Diagnostic sampling of ascitic fluid.
Indications
- • New ascites
- • Rule out SBP
- • Cause workup
Contraindications
- ⚠ Coagulopathy (relative)
- ⚠ Cellulitis at site
- ⚠ Distended bowel loops
Equipment
- • 21-G needle + 20 mL syringe
- • Sterile kit
- • Sample tubes
Positioning
- • Supine, tilted slightly to side of tap.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
LIF (McBurney's mirror) — 2 finger-breadths above and medial to left ASIS.
Pearl: USG-guided is safer
Immediate complications
- ⚠ Bleeding
- ⚠ Bowel perforation
- ⚠ Persistent leak
Delayed complications
- • Infection
Recognition
- • Continued leak, pain
Initial management
- • Pressure; suture if needed
Prevention
- • USG guidance
- • Z-track
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
