55 yo M PMH hepatitis B and associated cirrhosis presents with 2 days of worsening AMS and abdominal pain. Abdomen distended and exquisitely tender. Diagnostic paracentesis performed. Abx started. Resident has syringe with 60 ml of ascites fluid.
What tubes does the resident need? What is a safe method for fluid transfer?
For transfer, it is best to practice a needless technique. There are multiple methods. One is displayed below.
The rate of hepatitis B transmission from a hollow needle is 37-62%. (22 to 31% will show clinical Hepatitis B infection)