Three possibilities:
Infra-umbilical
2 cm below umbilicus
Standard site
Supra-umbilical
Preferred in pregnant trauma patients
Preferred in presence of pelvic facture
Infra-umbilical
2 cm below umbilicus
Standard site
Supra-umbilical
Preferred in pregnant trauma patients
Preferred in presence of pelvic facture
2 cm below umbilicus
Standard site
Preferred in pregnant trauma patients
Preferred in presence of pelvic facture
Note that this is the preferred technique when precise insertion of catheter is critical (pregnant patients, patients with pelvic fractures who may have large hematoma)
Note that this technique is faster than open and semi-open techniques but has a higher risk of complications and should be avoided in presence of pelvic fracture or prior midline surgical incision
Do not separate catheter and tubing between instillation and removal
Ideally, send full litre of instilled fluid, but analysis can be performed on as little as 300 mL if unable to obtain entire litre
Diagnostic peritoneal lavage
Theraputic peritoneal lavage
Acute abdominal series
Whole bowel irrigation
FAST exam
Gastric lavage
Bladder lavage
EFAST exam