{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:41:07Z","timestamp":1753882867702,"version":"3.41.2"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p> Peritoneal fluid accumulation can be caused by a multitude of factors. Patients with chronic cirrhosis can suffer from recurrent ascites requiring repeat paracentesis for fluid removal and symptom control. A paracentesis is a commonly performed procedure with a low risk profile that can be performed at the bedside by appropriately trained individuals. A large volume paracentesis is often therapeutic and focus should be placed on removing as much fluid as safely tolerated. We present a 57-year old Caucasian male with worsening abdominal distention and recurrent ascites who presented for progressive shortness of breath. Given the large volume of ascites noted, the patient underwent a passive bedside paracentesis with 29\u2009L removed. The patient tolerated the 5-h procedure well without any post-procedure complications, challenging the extent of volume removal during bedside paracentesis. <\/jats:p>","DOI":"10.1177\/2050313x221109689","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T06:04:11Z","timestamp":1657001051000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["How much is too much? Pushing the limits of fluid removal via paracentesis"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6210-3633","authenticated-orcid":false,"given":"Rami","family":"Al Khoury","sequence":"first","affiliation":[{"name":"LSU Health Shreveport, Shreveport, LA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,4]]},"reference":[{"key":"bibr1-2050313X221109689","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199402033300508"},{"key":"bibr2-2050313X221109689","doi-asserted-by":"publisher","DOI":"10.1002\/hep.510270139"},{"key":"bibr3-2050313X221109689","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(96)70068-9"},{"key":"bibr4-2050313X221109689","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1986.00360230201029"},{"key":"bibr5-2050313X221109689","doi-asserted-by":"publisher","DOI":"10.1002\/hep.20317"},{"key":"bibr6-2050313X221109689","doi-asserted-by":"publisher","DOI":"10.1053\/jhep.2003.50315"},{"key":"bibr7-2050313X221109689","unstructured":"Runyon AB, Lindor DK, Robson MK. Ascites in adults with cirrhosis: diuretic-resistant ascites. UpToDate, https:\/\/www.uptodate.com\/contents\/ascites-in-adults-with-cirrhosis-diuretic-resistant-ascites?search=paracentesis&source=search_result&selectedTitle=2~87&usage_type=default&display_rank=2#H9 (2021, 30 August)."},{"key":"bibr8-2050313X221109689","unstructured":"Runyon AB, Chopra S, Robson MK. Diagnostic and therapeutic abdominal paracentesis. UpToDate, 2021, https:\/\/www.uptodate.com\/contents\/diagnostic-and-therapeutic-abdominal-paracentesis#:~:text=Diagnostic%20paracentesis%20refers%20to%20the,and%20early%20satiety%20%5B2%5D"},{"key":"bibr9-2050313X221109689","doi-asserted-by":"publisher","DOI":"10.1177\/1944451611404234"},{"issue":"9","key":"bibr10-2050313X221109689","first-page":"647","volume":"5","author":"Siqueira F","year":"2009","journal-title":"GastroenterolHepatol"},{"key":"bibr11-2050313X221109689","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000217274.48792.4d"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X221109689","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X221109689","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X221109689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T20:02:27Z","timestamp":1740945747000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X221109689"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":11,"alternative-id":["10.1177\/2050313X221109689"],"URL":"https:\/\/doi.org\/10.1177\/2050313x221109689","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"2050313X221109689"}}