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Articles
Pericardiocentesis

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

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…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…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…

Cardiac tamponade causing cardiac arrest

…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…

Paracentesis

…for the skin wheal and 21 G for the deeper layers. Diagnostic tap: 21–22 G needle, 20 mL and 50 mL syringes. Therapeutic drainage:…

Pleural aspiration and chest drain

…and the drainage is stopped for coughing, chest pain, or when the volume limit is reached. Indications Diagnostic aspiration: a new pleural effusion of unclear…

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…

Laryngeal mask and difficult airway

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

Lumbar puncture

…the threshold, but the threshold varies between regions. Infection of the skin over the puncture site. Marked haemodynamic instability — stabilise the patient first. CT before…

Urinary catheterisation

…only 3–5 cm and almost straight, but the meatus can be hard to find in older women. Two things separate the safe catheterisation from…

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