Articles & courses

Articles
Laryngeal mask and difficult airway

…Open the mouth, introduce the mask with the aperture facing the tongue and follow the hard palate with your index finger as a guide. 5…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…picture, and several of the steps below refer to structures that are not visible when looking at the nail. The nail plate is the hard…

Abscess incision and drainage

…drainage towards the cavernous sinus Surgeon or ENT; often antibiotics Palm, fingers, tendon sheaths Deep compartments and tendon sheaths, loss of function Orthopaedic or hand…

Urinary catheterisation

…volume. A need for accurate measurement of urine output in a critically ill patient. Perioperatively and postoperatively in longer procedures and with epidural anaesthesia. Bladder…

Pleural aspiration and chest drain

…with the arm abducted and the hand behind the head. All drains are inserted within the safe triangle (Figure 1). Outside it the risk of…

Pericardiocentesis

…absolute indication, and always urgent. A large pericardial effusion with symptoms despite medical treatment. Diagnostic drainage in suspected purulent pericarditis, tuberculosis or malignancy. Tamponade is…

Cardiac arrest due to pneumothorax

…a needle due to reduced risk of injury. Thoracostomy should be performed promptly following needle decompression. Thoracostomy with drainage typically serves as a stabilizing intervention…

Cardiac tamponade causing cardiac arrest

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

Lumbar puncture

…intracranial hypertension. Therapeutic drainage in idiopathic intracranial hypertension and in assessment before shunt surgery. Contraindications Clinical signs of herniation — deep unconsciousness with unreactive pupils, an…

Paracentesis

…Ultrasound with a curved array probe. Sterile preparation (chlorhexidine in alcohol 5 mg/mL), sterile gloves, fenestrated drape; full sterile attire for therapeutic drainage with…

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