Hemodynamics in the Cirrhotic Patient during Paracentesis

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Abstract
THE effect of increased intra-abdominal pressure due to ascites upon portal and systemic hemodynamics has not been directly documented although the hemodynamics of ascitic cirrhotic patients have been the subject of multiple studies.1 2 3 4 5 6 7 8 9 This investigation was designed to monitor the effect of measured gradual withdrawal of ascitic fluid upon hepatic-vein wedge pressure, inferior-vena-cava pressure, intraperitoneal pressure and cardiac output.Materials and MethodsTen patients with cirrhosis and tense ascites were studied. There were 5 men and 5 women, ranging in age from thirty-six to sixty-seven, with an average age of fifty-two years. All 10 patients gave a history of excessive . . .