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serum-ascites albumin gradient

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5.4.1 - Abdominal Paracentesis
from Section 5.4 - Practical Gastrointestinal System
- By Jonathan Barnes
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 611-613
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Summary

Key Learning Points
1. Abdominal drains should be inserted under ultrasound guidance.
2. Use the ‘Z-track’ technique to minimise complications.
3. Pay attention to volume replacement, particularly in the critically unwell patient.
4. Antibiotic administration should not be delayed in cases of suspected spontaneous bacterial peritonitis.
5. Differentiating transudative from exudative ascites is achieved by calculating the serum–ascites albumin gradient.