Articles & courses

Articles
Pericardiocentesis

…liver, lung or vessel lies in the path of the needle. Access Puncture site Direction Comment : : : : Subxiphoid 1–2 cm below and to the left

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

…Procedure Choice of insertion site The left lower quadrant is the first choice : the abdominal wall is thinner there than on the right, and the…

Pleural aspiration and chest drain

…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…

Cardiac arrest due to pneumothorax

…lack of lung tissue) and its impact on cardiac function. Clinically, patients may present with: Absent breath sounds on the affected side Crepitus Subcutaneous emphysema…

Laryngeal mask and difficult airway

…clenches the jaw and develops laryngospasm . 4. Open the mouth, introduce the mask with the aperture facing the tongue and follow the hard palate with…

Lumbar puncture

…of dementia with biomarkers (amyloid, tau, phospho tau). Measurement of the opening pressure in suspected idiopathic intracranial hypertension. Therapeutic drainage in idiopathic intracranial hypertension and…

Urinary catheterisation

…catheter is not easier to pass. With a difficult passage it is the shape of the tip and the technique that matter, not the calibre…

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