Ascites: ultrasound guidance or blind paracentesis?

  title={Ascites: ultrasound guidance or blind paracentesis?},
  author={C{\'e}line Bard and Michel Lafortune and Guillaume Breton},
  journal={CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne},
  volume={135 3},
The classic site for paracentesis in generalized ascites is in the left lower quadrant of the abdomen at a position equivalent to McBurney's point. Its use has an average success rate of 58%, depending on the amount of liquid. To assess the efficacy of paracentesis at this site and to establish the ideal site for blind puncture, we studied 27 consecutive patients with ascites detected by abdominal ultrasonography. The amount of ascites was graded from 1 to 4. Free fluid had accumulated mostly… CONTINUE READING

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