Paracentesis videos in clinical medicine, n engl j med 2006. Anesthetize the skin over the insertion site with 1% lidocaine using a 3 ml syringe and a 25 or 27 gauge needle. Diagnostic paracentesis checklist of materials and where to find them. Largevolume paracentesis in hemodynamically stable patients with t. It features ultrasound capabilities to allow trainees to become familiar with anatomy under ultrasound. Recent blood work may be necessary before your procedure date you must have someone with you to drive you home.
Paracentesis is also called abdominal tap, is a medical procedure in which a needle or catheter is inserted into the peritoneal cavity the area between the belly wall and the spine to obtain ascitic fluid for diagnostic or therapeutic purposes 1. Change to a 22 gauge needle, then anesthetize down to and including the peritoneum. Here is a procedural complication witnessed particularly for. If you obtain peritoneal fluid, note the needle depth. Paracentesis abdominal tecnica pdf free free intraperitoneal fluid and solid lesions. Paracentesis procedure abdominal paracentesis position. Paracentesis procedure may be done in a health care providers office, treatment room, or hospital. Paracentesis blood thinners such as plavix, warfarin coumadin, heparin, lovenox, aggrenox or pletal, please consult your physician about stopping these medications before the procedure. Both landmark and ultrasoundguided techniques can be practiced. Paracentesis evacuadora domiciliaria en cuidados paliativos. I have been asked to assist with a range of aspiration procedures, from peritonsillar abscess to paracentesis to priapism. Abdominal paracentesis can establish the cause of ascites or rule out spontaneous bacterial peritonitis in patients with ascites. Using sterile technique, prep and drape the site of insertion. This trainer fulfils the fundamental component of core medical training in diagnostic and therapeutic techniques of paracentesis.1233 723 359 1099 1464 331 378 960 807 1008 758 1050 1090 674 612 1569 118 864 749 105 1235 1116 1378 1138 1456 1474 1043 1441 162 135 36 435 893 1520 1551 793 932 1419 35 362 1154 1264 547 1334 129 279 1205 899