…spicules are left behind — which is the commonest cause of recurrence. Indications Condition Procedure : : Acute paronychia with fluctuance or visible pus Incision and drainage Acute…

…performed drainage. Procedure 1. Locate the centre of the fluctuance, preferably with ultrasound if available. Mark the direction of the incision. 2. Clean and drape…

…other than the conditions in which the procedure is the wrong treatment : Aortic dissection with haemopericardium — drainage can increase the bleeding and worsen the prognosis…

…is because it does not ensure complete drainage of the pericardium, and needles or catheters are at risk of bending or damage during chest compressions…

…the left lower quadrant. Confirm at least 2–3 cm of free fluid depth with no bowel in the path of the needle and measure…

…close to the upper border of the rib, never at the lower border where the neurovascular bundle lies, and the drainage is stopped for coughing…

…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…

…Preparation and equipment A laryngeal mask of the correct size plus one size above and one below. Second generation masks with a separate drainage channel…

…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…

…glans and meatus with the cleansing solution in circular movements from the centre outwards. Change the swab between strokes. 3. Instil 10–20 mL of…