Articles & courses

Articles
Pericardiocentesis

…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…

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

…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…

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…

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

…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…

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…

Urinary catheterisation

…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…

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