Articles & courses

Articles
Abscess incision and drainage

…appropriate specialty: Location Risk Management : : : Medial triangle of the face (nasal root, alae nasi, upper lip) Venous drainage towards the cavernous sinus Surgeon or ENT…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…which is the commonest cause of recurrence. Indications Condition Procedure : : Acute paronychia with fluctuance or visible pus Incision and drainage Acute paronychia without pus formation…

Pleural aspiration and chest drain

…a drainage bag or a vacuum bottle. Drainage: a chest drain, an underwater seal unit, suture material, a size 11 scalpel, artery forceps. Sample tubes…

Pericardiocentesis

…with a guidewire, a dilator and a 5–8 F pigtail catheter , plus a drainage bag. Sample tubes for cell count, chemistry, culture and cytology…

Cardiac arrest due to pneumothorax

…or 5th intercostal space along the anterior axillary line. Thoracostomy This method is generally deemed safer than using a needle due to reduced risk of…

Cardiac tamponade causing cardiac arrest

…either via the subxiphoid or apical window, is generally considered less effective than thoracotomy. This is because it does not ensure complete drainage of the…

Laryngeal mask and difficult airway

…of aspiration: a non fasted patient, ileus, third trimester pregnancy, marked reflux. A need for high airway pressures, for example severe ARDS, marked obesity or…

Lumbar puncture

…of the opening pressure in suspected idiopathic intracranial hypertension. Therapeutic drainage in idiopathic intracranial hypertension and in assessment before shunt surgery. Contraindications Clinical signs of…

Paracentesis

…Therapeutic drainage: a commercial paracentesis set or a catheter over needle, 16–18 G, connected to tubing and a collection container. Sample tubes: an EDTA…

Urinary catheterisation

…Instillation therapy and contrast studies of the urinary tract. Wound healing with a sacral pressure sore or extensive perineal wounds where urinary leakage prevents healing…

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