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

…triangle of the face (nasal root, alae nasi, upper lip) Venous drainage towards the cavernous sinus Surgeon or ENT; often antibiotics Palm, fingers, tendon sheaths…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

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

Pleural aspiration and chest drain

…Choose a point with at least 15 mm depth of fluid throughout the respiratory cycle and where the lung does not come up against the…

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 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

…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…

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