Trick of the Trade: Persistent Paracentesis Leakage 2.0

Posted by Carmen Estrada on

You’re seeing a patient returning to the ED after a recent diagnostic paracentesis. The patient is complaining of persistent peritoneal fluid leakage. They’ve tried putting pressure with no success. You tried applying a medical adhesive glue and noticed it was unsuccessful, based on the patient’s gown continuing to get wet with ascites fluid. Now what?

Trick of the Trade: Pressure Gauze and Transparent Film Dressing

The medical adhesive glue trick was proposed in the Trick of the Trade 1.0 version by Dr. Borloz and Dr. Lin in November 2012.

Materials Needed

Material Quantity
Benzoin tincture 1
Gauze 2″ x 2″ 1-2
Transparent Film Dressing (Tegaderm) 2.5″ x 2.75″ 3-4

Technique

Pro Tip

Consider combining both this trick of the trade and the adhesive glue technique. Hat tip to Dr. Christian Rose [Twitter @RoseLikeTheFlwr] for this idea.

Interested in other Tricks of the Trade posts?

Read the series of Tricks of the Trade posts.

Author information

Carmen Estrada

Medical student
UC Davis School of Medicine

The post Trick of the Trade: Persistent Paracentesis Leakage 2.0 appeared first on ALiEM.


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