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The rational for the use of albumin is expansion of plasma volume avoiding a decrease in effective blood volume, which occurs in the absence of an increase in albumin transvascular escape.102 One decade later, the same group showed that this strategy of albumin infusion would only be beneficial when more than 5 liters of ascites are removed (decreasing by 50% the risk of PICD), since for lower volume paracentesis the risk of PICD is similar to the spontaneous deterioration in untreated cirrhotics with ascites, i.e

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[DOI] [PMC free article] [PubMed] [Google Scholar] 47.Thorén S., Jakobsson P.-J