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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

…first. Procedure Choice of insertion site The left lower quadrant is the first choice : the abdominal wall is thinner there than on the right, and…

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

…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…

Abscess incision and drainage

…reason for an incompletely performed drainage. Procedure 1. Locate the centre of the fluctuance, preferably with ultrasound if available. Mark the direction of the incision…

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

…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…

Cardiac arrest due to pneumothorax

…Diagnosis of a tension pneumothorax can be made via auscultation, where asymmetric lung sounds are noted, specifically with an absence of sounds on the affected…

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…

Urinary catheterisation

…and dangerous in a few. The male urethra is about 25 cm long with two curves and a prostate that can grip; the female urethra…

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