<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-0839</journal-id>
<journal-title><![CDATA[Universitas Medica]]></journal-title>
<abbrev-journal-title><![CDATA[Univ. Med.]]></abbrev-journal-title>
<issn>2011-0839</issn>
<publisher>
<publisher-name><![CDATA[Pontificia Universidad Javeriana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-08392018000100053</article-id>
<article-id pub-id-type="doi">10.11144/javeriana.umed59-1.para</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Paracentesis: datos sobre la correcta utilización]]></article-title>
<article-title xml:lang="en"><![CDATA[Paracentesis, Appropriate Technique and Clinical Application]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mosquera-Klinger]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mayo-Patiño]]></surname>
<given-names><![CDATA[Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez]]></surname>
<given-names><![CDATA[Yanett]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pablo Tobón Uribe  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación Santa Fe de Bogotá  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Ignacio  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>59</volume>
<numero>1</numero>
<fpage>53</fpage>
<lpage>60</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-08392018000100053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-08392018000100053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-08392018000100053&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  La paracentesis es un procedimiento con fines diagnósticos en pacientes con ascitis de novo. Permite detectar la presencia de infección en pacientes con ascitis de larga data. En casos de ascitis a tensión, ascitis refractaria y disnea por restricción es ampliamente utilizada como terapia. El conocimiento general de este procedimiento y de los pormenores de su técnica son de gran importancia, ya que su utilización viene en aumento en los servicios de urgencias, hospitalización general e incluso, en la unidad de cuidados intensivos. Teniendo en cuenta lo anterior, se hace hincapié en la correcta utilización de esta técnica por parte del personal médico. Métodos: Se realizó una búsqueda de la literatura científica en las bases de datos Pubmed y SciELO de artículos con una estrategia definida, limitada a idiomas español e inglés, utilizando una combinación de términos libres y MeSH que incluyeron paracentesis, ascitis, cirrosis hepática y malignidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Paracentesis is a diagnostic procedure used in patients with new-onset ascites. It can detect the presence of infection in patients with longstanding ascites. In cases of tense ascites, refractory ascites or restriction dyspnea it is widely used for therapeutical purposes. General knowledge of this procedure is of great importance as well as a detailed understanding of the technique, because its use is increasing in the emergency department, general hospitalization, and even in the intensive care unit. Taking all this into consideration we aim to emphasize on the proper use of this technique by the medical staff.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[paracentesis]]></kwd>
<kwd lng="es"><![CDATA[ascitis]]></kwd>
<kwd lng="es"><![CDATA[cirrosis hepática]]></kwd>
<kwd lng="en"><![CDATA[paracentesis]]></kwd>
<kwd lng="en"><![CDATA[ascites]]></kwd>
<kwd lng="en"><![CDATA[liver cirrosis]]></kwd>
<kwd lng="en"><![CDATA[malignancies]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Runyon]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paracentesis of ascites fluid: A safe procedure]]></article-title>
<source><![CDATA[Arch Intern Med.]]></source>
<year>1986</year>
<numero>146</numero>
<issue>146</issue>
<page-range>2259-61</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
<name>
<surname><![CDATA[American]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Reynolds]]></surname>
<given-names><![CDATA[TB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Large-volume paracentesis in the nonedematous patient with tense ascites: Its effect on in intravascular volume]]></article-title>
<source><![CDATA[Hepatology]]></source>
<year>1988</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>207-10</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinzello]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Simonetti]]></surname>
<given-names><![CDATA[RG]]></given-names>
</name>
<name>
<surname><![CDATA[Craxi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[spontaneous bacterial peritonitis: a prospective investigation in predominately nonalcoholic cirrhotic patients]]></article-title>
<source><![CDATA[Hepatology]]></source>
<year>1983</year>
<volume>3</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>545-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Koffel]]></surname>
<given-names><![CDATA[KK]]></given-names>
</name>
<name>
<surname><![CDATA[Reed]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The technique of abdominal paracentesis]]></article-title>
<source><![CDATA[J Crit Ill.]]></source>
<year>1986</year>
<numero>1</numero>
<issue>1</issue>
<page-range>45-50</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thomsen]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Shaffer]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Setnik]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paracentesis]]></article-title>
<source><![CDATA[N Engl J Med.]]></source>
<year>2006</year>
<numero>355</numero>
<issue>355</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reichman]]></surname>
<given-names><![CDATA[EF]]></given-names>
</name>
<name>
<surname><![CDATA[Simon]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
</person-group>
<source><![CDATA[Emergency medicine procedures]]></source>
<year>2003</year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[McGraw Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Runyon]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Care of patients with ascites]]></article-title>
<source><![CDATA[N Engl J Med.]]></source>
<year>1994</year>
<volume>330</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>337-41</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Runyon]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of adult patients with ascites caused by cirrhosis]]></article-title>
<source><![CDATA[Hepatology]]></source>
<year>1998</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>264-72</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pache]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Bilodeau]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Severe hemorrhage following abdominal paracentesis for ascites in patients with liver failure]]></article-title>
<source><![CDATA[Aliment Pharmacol Ther.]]></source>
<year>2005</year>
<numero>21</numero>
<issue>21</issue>
<page-range>525-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mannucci]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abnormal hemostasis tests and bleeding in chronic liver disease: Are they related?]]></article-title>
<source><![CDATA[No. J Thromb Haemost.]]></source>
<year>2006</year>
<numero>4</numero>
<issue>4</issue>
<page-range>721-3</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Caldwell]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Hoffman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lisman]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Macik]]></surname>
<given-names><![CDATA[BG]]></given-names>
</name>
<name>
<surname><![CDATA[Northup]]></surname>
<given-names><![CDATA[PG]]></given-names>
</name>
<name>
<surname><![CDATA[Reddy]]></surname>
<given-names><![CDATA[KR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coagulation disorders and hemostasis in liver disease: pathophysiology and critical assessment of current management]]></article-title>
<source><![CDATA[Hepatology]]></source>
<year>2006</year>
<numero>44</numero>
<issue>44</issue>
<page-range>1039-46</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arnold]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Klaus]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Blum]]></surname>
<given-names><![CDATA[HE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute hemoperitoneum after large-volume paracentesis]]></article-title>
<source><![CDATA[Gastroenterology]]></source>
<year>1997</year>
<volume>113</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>978-82</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grabau]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Crago]]></surname>
<given-names><![CDATA[SF]]></given-names>
</name>
<name>
<surname><![CDATA[Hoff]]></surname>
<given-names><![CDATA[LK]]></given-names>
</name>
<name>
<surname><![CDATA[Simon]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Melton]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Ott]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Performance standards for therapeutic abdominal paracentesis]]></article-title>
<source><![CDATA[Hepatology]]></source>
<year>2004</year>
<numero>40</numero>
<issue>40</issue>
<page-range>484-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McVay]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Toy]]></surname>
<given-names><![CDATA[PT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lack of increased bleeding after paracentesis and thoracentesis in patients with mild coagulation abnormalities]]></article-title>
<source><![CDATA[Transfusion]]></source>
<year>1991</year>
<numero>31</numero>
<issue>31</issue>
<page-range>164-71</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lam]]></surname>
<given-names><![CDATA[EY]]></given-names>
</name>
<name>
<surname><![CDATA[McLafferty]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Taylor]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inferior epigastric artery pseudoaneurysm: A complication of paracentesis]]></article-title>
<source><![CDATA[J Vasc Surg]]></source>
<year>1998</year>
<volume>28</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>566-9</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stone]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Moak]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feasibility of sonographic localization of the inferior epigastric artery before ultrasound-guided paracentesis: a case series]]></article-title>
<source><![CDATA[Am J Emerg Med.]]></source>
<year>2015</year>
<volume>33</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1795-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[KP]]></given-names>
</name>
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Gines]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The management of ascites in cirrhosis: Report on the Consensus Conference of the International Ascites Club]]></article-title>
<source><![CDATA[Hepatology]]></source>
<year>2003</year>
<volume>38</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>258-66</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sandhu]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Sanyal]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of ascites in cirrhosis]]></article-title>
<source><![CDATA[Clin Liver Dis.]]></source>
<year>2005</year>
<numero>9</numero>
<issue>9</issue>
<page-range>715-35</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19.</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thomsen]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Shaffer]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Setnik]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[N Engl J Med.]]></source>
<year>2006</year>
<numero>355</numero>
<issue>355</issue>
</nlm-citation>
</ref>
<ref id="B20">
<label>20.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Runyon]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[AASLD Practice Guidelines Committee. Management of adult patients with ascites due to cirrhosis: an update]]></article-title>
<source><![CDATA[Hepatology]]></source>
<year>2009</year>
<numero>49</numero>
<issue>49</issue>
<page-range>2087-107</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Insuasty]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Restrepo]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paracentesis evacuante en pacientes cirróticos con ascitis a tensión: revisión del tema]]></article-title>
<source><![CDATA[Iatrea]]></source>
<year>2010</year>
<volume>23</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>259-67</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
