HISTORY:

CT DOSE:

CONSENT: Following discussion procedure its risks benefits (including bleeding and vessel damage) and alternatives, review of readily available relevant imaging prior to the procedure informed consent was obtained witnessed and documented upon the chart. Standard presurgical timeout confirming patient procedure and when relevant side and site was performed. Any discrepancies were resolved via consultation with appropriate readily available data sources. The patient was prepared and draped in standard sterile fashion.

PROCEDURE:
Following explanation of the potential risks and benefits of the procedure, including bleeding and infection and prior to obtaining procedural consent, informed consent was obtained.
Timeout was performed per protocol.

Conscious sedation was provided by certified nursing staff after normal head/neck and cardiopulmonary exam, using 1mg Versed and 25 ug of Fentanyl intravenously.

Procedure was done under sterile technique and local anesthesia using 1 % lidocaine.
The target fluid was localized using CT.

19 gauge atraumatic Yueh needle was used. Approximately 5000 cc of clear yellowish fluid was aspirated and sent for diagnostic studies.

The patient tolerated the procedure well. There were no immediate complications.

IMPRESSION:
Successful CT guided therapeutic and diagnostic paracentesis.