Monday, May 15, 2017

Q: 54 year old female is in ICU with end stage metastatic ovarian cancer. Patient is made DNR/DNI by the family. Patient has painful ascites and palliative large volume paracentesis is planned. Should albumin be given for large volume malignant related paracentesis?

A) Yes
B) No

Answer: No

Large volume paracentesis for malignancy-related ascites usually does not cause hemodynamic issues, so forth albumin infusion is not needed alike other causes of ascites. 


Halpin TF, McCann TO. Dynamics of body fluids following the rapid removal of large volumes of ascites. Am J Obstet Gynecol 1971; 110:103.

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