Articles & courses

Articles
Paracentesis

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

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

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

Cardiac tamponade causing cardiac arrest

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

Abscess incision and drainage

…Take a culture from the wall of the cavity before irrigating. 5. Let the pus drain out. Empty it with gentle pressure around the cavity…

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

…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

…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

…volume. A need for accurate measurement of urine output in a critically ill patient. Perioperatively and postoperatively in longer procedures and with epidural anaesthesia. Bladder…

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