How Many Times Can Ascites Be Drained

Once the drain is in place, the patient’s ascites can be drained in the patient’s usual place of residence. Community nurses or (where willing) carers can then remove smaller volumes (1–2 L) of ascitic fluid in about 5–10 min, usually two to three times a week dependent on patient preference.

How much ascites fluid can be drained?

In tense ascites there may be up to 12 litres of ascites present. Removal of 4–6 litres is usually enough for to give symptomatic relief. Removal of more than 4-6 litres increases the risk of hypovolemia and adverse effects, but may give symptom relief for longer until the ascites re- accumulates.

How long can you survive with ascites?

The probability of survival at one and five years after the diagnosis of ascites is approximately 50 and 20%, respectively, and long-term survival of more than 10 years is very rare [8]. In addition, mortality rises up to 80% within 6–12 months in patients who also develop kidney failure [1].