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Articles
Pericardiocentesis

…large pericardial effusion with symptoms despite medical treatment. Diagnostic drainage in suspected purulent pericarditis, tuberculosis or malignancy. Tamponade is a clinical diagnosis supported by echocardiography…

Cardiac tamponade causing cardiac arrest

…either via the subxiphoid or apical window, is generally considered less effective than thoracotomy. This is because it does not ensure complete drainage of the…

Lumbar puncture

…of the opening pressure in suspected idiopathic intracranial hypertension. Therapeutic drainage in idiopathic intracranial hypertension and in assessment before shunt surgery. Contraindications Clinical signs of…

Paracentesis

…drainage: a commercial paracentesis set or a catheter over needle, 16–18 G, connected to tubing and a collection container. Sample tubes: an EDTA tube…

Abscess incision and drainage

…appropriate specialty: Location Risk Management : : : Medial triangle of the face (nasal root, alae nasi, upper lip) Venous drainage towards the cavernous sinus Surgeon or ENT…

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

…border of the rib, never at the lower border where the neurovascular bundle lies, and the drainage is stopped for coughing, chest pain, or when…

Cardiac arrest due to pneumothorax

…or 5th intercostal space along the anterior axillary line. Thoracostomy This method is generally deemed safer than using a needle due to reduced risk of…

Laryngeal mask and difficult airway

…of aspiration: a non fasted patient, ileus, third trimester pregnancy, marked reflux. A need for high airway pressures, for example severe ARDS, marked obesity or…

Urinary catheterisation

…Instillation therapy and contrast studies of the urinary tract. Wound healing with a sacral pressure sore or extensive perineal wounds where urinary leakage prevents healing…

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