Vascular ultrasonography

A novel method to reduce paracentesis related major bleeding

Jeffrey H Barsuk*, Bradley T. Rosen, Elaine R. Cohen, Joseph M Feinglass, Mark J. Ault

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Paracentesis is a core competency for hospitalists. Using ultrasound for fluid localization is standard practice and involves a low-frequency probe. Experts recommend a “2-probe technique,” which incorporates a high-frequency ultrasound probe in addition to the low-frequency probe to identify blood vessels within the intended needle path. Evidence is currently lacking to support this 2-probe technique, so we performed a pre- to postintervention study to evaluate its effect on paracentesis-related bleeding complications. From February 2010 to August 2011, procedures were performed using only low-frequency probes (preintervention group), while the 2-probe technique was used from September 2011 to February 2016 (postintervention group). A total of 5777 procedures were performed. Paracentesis-related minor bleeding was similar between groups. Major bleeding was lower in the postintervention group (3 [0.3%], n = 1000 vs 4 [0.08%], n = 4777; P =.07). This clinically meaningful trend suggests that using the 2-probe technique might prevent paracentesis-related major bleeding.

Original languageEnglish (US)
Pages (from-to)30-33
Number of pages4
JournalJournal of hospital medicine
Volume13
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

Paracentesis
Blood Vessels
Ultrasonography
Hemorrhage
Hospitalists
Needles

ASJC Scopus subject areas

  • Leadership and Management
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

Cite this

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title = "Vascular ultrasonography: A novel method to reduce paracentesis related major bleeding",
abstract = "Paracentesis is a core competency for hospitalists. Using ultrasound for fluid localization is standard practice and involves a low-frequency probe. Experts recommend a “2-probe technique,” which incorporates a high-frequency ultrasound probe in addition to the low-frequency probe to identify blood vessels within the intended needle path. Evidence is currently lacking to support this 2-probe technique, so we performed a pre- to postintervention study to evaluate its effect on paracentesis-related bleeding complications. From February 2010 to August 2011, procedures were performed using only low-frequency probes (preintervention group), while the 2-probe technique was used from September 2011 to February 2016 (postintervention group). A total of 5777 procedures were performed. Paracentesis-related minor bleeding was similar between groups. Major bleeding was lower in the postintervention group (3 [0.3{\%}], n = 1000 vs 4 [0.08{\%}], n = 4777; P =.07). This clinically meaningful trend suggests that using the 2-probe technique might prevent paracentesis-related major bleeding.",
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Vascular ultrasonography : A novel method to reduce paracentesis related major bleeding. / Barsuk, Jeffrey H; Rosen, Bradley T.; Cohen, Elaine R.; Feinglass, Joseph M; Ault, Mark J.

In: Journal of hospital medicine, Vol. 13, No. 1, 01.01.2018, p. 30-33.

Research output: Contribution to journalArticle

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AU - Rosen, Bradley T.

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AU - Feinglass, Joseph M

AU - Ault, Mark J.

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