Q: Which one simple maneuver at the end of paracentesis may help to finish the procedure smoothly with no/less pain to the patient?
Answer: Ask patient to cough
Removal of needle at the end of paracentesis can be a painful experience for the patient. Actually, it can be the most unpleasant part of the procedure. This is mostly due to the fact that local anesthesia given at the beginning of the procedure may be dissipated by then.
Asking a patient to cough before removing the needle makes things easy for the patient. It not only distracts the patient but also due to competitive inhibition of reflexes decreases the pain transmission through nerves.
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Reference:
Bruce A Runyon, Sanjiv Chopra, Kristen M Robson. Diagnostic and therapeutic abdominal paracentesis. © UpToDate. Topic last updated: Oct 29, 2021.
Link: https://www.uptodate.com/contents/diagnostic-and-therapeutic-abdominal-paracentesis
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