Theraputic peritoneal lavage: Difference between revisions
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==Overview== | |||
*Active internal re-warming for hypothermic patients | *Active internal re-warming for hypothermic patients | ||
== | ==Indications== | ||
*Catheter placement is similar to that used for diagnostic peritoneal lavage. | Consider in: | ||
*Severe Hypothermia | |||
*Cardiovascular instability / life-threatening dysrhythmias | |||
*Moderate hypothermia which fails to respond to less aggressive measures | |||
==Contraindications== | |||
==Equipment Needed== | |||
==Procedure== | |||
*Catheter placement is similar to that used for [[diagnostic peritoneal lavage]]. | |||
*May consider two catheters, one for installation and one for drainage <ref>Danzl DF, Pozos RS. Accidental hypothermia. N Engl J Med. 1994;331(26):1756-60.</ref> | *May consider two catheters, one for installation and one for drainage <ref>Danzl DF, Pozos RS. Accidental hypothermia. N Engl J Med. 1994;331(26):1756-60.</ref> | ||
*Infuse 10 to 20 mL/kg of isotonic saline warmed to approximately 42°C | *Infuse 10 to 20 mL/kg of isotonic saline warmed to approximately 42°C | ||
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*Overall exchange rate is 6 L/hour | *Overall exchange rate is 6 L/hour | ||
==Complications== | |||
== | ==See Also== | ||
*[[Hypothermia]] | *[[Hypothermia]] | ||
*[[Thoracic lavage]] | *[[Thoracic lavage]] | ||
*[[Diagnostic peritoneal lavage]] | *[[Diagnostic peritoneal lavage]] | ||
==External Links== | |||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Procedures]] | |||
[[Category:Environmental]] | [[Category:Environmental]] | ||
Latest revision as of 21:33, 1 June 2017
Overview
- Active internal re-warming for hypothermic patients
Indications
Consider in:
- Severe Hypothermia
- Cardiovascular instability / life-threatening dysrhythmias
- Moderate hypothermia which fails to respond to less aggressive measures
Contraindications
Equipment Needed
Procedure
- Catheter placement is similar to that used for diagnostic peritoneal lavage.
- May consider two catheters, one for installation and one for drainage [1]
- Infuse 10 to 20 mL/kg of isotonic saline warmed to approximately 42°C
- Leave fluid in the peritoneal cavity for 20 minutes, then remove
- Overall exchange rate is 6 L/hour
Complications
See Also
External Links
References
- ↑ Danzl DF, Pozos RS. Accidental hypothermia. N Engl J Med. 1994;331(26):1756-60.