Advancing patient care: the role of advanced clinical practitioners in abdominal paracentesis services

Abstract

Abdominal paracentesis is a key therapeutic procedure for patients with ascites, particularly those experiencing liver cirrhosis. While effective in providing rapid symptom relief, the procedure carries potential risks such as infection and haemorrhage. This clinical review explores the role of advanced clinical practitioners (ACPs) in leading paracentesis services within the NHS. It critically examines the benefits of ACP-led services, including improved patient outcomes, reduced waiting times and optimised resource use. By operating across the four pillars of advanced clinical practice, ACPs enhance service efficiency while maintaining high standards of care. The involvement of ACPs in multidisciplinary teams ensures continuity of care and a holistic approach to patient management. In addition, ACPs contribute to ongoing research and provide educational support to trainees, fostering a sustainable model for future healthcare delivery. This review also highlights the potential of ACP-led paracentesis services to alleviate pressure on consultant-led teams, enhance patient satisfaction and meet the growing demand for this critical procedure. Recommendations for future practice include investment in ACP training and developing clear clinical protocols to further optimise service delivery.