Procedures //

Arthrocentesis by Alexandra Dyer, MD: Patient consented, sterilely draped, full prep, time out performed. Anesthesia: 1% lidocaine locally Location: [XOXOXO] Technique: The (side) knee was prepped with chlorhexadine, and sterile drapes were applied to the area. The skin and subcutaneous tissue was anesthetized with 1% lidocaine with epinephrine. An 18 gauge needle was then inserted lateral and superior to the patella into the joint space, and fluid was aspirated. Approximately XXX mL of XXX fluid was obtained. The needle was removed and a dressing was placed over the site. The patient tolerated the procedure well. Complications: Minimal bleeding. No complications. ED Procedural Ultrasound by Alexandra Dyer, MD: Joint effusion localized by Alexandra Dyer, MD using concurrent ultrasound guidance and assessment of the anatomy. Real time image archived in the medical record confirms anatomy.



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