Peritoneal lavage

The effectiveness and safety of strategic ice packing (groin, axillae), whole body ice packing, and gastric or peritoneal lavage is controversial... 

DPL (Diagnostic Peritoneal Lavage Examination of Fluid in Peritoneal Cavity) No blood is found, but WBCs are evident. 

Empty capsules or capsules containing rate islets, in a packed capsule volume of 0.2-0.5 ml, were sterilely transplanted into the peritoneal cavity of metofane-anesthetized mice. The mice were allowed to recover and maintained for 1-3 months. At certain times following transplantation, mice were sacrificed and capsules were retrieved through a peritoneal lavage. 

The use of povidone-iodine for the treatment of burns, for peritoneal lavage in the treatment of purulent peritonitis, or as a rinsing solution for body cavities can increase serum iodine concentrations associated with increased urinary excretion of iodine. In people with burns the extent of iodine absorption depends on the extent of the burned body surface. It is not uncommon for serum iodine concentrations to rise to more than 1000 pg/ml. If renal function is intact, iodine elimination in the urine can be adequate. The serum iodine concentration returns to normal about 1 week after the last application. 

Make 10-fold serial dilutions of peritoneal lavage samples and plate on Columbia blood agar. 

Perform peritoneal lavage as described for the quantification of bacterial loads in the peritoneal cavity. 

Abdomen Unexplained hypotension may be the result of an internal hemorrhage. Peritoneal lavage, ultrasound, and abdominal CT may be necessary to rule out injury. Frequent reassessment is necessary as signs of abdominal injury change with time. Avoid pelvic manipulation if possible due to the potential for internal hemorrhage. 

The use of 2 or 4% formaldehyde as a scolecidal agent for injection into hydatid cysts and for peritoneal lavage was followed by shock in seven cases and resulted in death in three. All three patients who died had undergone a peritoneal lavage with 2-8 liters of 2 or 4% formaldehyde (SEDA-11, 476). 

Despite several warnings over many years, the use of mercuric chloride solutions during operations in an attempt to kill cancer cells implanted in healthy tissues persists in some countries. Intraperitoneal administration, when seeding of a visceral cancer is feared, carries the risk of mercury absorption and nephrotoxicity. Death from intoxication after peritoneal lavage with a mercuric chloride solution has been reported (3). 

Laimdy T, Adam AE, Kershaw JB, Rainford DJ. Deaths after peritoneal lavage with mercuric chloride solutions case report and review of the literature. BMJ (Chn Res Ed) 1984 289(6437) 96-8. 

In studies of the effect of thyrocalcitonin on the removal of calcium, phosphorus, and certain radioisotopes from bone by peritoneal lavage, Klein et al. (K3) found a reduction in the rate of removal of calcium, phosphorus, and Sr (recently deposited) as well as and... 

K3. Klein, D. C., Morii, H., and Tahnage, R. V., Effect of thyrocalcitonin on removal of calcium, phosphate, and certain radioisotopes by peritoneal lavage. Federation Proc. 26, 496 (1966). 

Vigorous fluid resuscitation and support of respiratory, renal, cardiovascular, and hepatobiliary function may limit systemic complications. " However, there is no proven method to prevent these complications. While hemoconcentration (decreased intravascular volume) is strongly associated with pancreatic necrosis, it is not clear whether aggressive fluid resuscitation alone during the first 24 hours can prevent pancreatic necrosis." Procedures such as ERCP, hypothermia, nasogastric suction, pancreatic irradiation, peritoneal lavage, and thoracic duct drainage remain unproven. ... 

Schein M, Gecelter G, Freinkel W, et al. Peritoneal lavage in abdom-... 

Cells in the appropriate medium for this example isolated peritoneal lavage mast cells resuspended in PBS at approximately 1 x 106cells/mL. 

ES. Elliott, J. R., and Talmage, R. V., Influence of parathyroids on removal of citric acid administered by peritoneal lavage. Proc. Soc. Exptl. Biol. Med. 94, 596 (1957). 

Iodine is readily absorbed from mucosal surfaces. Peritoneal lavage with PVP-I was reported to frequently induce transient thyroid dysfunction in patients from Germany where dietary iodine ingestion is relatively low (Gortz et ai, 1984). In Japan (an iodine-sufficient region), however, intraoperative bowel irrigation with PVP-I does not cause thyroid dysfunction (Tsunoda et ai, 2000). 

They can be obtained as reasonably homogeneous primary cell cultures from peripheral blood monocytes in humans, or by cultivation of bone marrow cells or peritoneal lavage in laboratory animals. 

Inject 2-5 ml of cold PBS into the peritoneal cavity of test mice and carefully recover the peritoneal lavage with a syringe. Repeat twice and combine all three lavages. Collect cells by centrifugation (200 x, 10 min, RT). 

When one or two doses of ASA were administered, the values for 15-epi-LXA4 were —1.5 and 1.8ng/5ml peritoneal lavage per mouse [17]. Without... 

Free Tumor Cells in Peritoneal Lavage Fluids. 93... 

Detection AND Prognostic Values of Peritoneal Lavage Fluids by Conventional and/or Quantitative... 

B3. Broil, R., Weschta, M., Windhoevel, U., Berndt, S., Schwandner, O., Roblick, U., etal.. Prognostic significance of free gastrointestinal tumor cells in peritoneal lavage detected by immunocytochemistry and polymerase chain reaction. Langenbecks Arch. Surg. 386, 285-292 (2001). 

Schmidt, P., Thiele, M., Rudroff, C., Vaz, A., Schilli, M., Friedrich, K., etal.. Detection of tumor cells in peritoneal lavages from patients with gastrointestinal cancer by multiplex reverse transcriptase PCR. Hepatogastroenterology 48, 1675-1679 (2001). 

Tokuda, K., Natsugoe, S., Nakajo, A., Miyazono, F., Ishigami, S., Hokita, S., etal.. Clinical significance of CEA-mRNA expression in peritoneal lavage fluid from patients with gastric cancer. Int. J. Mol. Med. 11, 79-84 (2003). 

For patients in cardiac arrest, usual antiarrhythmic agents and direct-current countershock are frequently ineffective until the core temperature is above 32-35°C (90-95°F). Provide gastric or peritoneal lavage with warmed fluids and perfonn CPR. For ventricular fibrillation, bretylium, 5-10 mg/kg IV (see p 421), may be effective. 

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