You are on page 1of 1

Procedure Note

Procedure: Paracentesis
Physician(s):
Indication:
Anesthesia: 1% Lidocaine

Ultrasound guidance was used to locate and mark an ascitic pocket

Percussion and shifting dullness techniques were used to identify an ascitic pocket

A time-out was completed, verifying correct patient, procedure, site, positioning, and implant(s) or special equipment if applicable. Patient was
positioned, prepped, and draped in the usual sterile fashion. 1% Lidocaine was used to anesthetize the area. A standard paracentesis kit needle was
introduced into the peritoneal space and [???] ml clear yellow/cloudy yellow/bloody fluid was removed and sent for cell counts, gram stain,
bacterial culture, and albumin levels.

Fluid was also sent for:

Complications: None

Blood loss: Minimal

Dr. [attendings name] was present/immediately available by telephone during the entire procedure.

Dictation Job #:

You might also like