Palliative Paracentesis in the Home Setting: A Case Series.
| Autor: | Ota KS; O Longevity & Wellness, Scottsdale, AZ, USA., Schultz N; O Longevity & Wellness, Scottsdale, AZ, USA., Segaline NA; O Longevity & Wellness, Scottsdale, AZ, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2021 Aug; Vol. 38 (8), pp. 1042-1045. Date of Electronic Publication: 2020 Sep 30. |
| DOI: | 10.1177/1049909120963075 |
| Abstrakt: | Background: Management of ascites-related symptoms in home hospice and palliative care patients can be challenging. Ultrasound-guided paracentesis is a standard intervention for this indication, but generally requires transfer to a hospital or outpatient interventional-radiology (IR) setting; thus, such interventions are often not practical or attainable for home hospice and palliative care patients. Objective: To describe a mobile, in-home service that provides home-based palliative paracentesis (HBPP) as an interventional palliative option for patients with distressing symptoms related to ascites. Design: Retrospective case series. Setting/Subjects: Thirty patients with ascites, confirmed by portable bedside ultrasound, who underwent HBPP at their residence. Results: Thirty-three patients were referred for HBPP for symptomatic abdominal distention from March 1, 2019 to March 1, 2020. Thirty (91%) patients had ultrasound-confirmed ascites and received HBPP. All 30, verbalized appreciable symptom relief post-intervention. There were no reported post-procedural complications. Conclusion: Home-based palliative paracentesis is a safe, effective, and convenient intervention for hospice and palliative care patients with symptomatic ascites. |
| Databáze: | MEDLINE |
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