Table 1. Troubleshooting techniques. Table summarizing real-time procedural adjustments in the setting of failed peritoneal drainage.
- |
RECOMMENDED TECHNIQUE |
Verify procedure setup | |
Desy et al., 2021 2 |
Check for leaks or loss of vacuum in the procedure set up |
Confirm ongoing ascites | |
Wheeler, 2019 18 |
Percuss abdomen |
Wheeler, 2019 18 Killu et al., 2017 20 |
Assess the procedure area with ultrasound |
Adjust for poor drainage | |
Desy et al., 2021 2 Killu et al., 2017 20 Glauser et al., 2008 21 |
Reposition the patient (e.g., rotate patient, elevate head of bed, etc.) |
Adjust for obstructed catheter | |
Desy et al., 2021 2 Wheeler, 2019 18 Glauser et al., 2008 21 |
Manipulate catheter (e.g., re-angulate, rotate, and/or retract) |
Jeong et al., 2015 19 Killu et al., 2017 20 Glauser et al., 2008 21 |
Release suction at the catheter tip (e.g., close and reopen stopcock) |
Wheeler, 2019 18 Jeong et al., 2015 20 |
Flush catheter |