Articles & courses

Articles
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…

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…

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

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…

Abscess incision and drainage

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

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

…Clarke RC, Mertes PM, et al. Molecular mechanisms and pathophysiology of perioperative hypersensitivity and anaphylaxis: a narrative review. Br J Anaesth 2019; 123:e3849. Wallmuller…

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

…roots of the cauda equina. If in doubt: choose a level lower, never higher. 3. Mark the puncture site, clean in wide circles and apply…

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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