Paracentesis Procedure - What to Expect

A video on what you can expect when undergoing paracentesis.
Faculty or student at Stanford Medicine? Reach out to us on our website, med.stanford.edu/edtech.html
Follow us on Twitter at / stanfordedtech
Follow us on Facebook at / stanfordedtech
Created by Stanford EdTech in Collaboration with the Stanford Health Care Emergency Department, 2017.

[@user-rf5tf8tg3q]

My baby daddy has this done once a week also.so far he hasn't complained of pain but ,he was relieved of the pressure.

[@hebatullah4093]

Thanks for this great video

[@Cinemaupdatzzs]

Thank you so much

[@sadiqal-herz7964]

Great video….. thanks

[@bigrob4840]

Do they drain ascites from kwashiorkor?

[@dr.asharma4715]

Thankxx a lot

[@pratibhasharma2519]

Thanks

[@MarkJacksonGaming]

-- I have it done every week/week and a half. Generally get 4.5 liters out of me with the vacuum pump method. We're like a little family in the IR; get to know each other, talk shop, even went on a couple of dates with a good looking nurse. Lost count how many times I've had it done, maybe 20. I've never found it to be agonizing. Little pain, sure from betting poked, but not enough that I'm not still talking and joking with the Doc or PA. On the other hand, I've heard people in there moaning and weeping. Guy screeched once as they were setting him up, and it turned out just to be the soft tip magic marker the Doc was using to mark the spot for the catheter. They hadn't even started the procedure yet. Everyone is different, I suppose. Where is the problems that cause this sort of thing can be significant. The procedure isn't bad at all in my opinion. I was in and out today, with bloodwork, and 4.3 liters trained in an hour and a half. So to you all that are staring this in the face for the first time: MUCH BETTER TO DO THIS, THAN NOT DO IT.

[@marinmilanovic916]

Why this happend ? What is the cause ?

[@MarkJacksonGaming]

@@marinmilanovic916 -- Lot of different causes. I mean a lot. Drinking, cancer, complications for old age, physical injuries. A lot of causes.

[@charlethjoygonzales8879]

Is it normal to feel abdominal pain after paracentesis?

[@MarkJacksonGaming]

@@charlethjoygonzales8879 -- Yes and also muscle pain, sort of like a ring around your stomach and lower back. How bad it is I"d imagine depends on your size, how long you've had the condition and how much fluid they've removed. But again, even though I've had a lot of these treatments, PLEASE talk to a doctor. Don't take my word for it.

[@Grayback1973]

My mother is having to have this done now on a regular basis because she has cirrhosis which is causing her abdomen to fill up with fluid. We have her in a supportive living facility now and are in the process of getting this procedure to be done with regularity. It's been a big headache thus far because we work and cannot take her back and forth.Thank you for sharing your experience, it gives me hope for my mother:)

[@khristalynegarcia805]

THANK YOU!!!

[@abhishekbabu2579]

Helo

[@josemorales-mx6sx]

I get it once a week and my lungs get drained to

[@mabondavis4838]

Interesting video, my friend was also suffering from this disease. he took liver care pack of planet ayurveda and he is fine now

[@veronicabeverly8312]

Hey is your friend still fine

[@ramyaperisetti9731]

My grandmother was suffering overian cancer 4 th stage her age 70 she also suffering this abdominal problem is their any solution plz help me

[@NotJust_APastryChef]

Hey. My mother is currently going through same thing. I was wondering if you have had any of your questions answered and if you have some advice or knowledge to share. I hope you are well.

[@Faigmani06]

Should the patient be NPO?

[@theanchetas8165]

12H before the procedure

[@PuffleFuzz]

My teacher has to go through the long procedure every week. Poor guy

[@SidewalkSurfer212]

I had one recently and this little animated guy is waaaaay too happy about all this. It really wasn't too bad but the guy looks like....aaaaah oh yes just my weekly parascentesis. He's having a mani pedi in the process...

[@SidewalkSurfer212]

@Deb Nichols I had it done because I almost died last year. Its not a fun procedure, that said, the relief was immediate (when I woke up). Are you outside the US? If so, an ER attached to any medium sized hospital should be able to help you. If you are somewhere that its available, your physician can guide you ( but if they haven't, you may not need it). Don't tell yourself you need it and then it turns out its not for you. I had SOME removed this way, the rest responded to medication.

[@SidewalkSurfer212]

I hope you feel better! I'm writing from inside a hospital right now where a doctor informs me that unless told so, she'd see nothing unusual in my labwork to suggest a problem. "You're xjrjdlfh is a little higher but so slightly, i wouldnt hae taken action it, almost normal." So I'll say just 2 things: 1. Your liver is able to heal unlile any other organ, maybe the eyes. 2. Even with that in mind, do not not go tjrough this withoutna physician. I am not "cured" of cirrhosis, I've just slowed it down in a sense.

[@hamd52]

@Deb Nichols the video's accurate. For me, it seemed to take about 45 minutes, followed by maybe a two hour wait to have the fluid tested for infection, followed by another 45 minutes or so for a transfusion of albumin due to a low protein level. Try to go on a weekday, and during the day or else they may want to hold up on the procedure until morning or worse, the end of the weekend. I don't know if this is due to potential complications or because the lab has limited hours or what. The procedure for me was as painless as drawing blood, and really low risk, so don't let it worry you.

[@hamd52]

@Deb Nichols I had it done three days ago, and felt soooo much better immediately afterward, after weeks of feeling run-down, out-of-shape, easily fatigued, and sometimes in pain if I lay in the wrong positions. Good luck, and I hope you have similar results!

[@tracyparker1292]

Yeah..Im fixing to have one...and I agree the animated due is much too happy!

[@PeteHob]

Interestingly, I think I missed the part where they talked about administering propofol before this procedure. If anybody came at me to do this procedure without anesthesia that would be some Jerry Springer like conversations at bedside.

[@asdfzxcvqwert]

They drained a little over 5 liters from me and I dropped 14 lbs. There were more liters left but it got too painful for me I had to stop. The site they chose to extract was by my ribs where I had the most pain. And my arm was under the drain so I moved and it shifted the needle in me and I actually cried out 😭 I wasn't in this position from the video at all 🥺

[@kristinlong9604]

That sounds like a thoracocentesis. A different setup is needed there.

[@glohithadurga7700]

This condition is caused routinely

[@willitmakeit]

New flash I've had this done 10 times now once a week and it hurts like hell.

[@mazwide9400]

Me too.every week!

[@ahmedrashed78]

@@mazwide9400 why every week??

[@mazwide9400]

@@ahmedrashed78 I have liver cysts so, they leak in my tummy and it cause to be bloated. So they have to drain liquid , it become flat for few days and the liquid build up again, tomorrow I'm going for drainage again! This will stop once i get a liver transplant!

[@itsyuneesha5214]

Hope you feel better and get well soon

[@v.balajivlogs...1413]

@@mazwide9400 how are you now?

[@ansahphilip7633]

Please why? Ascite leads to liver failure

[@v.balajivlogs...1413]

Due to bacterial infection it will cause liver cirrosis, and kidney failure too

[@m.vinn.r.3645]

Usually the other way around. You have this because of cirrosis.

[@Mr.Strickland410]

Onlyusemeblade

[@eermable2565]

Does it remove excess fat ??

[@user-xp4ov5od8t]

No

[@drcooljk]

Dream on fatty