PleurX drain use in the management of malignant ascites: safety ...
Various studies have found that the PleurX catheter is an effective option for the management of malignant ascites with a low complication rate [5-7]. The PleurX drain is a tunnelled indwelling peritoneal catheter that can be managed at home to remove small (500 ml) aliquots of ascites on a regular basis or when it becomes symptomatic.
Palliative long-term abdominal drains for the management of …
Many patients with refractory ascites are not candidates for liver transplantation or transjugular intrahepatic portosystemic shunt, and therefore, require recurrent palliative large volume paracentesis in hospital. We review the available evidence on use of palliative long-term abdominal drains in cirrhosis.
Long term drains to treat ascites - Cancer Research UK
The main treatment for ascites is draining the fluid. This is called an abdominal paracentesis. Your doctor may also give you medicines to help get rid of the fluid.
PTU-021 Long-term palliative abdominal drains vs large-volume
One alternative is long-term abdominal drains (LTAD), used in advanced malignant ascites, also enabling community management. Our ultimate aim is to improve end of life care (EoLC) in advanced cirrhosis and RA. This feasibility randomised controlled trial (RCT) aimed to resolve uncertainties in designing a definitive RCT.
Beta-blockers in refractory ascites – is it truly the end of the …
We read with great interest the study by Tellez et al.1 highlighting mechanisms of hemodynamic alterations and associated renal dysfunction with the use of a 4-week non-selective beta-blocker (NSBB) therapy in refractory ascites (RA) and diuretic responsive ascites (DRA). 1 They proposed ejection intra-ventricular pressure difference (EIVPD) as ...
Ascitic Drain (Therapeutic Paracentesis) – OSCE Guide
2022年9月17日 · An ascitic drain (therapeutic paracentesis) involves removing excessive ascitic fluid from a patient’s abdomen. This is a therapeutic procedure, however, a sample of ascitic fluid can be taken during insertion to be sent for ascitic fluid analysis.
Use of Non-selective Beta blockers in Decompensated ... - Springer
2022年6月9日 · There is significant data which shows safety of beta blocker use in decompensated cirrhosis but concerns remain in refractory ascites. There is also a short-term mortality benefit demonstrated in acute on chronic liver failure. With the latest guidelines and recent evidence, it seems beta blocker use will continue to increase.
Removing the excess fluid from the tummy is a common and effective treatment for ascites - this is known as ascitic drain, or abdominal paracentesis. How is the procedure performed? For the procedure you will be lying on a trolley.
Drainage of ascites in cirrhosis - PubMed
2024年9月27日 · Consequently, numerous drainage methods for cirrhotic ascites have emerged, including large-volume paracentesis, transjugular intrahepatic portosystemic shunt, peritoneovenous shunt, automated low-flow ascites pump, cell-free and concentrated ascites reinfusion therapy, and peritoneal catheter drainage.
Non-selective beta-blockers impair global circulatory ... - PubMed
We have identified the mechanisms by which non-selective beta-blockers could impair survival in patients with refractory ascites. We show that peripheral vasodilation and sympathetic activation lead to increased left ventricle systolic function in patients with cirrhosis and ascites, which acts as a …