Drainage of ascites and intra-peritoneal perfusion
· Drainage of fluid in the
peritoneum ection of intra-peritoneal perfusion
· Drainage of ascitic fluid is
indicated principally for diagnostic purposes or when respiration is impaired.
Drain slowly. Attach a drainage tube and container to the trochar, do not remove
more than 1 liter per episode.
· Intra - peritoneal perfusion:
indicated when there is difficult access to a vein, to avoid loosing time while
waiting for venous access, for example in children with acute dehydration. Do
not perfuse more than 70 ml/kg, perfuse slowly and use only sodium chloride or
Large trocar or short large bore catheter (18 G for exemple).
· Rigorous asepsis: clean the
abdomen with polyvidone iodine (see table page 7).
· Single puncture, perpendicular
to the abdomen, on a line joining the umbilicus and the anterior superior iliac
spine, usually on the left, to avoid perforation of the cecum; on the right in
the case of massive splenomegaly.