CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2022; 06(01): 037-040
DOI: 10.1055/s-0042-1750107
Original Article

Radiology Technologists Performing Peritoneal Drainage, Local Experience

1   Department of Interventional Radiology, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
,
M Alshehri
1   Department of Interventional Radiology, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
,
K Alenazi
1   Department of Interventional Radiology, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
,
A Memesh
1   Department of Interventional Radiology, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
,
M Fleet
1   Department of Interventional Radiology, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
› Author Affiliations

Abstract

Purpose We conducted this study to review our experience of peritoneal drainages (paracentesis) performed by interventional radiology technologists.

Materials and Methods This is a retrospective study of peritoneal drainages performed by interventional radiology technologists.

Results We reviewed all peritoneal drainages performed in interventional radiology between November 2018 and November 2021. The review process included success rate, volume drained, catheter duration, and complications.

Conclusion Interventional radiology technologists can safely perform ultrasound-guided peritoneal drainages. Extending Interventional radiology technologists' role to perform ultrasound-guided peritoneal drainages allows interventional radiologists to do more complex procedures, enhances the workflow, and increases the efficiency of the interventional radiology team.



Publication History

Article published online:
14 June 2022

© 2022. The Pan Arab Interventional Radiology Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Strickler JH, Erwin PD, Rice CO. Diagnostic paracentesis. AMA Arch Surg 1958; 77 (06) 859-863
  • 2 Runyon BA. Paracentesis of ascitic fluid. A safe procedure. Arch Intern Med 1986; 146 (11) 2259-2261
  • 3 Lee SY, Pormento JG, Koong HN. Abdominal paracentesis and thoracocentesis. Surg Laparosc Endosc Percutan Tech 2009; 19 (02) e32-e35
  • 4 Mallory A, Schaefer JW. Complications of diagnostic paracentesis in patients with liver disease. JAMA 1978; 239 (07) 628-630
  • 5 Rowley MW, Agarwal S, Seetharam AB, Hirsch KS. Real-time ultrasound-guided paracentesis by radiologists: near zero risk of hemorrhage without correction of coagulopathy. J Vasc Interv Radiol 2019; 30 (02) 259-264
  • 6 Grabau CM, Crago SF, Hoff LK. et al. Performance standards for therapeutic abdominal paracentesis. Hepatology 2004; 40 (02) 484-488
  • 7 Barsuk JH, Cohen ER, Vozenilek JA, O'Connor LM, McGaghie WC, Wayne DB. Simulation-based education with mastery learning improves paracentesis skills. J Grad Med Educ 2012; 4 (01) 23-27
  • 8 Echenique A, Wempe EP. Simulation-based training of the nurse practitioner in interventional radiology. Tech Vasc Interv Radiol 2019; 22 (01) 26-31
  • 9 Sall D, Wigger GW, Kinnear B, Kelleher M, Warm E, O'Toole JK. Paracentesis simulation: a comprehensive approach to procedural education. MedEdPORTAL 2018; 14: 10747
  • 10 Tejos R, Chahuán J, Uslar T. et al. Simulated training program in abdominal paracentesis for undergraduate medical students. Gastroenterol Hepatol 2019; 42 (04) 239-247
  • 11 Saudi Commission For Health Specialties. Accessed April 22, 2022 at: https://www.scfhs.org.sa/en/Pages/default.aspx
  • 12 Bard C, Lafortune M, Breton G. Ascites: ultrasound guidance or blind paracentesis?. CMAJ 1986; 135 (03) 209-210
  • 13 Patel PA, Ernst FR, Gunnarsson CL. Evaluation of hospital complications and costs associated with using ultrasound guidance during abdominal paracentesis procedures. J Med Econ 2012; 15 (01) 1-7
  • 14 Millington SJ, Koenig S. Better with ultrasound: paracentesis. Chest 2018; 154 (01) 177-184
  • 15 Ennis J. et al. Ultrasound for detection of ascites and for guidance of the paracentesis procedure: technique and review of the literature. Int J Clin Med 2014; 5: 1277
  • 16 Cook PS. The challenges of providing interventional radiology services to rural and smaller community hospitals. Am J Roentgenol 2018; 211 (04) 744-747
  • 17 Al Zahrani YA, Arabi M, Almoaiqel M. The status of vascular and interventional radiology training: the Saudi experience. Arab J Interv Radiol 2019; 3: 42-43
  • 18 Shlomovitz E, Amaral JG, Chait PG. Image-guided therapy and minimally invasive surgery in children: a merging future. Pediatr Radiol 2006; 36 (05) 398-404
  • 19 Esteves SC, Cho C-L, Majzoub A, Agarwal A. Varicocele and Male Infertility. A Complete Guide. Switzerland, AG: Springer International Publishing; 2019
  • 20 Duszak Jr R, Borst RF. Clinical services by interventional radiologists: perspectives from Medicare claims over 15 years. J Am Coll Radiol 2010; 7 (12) 931-936
  • 21 Smith Jr WL, Applegate KE. The likely effects of radiologist extenders on radiology training. J Am Coll Radiol 2004; 1 (06) 402-404
  • 22 Chivinge A. et al. Implementing a nurse-led paracentesis service to improve patient care and experience in a day case unit. Gastrointest Nurs 2015; 13: S11-S15
  • 23 Gilani N, Patel N, Gerkin RD, Ramirez FC, Tharalson EE, Patel K. The safety and feasibility of large volume paracentesis performed by an experienced nurse practitioner. Ann Hepatol 2009; 8 (04) 359-363
  • 24 Ellenbogen PH. The radiologist assistant: best new thing since sliced bread or Trojan horse?. Radiology 2008; 248 (01) 4-7