parent Neil Davidge may be indicated whenever a 

patient has suffered blunt abdominal trauma or where 

intraperitoneal hemorrhage cannot be ruled out because of 

impaired consciousness or inability to 

adequately examine the patient.

The equipment necessary for peritoneal lavage 

includes a peritoneal lavage tray.

Local anesthetic solution 

parent neo dialysis catheter with 

truecar and connecting tubing,

A 10 CC Syringe one 

liter of Ringer's lactate solution with appropriate 

tubing and prep solution.

The tray includes sponges 

and drapes,

A # 11 Knife Blade and 

other equipment necessary for the procedure.

Prior to the procedure,

the troll car is placed within the 

catheter.

This will provide rigidity and 

stability as it enters the peritoneal 

cavity.

After removal of the truck.

Are the appropriate connecting tubing 

and I?

Ve to being are placed on the catheter 

to allow infusion of the ringer's 

lactate solution.

The catheter is usually inserted at a 0.223 

centimeters below the umbilicus in the midline 

This region has relatively few blood vessels and is 

away from any of the major solid organs,

pregnancy loops of 

dilated bow,

surgical scars that might indicate adhesions 

or grossly dilated bladder are relative 

contraindications to the procedure.

If any of these problems are apparent.

Either an alternate site should be chosen or a 

more extensive incision made.

Do visualize the peritoneum before placing 

the catheter.

After a full skin prep and draping of the site.

A local anesthetic is injected.

A small stab wound is then made with a number 11 

blade,

so as to provide a skin opening large enough to insert 

the Catheter.

The catheter with stroke are in position is 

grass with two hands and pressed against the midline 

fashion at a slight angle,

gentle pressure should be exerted until the catheter is 

forced through the fashion and into the peritoneal 

cavity.

Success is usually accompanied by a 

popping sound.

Once the peritoneum has been penetrated,

the troll car is removed before advancing the catheter 

any further,

The soft catheter is then gently advanced 

15-20 cm or until it meets firm 

resistance within the peritoneal cavity.

If early resistance is appreciated,

the trow car should never be used to force 

advancement of the catheter.

Once the catheter has been placed,

the connecting tubing,

which is provided with the catheter is attached.

A 10 CC Syringe is then used to 

aspirate any existing fluid or 

blood.

If non clouding blood freely flows from the 

catheter or is easily aspirated,

the tap is considered positive and the 

catheter may be withdrawn.

If no blood is aspirated,

1000 CCS of Ringer's lactate solution is 

running by gravity flow.

The patient's abdomen should then be gently rolled to 

encourage dispersion of the solution throughout the 

peritoneal cavity modifications of 

fluid volume may be used for Children or for 

patients with head injury.

The empty bag is then placed at a position lower than the level 

of the bed or stretcher and permitted to refill 

the recovery of fluid is always incomplete.

However,

as long as mixing is adequate.

The retrieval of even a small amount of fluid will 

permit interpretation of the test.

The following to live sequences will show the 

application of peritoneal lavage 

in trauma situations.

Mhm.

When dealing with a severely traumatized 

comatose patient,

the procedure can be carried out very rapidly.

Once the abdomen is prepped and draped,

a small incision is made with the surgical 

blade.

Yeah,

please let down.

Please please 

let down.

Please.

Could you put a 

catheter with stroke are in place,

is then forced into the peritoneum.

The truck are removed and the catheter 

advanced.

The immediate return of frank blood in this 

patient is indicative of a positive tap.

Therefore lavage need not be carried out in the 

catheter is removed.

In the less urgent situation.

The skin should be prepped and draped and the 

local anesthetic with epinephrine injected both 

superficially and deep.

Uhh We have all right.

I think you'll feel some pressure.

Now.

Following the skin incision with the surgical 

blade,

Catheter with stroke are in place 

is again forced through the fascia into 

the peritoneal cavity.