How to Treat SBP in the Emergency Department

Using a pigtail catheter and then using surgical glue like dermobond or a swift set are examples of surgical glue to prevent the dripping after. Some people talk about a Z pattern approach. So when you pull out, there's no direct track from the peritoneal cavity back to the outside. The bug you worry about during speaking are E. coli and Klebsiella gram negatives and enterococcus rarely.