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Palliative Paracentesis in the Home Setting: A Case Series.

Ken S Ota1, Nicholas Schultz1, Nicole A Segaline1

  • 1O Longevity & Wellness, Scottsdale, AZ, USA.

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|September 30, 2020
PubMed
Summary
This summary is machine-generated.

Home-based palliative paracentesis offers a safe and effective solution for managing ascites symptoms in hospice patients. This mobile service provides convenient, in-home relief, improving patient comfort and quality of life.

Keywords:
abdominal painambulatory palliative careasciteshome hospicepalliative paracentesisultrasound-guided

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Area of Science:

  • Palliative Care
  • Interventional Radiology
  • Oncology

Background:

  • Managing ascites symptoms in home hospice and palliative care is challenging.
  • Standard ultrasound-guided paracentesis often requires hospital visits, limiting access for homebound patients.
  • Interventional radiology (IR) services are typically not feasible in home settings.

Purpose of the Study:

  • To introduce and evaluate a mobile, in-home palliative paracentesis (HBPP) service.
  • To provide an accessible interventional option for patients with distressing ascites symptoms.
  • To assess the feasibility and outcomes of delivering palliative paracentesis at home.

Main Methods:

  • Retrospective case series of 30 patients undergoing HBPP at their residences.
  • Portable bedside ultrasound used for ascites confirmation.
  • Data collected on patient referrals, procedure completion, and symptom relief.

Main Results:

  • 30 out of 33 referred patients (91%) received HBPP for symptomatic abdominal distention.
  • All 30 patients reported significant symptom relief post-procedure.
  • No post-procedural complications were reported, indicating a safe intervention.

Conclusions:

  • Home-based palliative paracentesis (HBPP) is a safe and effective intervention.
  • HBPP provides a convenient option for hospice and palliative care patients experiencing symptomatic ascites.
  • This service improves access to essential palliative procedures for homebound individuals.