If this is done easily and without obstruction, the tip is in proper position. Ten cc of normal saline is injected. This should be done easily. The abdominal pull is then released. The tension on the skin is resumed and the level of saline should immediately drop if the needle is in proper intraabdominal position.
Insufflation is initiated at a low flow.
Intraabdominal pressure recorded at this point should not exceed 8 mm Hg. Entry pressure at low flow should be checked immediately while the abdominal wall is still elevated. If higher, move the needle around or resume the pull on the skin or anterior abdominal wall. If the pressure is too high, the Veress needle it is not in the right position and needs to be removed. If in place, switch to high flow and inflate the intraabdominal cavity.