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Limb(s) must be clipped and prepared with antiseptic scrub prior to needle insertion. The patient should be positioned in opposed lateral recumbency of the affected limb. Traditionally, saline, or lactated Ringer’s solution and a pressure infusion bag are used to irrigate the joint (Box 2.39, Figure 2.40). Alternatively, a 60‐cc syringe and a large‐bore needle could be used, although pressure cannot be measured and is likely more time consuming than using a pressure bag.