Theraputic peritoneal lavage: Difference between revisions
(Created page with "*Active internal re-warming for hypothermic patients *Consider in **Severe Hypothermia **Cardiovascular instability / life-threatening dysrhythmias **Moderate hypothermia whic...") |
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==Technique== | ==Technique== | ||
*Catheter placement is similar to that used for diagnostic peritoneal lavage. | *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 | ||
*Leave fluid in the peritoneal cavity for 20 minutes, then remove | *Leave fluid in the peritoneal cavity for 20 minutes, then remove | ||
*Overall exchange rate is 6 L/hour | *Overall exchange rate is 6 L/hour | ||
==Links== | ==Links== | ||
Revision as of 22:59, 10 May 2017
- Active internal re-warming for hypothermic patients
- Consider in
- Severe Hypothermia
- Cardiovascular instability / life-threatening dysrhythmias
- Moderate hypothermia which fails to respond to less aggressive measures
Technique
- 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
Links
References
- ↑ Danzl DF, Pozos RS. Accidental hypothermia. N Engl J Med. 1994;331(26):1756-60.