First I would like to say I love this forum! You all are so supportive and you all have great advice to give. On that note, Do any of you have thoughts/ideas on thearaputic paracentesis? I have been surching articles but cannot find any that are within the last 3-5 years. The concerns I am having are
1. At what point do you start using albumin?
2. Is it typical to take more than 7 liters? I have seen as many as 14 without albumin/colloids etc, and the patient goes home!
3. Do you strictly follow pts BP as a guideline?
I do realize that there are some people out there that have a paracentesis weekly and can tolerated a volume removal like that, but my concern is that these people may be driving home and have a huge fluid shift, and pass out. thoughts/ideas, your P&P's would be helpfull.