Allison Tan, MD Profile picture
Interventional Radiologist at Thomas Jefferson University Hospital #irad #meded #MedTwitter
Mar 11, 2021 6 tweets 3 min read
Did you adequately numb the peritoneum for your paracentesis?

If it looks like this then yes! Yes, you did. Congratulations. Your patient thanks you (and may ask for you by name next time!)

#ultrasound #irad #MedTwitter #MedEd #POCUS For any intra abdominal needle passage, pain crossing the skin and peritoneum (sometimes muscles too) are worst. The 25G lido needle isn't too bad, but if you try to pass a 5 French without good local anesthesia, they're going to feel it.