Evidence map›Paper›PMID 30604780›Full record

ArticleJournal of hospital medicine2019

Recommendations on the Use of Ultrasound Guidance for Adult Abdominal Paracentesis: A Position Statement of the Society of Hospital Medicine.

Joel Cho, Trevor P Jensen, Kreegan Reierson, Benji K Mathews, Anjali Bhagra, Ricardo Franco-Sadud, Loretta Grikis, Michael Mader, Ria Dancel, Brian P Lucas and 2 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Journal of hospital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Guideline
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  4. Review
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  10. Enhancing dromedary camel (Frontiers in veterinary science · 2026
    Review
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  17. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Joel ChoDepartment of Hospital Medicine, Kaiser Permanente San Francisco Medical Center, San Francisco, California, USA. joel.cho@kp.org.
Trevor P JensenDivision of Hospital Medicine, University of California San Francisco Medical Center at Parnassus, San Francisco, California, USA.
Kreegan ReiersonDepartment of Hospital Medicine, HealthPartners Medical Group, Regions Hospital, St. Paul, Minnesota, USA.
Benji K MathewsDepartment of Hospital Medicine, HealthPartners Medical Group, Regions Hospital, St. Paul, Minnesota, USA.
Anjali BhagraDivision of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Ricardo Franco-SadudDivision of General Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Loretta GrikisWhite River Junction VA Medical Center, White River Junction, Vermont, USA.
Michael MaderDivisions of General and Hospital Medicine and Pulmonary and Critical Care Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.
Ria DancelDivision of Hospital Medicine, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Brian P LucasGeisel School of Medicine at Dartmouth College, Hanover, New Hampshire, USA.
Society of Hospital Medicine Point-of-care Ultrasound Task Force
Nilam J SoniDivisions of General and Hospital Medicine and Pulmonary and Critical Care Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.
HealthPartners · USSouth Texas Veterans Health Care System · USWhite River Junction VA Medical Center · USKaiser Permanente San Francisco Medical Center · USMayo Clinic in Florida · USMedical College of Wisconsin · USUniversity of California San Francisco Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
HSRD VA I50 HX002263NCATS NIH HHS UL1 TR001086
6 · The paper itself

Abstract

1. We recommend that ultrasound guidance should be used for paracentesis to reduce the risk of serious complications, the most common being bleeding. 2. We recommend that ultrasound guidance should be used to avoid attempting paracentesis in patients with an insufficient volume of intraperitoneal free fluid to drain. 3. We recommend that ultrasound guidance should be used with paracentesis to improve the success rates of the overall procedure. 4. We recommend that ultrasound should be used to assess the volume and location of intraperitoneal free fluid to guide clinical decision making of where paracentesis can be safely performed. 5. We recommend that ultrasound should be used to identify a needle insertion site based on size of the fluid collection, thickness of the abdominal wall, and proximity to abdominal organs. 6. We recommend that the needle insertion site should be evaluated using color flow Doppler ultrasound to identify and avoid abdominal wall blood vessels along the anticipated needle trajectory. 7. We recommend that a needle insertion site should be evaluated in multiple planes to ensure clearance from underlying abdominal organs and detect any abdominal wall blood vessels along the anticipated needle trajectory. 8. We recommend that a needle insertion site should be marked with ultrasound immediately before performing the procedure, and the patient should remain in the same position between marking the site and performing the procedure. 9. We recommend that using real-time ultrasound guidance for paracentesis should be considered when the fluid collection is small or difficult to access. 10. We recommend that dedicated training sessions, including didactics, supervised practice on patients, and simulation-based practice, should be used to teach novices how to perform ultrasound-guided paracentesis. 11. We recommend that simulation-based practice should be used, when available, to facilitate acquisition of the required knowledge and skills to perform ultrasoundguided paracentesis. 12. We recommend that competence in performing ultrasound-guided paracentesis should be demonstrated prior to independently performing the procedure on patients.

Indexed as

Guidelines as TopicHospital MedicineSimulation TrainingAbdomenExudates and TransudatesHumansParacentesisPhysiciansSocieties, MedicalUltrasonography

Identifiers

PMID30604780
PMCPMC8021127
OpenAlexW4245043981

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.