Articles & courses

Articles
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…

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…

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 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

…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

…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

…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…

Urinary catheterisation

…glans and meatus with the cleansing solution in circular movements from the centre outwards. Change the swab between strokes. 3. Instil 10–20 mL of…

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