Large‐volume paracentesis in nonedematous patients with tense ascites: Its effect on intravascular volume
Paul C. Pinto, Jim Amerian, Telfer B. Reynolds – 1 March 1988 – In patients with portal hypertension and tense ascites, large‐volume paracentesis improves patient comfort and may improve systemic hemodynamics. However, it has been avoided in nonedematous patients because of concern for complications, including intravascular volume depletion. In this study, 12 nonedematous patients with chronic liver disease, portal hypertension and tense ascites underwent 14 large‐volume (5‐liter) paracenteses for the relief of discomfort and/or respiratory distress.