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Equipment for arthrocentesis and intraarticular injection (checklist for a preprepared arthrocentesis kit)

Equipment for arthrocentesis and intraarticular injection (checklist for a preprepared arthrocentesis kit)
Gloves
Sterile for difficult procedure that requires touching the field, otherwise nonsterile for "no-touch" technique*
Site preparation
Towels or pillow for supporting joint in a particular position if needed
Drape and/or absorbent pads, depending on the size of joint
Scissors to trim hair if needed
Skin sterilization supplies (eg, iodine disinfectant, chlorhexidine)
Local anesthesia – various approaches may include the following:
Ethyl chloride spray
Subcutaneous lidocaine
  • 1 or 2% lidocaine without epinephrine
  • Small syringe (eg, 3 mL)
  • Needles, often a large-gauge needle for drawing up medication (eg, 18) and a small-gauge needle for subcutaneous injection (eg, 27)
Arthrocentesis
Needle, with gauge and length to be determined by joint size and location (often 22-gauge)
Syringe, with size to be determined by estimated effusion size (often 5 mL)
Specimen tubes, patient labels, and biohazard bag to send fluid studies
Intraarticular injection
Medications for injection in single-dose vials
Needles, often a large-gauge needle for drawing up medication (eg, 18) and a smaller-gauge needle for injection, with gauge and length to be determined by joint size and location (often 22-gauge)
Syringe, with size to be determined by medication volume (often 5 mL)
Post-procedure care
Gauze and/or alcohol swabs to clean away any excess fluid
Skin dressing (often an adhesive bandage)
To be used with UpToDate content on joint aspiration and injection.
* "No-touch" technique means that after sterile preparation, gloved fingers do not touch the procedure site again until the procedure is completed.
Graphic 143666 Version 2.0