Paracentesis

Paracentesis Procedure Note
Indication: Sampling of ascitic fluid, symptomatic relief
Provider: Self
A time-out was performed verifying the corrent patient, procedure, site, positioning, and equipment. Using ultrasound, an adequate pocket of intraperitoneal fluid was located without any visible arteries in the proposed needle path. The area was marked with a skin mark. The area was cleansed and draped in usual sterile fashion using chlorhexidine scrub. 5mL of  1% lidocaine was used to numb the skin, soft tissue and peritoneum. The paracentesis catheter was inserted and advanced with negative pressure until [straw] colored fluid was aspirated. Approximately 60 mL of ascitic fluid was collected and sent for laboratory analysis. The catheter was then connected to the vaccutainer and [5] liters of additional ascitic fluid were drained. The catheter was removed and no leaking was noted. A bandaid was placed over the puncture wound. The patient tolerated the procedure well without any immediate complications. 
Estimated Blood Loss: 5mL
Total time for Procedure: 20mins

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