous emphysema during the operation. Although she was treated with abdominal paracentesis, it became difficult to ventilate her ...

Paracentesis is a common procedure used in the diagnostic evaluation of peritoneal fluid as well as the therapeutic removal of high-volume ascites. Although generally regarded as a safe procedure, complications may arise from arterial injury, including hematomas and pseudoaneurysms. Transcatheter embolization and surgery are first-line interventions for injuries refractory to conservative manag...

BACKGROUND Malignant ascites is a frequent problem for ovarian carcinoma patients. Typical symptoms such as abdominal pain, nausea and dyspnea reduce quality of life. In this study, different treatment options for malignant ascites due to ovarian carcinoma were sought. MATERIALS AND METHODS Articles and reviews found in PubMed and reference books were evaluated and compared to each other. R...

background: the beneficial role of cabergoline as a prophylactic agent to prevent ovarian hyper stimulation syndrome (ohss) among high-risk patients has been demonstrated in previous studies. but data for its role as a treatment for established severe ohss is still limited. we represent the treatment results of high dose oral cabergoline in management of six patients after the syndrome is estab...

Ascites, the collection of fluid in the peritoneal cavity, occurs with a variety of disease states. It is one of the earliest and most common complication of chronic liver disease. In cirrhosis, it is associated with circulatory dysfunction characterized by arterial vasodilatation, high cardiac output and stimulation of vasoactive systems. As appropriate treatment depends on accurate diagnosis,...