1. Insertion of Needle: Once the optimal site is identified, a thin needle attached to a syringe is inserted through the skin and into the abdominal cavity. The needle is guided by real-time ultrasound imaging to ensure precise placement and to avoid puncturing nearby structures.

2. Fluid Collection: As the needle is inserted into the abdominal cavity, fluid is withdrawn into the syringe. The amount of fluid collected depends on the underlying condition being investigated and may vary widely.

3. Analysis: The collected fluid is sent to a laboratory for analysis. This may include testing for the presence of infection, cancer cells, blood, or other abnormalities.

4. Post-procedure Care: After the procedure, the needle is removed, and a bandage is applied to the insertion site. Patients are typically monitored for a short period to ensure there are no immediate complications, such as bleeding or infection.

Ultrasound guidance enhances the safety and accuracy of ascitic tapping by providing real-time visualization of the abdominal cavity and fluid collection. It helps healthcare providers identify the best insertion site, avoid potential complications, and maximize the success of the procedure.