Articles & courses

Articles
Urinary catheterisation

…with clots (a three way catheter). Instillation therapy and contrast studies of the urinary tract. Wound healing with a sacral pressure sore or extensive perineal…

Paracentesis

…at least 2–3 cm of free fluid depth with no bowel in the path of the needle and measure the skin to peritoneum distance…

Abscess incision and drainage

…performed drainage. Procedure 1. Locate the centre of the fluctuance, preferably with ultrasound if available. Mark the direction of the incision. 2. Clean and drape…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…commonest cause of recurrence. Indications Condition Procedure : : Acute paronychia with fluctuance or visible pus Incision and drainage Acute paronychia without pus formation Antibiotics and soaks…

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…

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…

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…

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…

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…

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