Paracentesis Course

Paracentesis is a procedure to aspirate ascitic fluid from the peritoneal cavity. A diagnostic paracentesis can be performed to determine the etiology of ascites or a therapeutic paracentesis can be performed for symptomatic ascites.  The paracentesis course uses advanced ultrasound-compatible simulators and Caldwell needles to train clinicians how to perform an ultrasound-guided paracentesis.  This course also covers ascitic fluid analysis, the management of refractory ascites, diuretic-resistant ascites, and how to manage paracentesis complications.

The HPC Hospitalist and Emergency Procedures course will teach you how to perform paracentesis in addition to endotracheal intubation, stylet-guided intubations, laryngeal mask airway (LMA) placement, King tube placement, or fiberoptic intubations. central venous access, ultrasound-guided central line placement, ultrasound-guided peripheral IV access, arterial lines, POCUS exams (E-FAST exams, RUSH exams), thoracentesis, lumbar puncture, chest tube placement, pigtail catheter placement, needle thoracostomy, procedural sedation. and mechanical ventilation.

Our paracentesis training is a component of our live Hospitalist and Emergency Procedures CME course which teaches clinicians how to perform the 20 most essential procedures needed to work in the ER, ICU, and hospital wards.

CLICK HERE to find out more about our premier live Hospitalist and Emergency Procedures CME course

Paracentesis Lab Photos

Paracentesis Simulator

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Paracentesis Video

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Paracentesis Course trains students in:

  • Indications for a paracentesis
  • Contraindications for a paracentesis
  • Complications of a paracentesis
  • Equipment for a paracentesis
  • Proper positioning and technique for a paracentesis
  • Ultrasound-guided paracentesis
  • Ascitic fluid analysis
  • Coding for a paracentesis
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Paracentesis Photos

Paracentesis Reference Card

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Paracentesis Blogs

Maneuvers to Assess Fluid Responsiveness in Septic Shock or Vasodilatory Shock

Joseph Esherick, M.D., FAAFP, FHM
Arterial Line, Arterial line insertion, Arterial line placement, Arterial Lines, Featured, HPC Updates, Sepsis, Septic Shock, severe sepsis, shock
Aggressive fluid administration is a hallmark of septic shock management and has been espoused by the Surviving Sepsis Campaign and is a part of the CMS SEP-1 sepsis bundle. The sepsis bundle includes administration of 30 ml/kg crystalloid bolus (LR…
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Do we really need to do a modified Allen’s Test before Radial Arterial Line Insertion?

Joseph Esherick, M.D., FAAFP, FHM
Arterial Line, Arterial line insertion, Arterial line placement, Arterial Lines, Featured Procedure, HPC Updates, Procedure Blog of the Week
It has long been Dogma that an abnormal modified Allen’s test is a contraindication to performing a radial arterial line in that arm.  The theory behind this is that the modified Allen’s test will identify patients who have insufficient collateral circulation…
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Dexmedetomidine and Propofol performed equally well for the sedation of mechanically ventilated patients with sepsis

Joseph Esherick, M.D., FAAFP, FHM
BLOG OF THE WEEK, Delirium, Featured, Fentanyl-Based Ventilator, HPC Updates, Mechanical Ventilation, RASS, Richmond Agitation-Sedation Scale, Sedation, Sepsis, Septic Shock, severe sepsis, Ventilation, Wake-up and Breath Protocol
The Society of Critical Care Medicine (SCCM) recommends that all mechanically ventilated patients receive analgesia, sedation, and delirium assessment and management while intubated. SCCM reinforced these principles in their 2018 clinical practice guideline on the prevention and management of pain,…
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Protocolized Sedation is Recommended Over Usual Care for Mechanical Ventilation

Joseph Esherick, M.D., FAAFP, FHM
Delirium, Featured Procedure, HPC Updates, Mechanical Ventilation, Protocolized Sedation, Sedation, Wake-up and Breath Protocol
A systematic review and meta-analysis of randomized controlled trials was conducted to determine the effects of protocolized sedation in mechanically ventilated adult intensive care unit patients. Six randomized controlled trials and 1243 patients were studied. The results showed that protocolized…
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Review of chest tube drainage of the pleural space

Joseph Esherick, M.D., FAAFP, FHM
Anticoagulants and Procedures, Anticoagulation, Antiplatelet therapy, antiplatelets, Chest tube, chest tube placement, chest tube position, Chest tube removal, chest tube size, chest tubes, Featured, HPC update, HPC Updates, Plavix, pleural effusions, Pleural space, Pneumothorax, POCUS, re-expansion pulmonary edema, Small-bore chest tube, Tension pneumothorax, Thienopyridines, thrombocytopenia, Tube Thoracostomy
This blog summarizes recommended management of chest tube drainage of the pleural space. The blog will cover the recommended size of chest tube for different indications, suggestions for chest tube insertion technique, methods to avoid chest tube complications and when…
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Hospitalist and Emergency Procedures CME Courses Available

Register HERE 21 days before the course to SAVE $50-150 and get the following:

  1. 12 month online access to Online CME course, procedure video bundle, instructional posters
  2. Indefinite online access to PDFs of all course lectures, course handouts, and HPC Adult Critical Care and Emergency Drug Reference Drug
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