Rapid Manual Drainage of Ascites in a Home Visit Setting

Kiyofumi Oya; Akiko Fukuda; Hideto Sato; Rie Tokutani; Jun Hamano; Naosuke Yokomichi; Hiroto Ishiki; Shunsuke Oyamada; Shuji Hiramoto

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Rapid Manual Drainage of Ascites in a Home Visit Setting

VernacularTitle:在宅医療における用手吸引式急速腹腔穿刺ドレナージ
Author: Kiyofumi OYA ¹ ; Akiko FUKUDA ¹ ; Hideto SATO ¹ ; Rie TOKUTANI ¹ ; Jun HAMANO ² ; Naosuke YOKOMICHI ³ ; Hiroto ISHIKI ⁴ ; Shunsuke OYAMADA ⁵ ; Shuji HIRAMOTO ⁶
Author Information

1. Peace Home Care Clinic Kyoto
2. Peace Home Care Clinic
3. Institute of Medicine, University of Tsukuba
4. Division of Palliative and Supportive Care, Seirei Mikatahara General Hospital
5. Department of Palliative Medicine, National Cancer Center Hospital
6. Department of Biostatistics, JORTC Data Center
Keywords: abdominal paracentesis; ascites; case series
From:Palliative Care Research 2024;19(3):163-168
CountryJapan
Language:Japanese
Abstract: Abdominal paracentesis is a standard intervention for symptom relief in patients with ascites; however, there is no established agreement regarding the optimal speed of ascites drainage. This paper presents three cases of rapid manual drainage of ascites (RMDA) conducted during home visits: a 72 year-old male with intractable cirrhosis, a 73 year-old male with malignant ascites secondary to cancer of the pancreatic tail, and a 54 year-old male suffering from malignant ascites due to pancreatic tail cancer with hepatic metastases. Drainage volumes ranged from 1.4 to 3 liters, with procedures taking between 12 to 14 minutes. Post-procedure systolic blood pressures were maintained above 90 mmHg at immediate, 2 (±1) hours, and 24 (±12) hours following the procedure in all cases. No severe adverse events were reported. RMDA may offer a reduced procedural time in the home visit context, lessening patient discomfort and healthcare provider costs. Further studies are needed to evaluate the safety of RMDA in home care settings.