A
Abdominal Drainage
OVERVIEW AND GOAL
To evacuate large-volume ascites via percutaneous placement of a sterile tube into the abdomen
EQUIPMENT, ANESTHESIA
POSSIBLE COMPLICATIONS AND COMMON ERRORS TO AVOID
PROCEDURE
POSTPROCEDURE
Abdominocentesis
CONTRAINDICATIONS
EQUIPMENT, ANESTHESIA
PREPARATION: IMPORTANT CHECKPOINTS
POSSIBLE COMPLICATIONS AND COMMON ERRORS TO AVOID
PROCEDURE
POSTPROCEDURE
Subcutaneous pooling of ascitic fluid is common with partial drainage of large-volume ascites; may resolve spontaneously or require abdominal wrap (barring dyspnea).
ALTERNATIVES AND THEIR RELATIVE MERITS
Acupuncture 
OVERVIEW AND GOAL
INDICATIONS
Note: In the abstract, acupuncture is capable of influencing virtually any disease process or organ system in the body. Although we may accept the theoretical basis for this point of view, there are numerous medical and practical reasons to avoid considering acupuncture as an isolated treatment modality. Acupuncture may be helpful as the sole treatment for hypothyroidism, for example, but thyroid supplementation is known to be successful, cost-effective, and safe.
The use of particular acupmuncture points and related techniques (tongue and pulse diagnosis) to suggest or confirm a diagnosis is established in TCM of human beings. While the development of this aspect of acupuncture clinical science in animals is progressing, there is less validated information to advocate its use for this purpose on a routine basis.
CONTRAINDICATIONS
ANTICIPATED TIME
PREPARATION: IMPORTANT CHECKPOINTS
POSSIBLE COMPLICATIONS AND COMMON ERRORS TO BE AVOIDED

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