Intraperitoneal injection or infusion is likely to be of importance in small children in whom intravenous injection is difficult or impossible on account of the smallness of the veins and the restlessness of the patient, especially in those too old for sinus puncture, the fontanel having closed.Intraperitoneal infusion of fluid has become within the last few years a method of great practical importance for such children, who vomit obstinately and are in danger of dehydration and acidosis, unless fluid and carbohydrate are promptly supplied. Enemas may not be retained. Hypodermoclysis is strongly resented by the little ones because it leaves the place of injection somewhat sore.
The skin of the abdomen having been sterilized with tincture of iodine and alcohol, the needle is introduced in an upward direction through the abdominal wall in the median line just below the umbilicus. To avoid piercing a distended bladder, the additional precaution should be taken to have the bladder emptied just before resorting to the puncture.
FANTUS B. THE TECHNIC OF MEDICATION: A SERIES OF ARTICLES ON THE METHODS OF PRESCRIBING AND PREPARING, THE INDICATIONS FOR, AND THE USES OF VARIOUS MEDICAMENTS. JAMA. 1926;87(9):667–671. doi:10.1001/jama.1926.92680090009014a
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