Direct Peritoneal Resuscitation Periprocedural Care

Updated: Sep 14, 2017
  • Author: Gretchen S Lent, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Periprocedural Care

Equipment

Direct peritoneal resuscitation (DPR) involves the following:

  • Silicone elastomer round Blake drain (Ethicon), 19 French
  • Hypertonic (2.5%) glucose-based peritoneal dialysis solution (Delflex [Fresenius, Waltham, MA]; 25 g/L D-glucose, 0.567 g/L sodium chloride, 0.392 g/L sodium lactate, 0.0257 g/L calcium chloride, 0.0152 g/L magnesium chloride at a pH of 6, osmolality of 486 mOsm/L)
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Patient Preparation

Anesthesia

DPR is generally performed during explorative surgery when the patient is under general anesthesia. Lidocaine (1%) with epinephrine can be used for local infiltration.

Positioning

The patient should be kept in a supine position.

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