Podcast 708: Diagnostic Paracentesis - The Emergency Medical Minute

Podcast 708: Diagnostic Paracentesis

Contributor: Peter Bakes, MD

Educational Pearls:

  • Paracentesis is a procedure where fluid is removed from the peritoneal cavity by needle
  • Indications for paracentesis include: large volume paracentesis (5-6L), diagnosis of transudative or exudative ascites, evaluation for spontaneous bacterial peritonitis (SBP)
  • Infection of ascitic fluid is more likely in transudative processes due to the increased frequency of paracentesis
  • E coli is the most common pathogen to cause SBP
  • Treatment with 3rd generation cephalosporin, like ceftriaxone


Aponte EM, Katta S, O’Rourke MC. Paracentesis. [Updated 2020 Sep 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK435998/

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

Check out this episode!

Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.


Stay up to date by
joining our mailing list!