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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…

Pericardiocentesis

…and where no liver, lung or vessel lies in the path of the needle. Access Puncture site Direction Comment : : : : Subxiphoid 1–2 cm below and…

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

…22 G needle, 20 mL and 50 mL syringes. Therapeutic drainage: a commercial paracentesis set or a catheter over needle, 16–18 G, connected to…

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

…the liver or spleen, the lung and the fluid level. 2. Choose a point with at least 15 mm depth of fluid throughout the respiratory…

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

…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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