…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…

…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…

…Contraindications Clinical signs of herniation — deep unconsciousness with unreactive pupils, an altered breathing pattern, a rising blood pressure with bradycardia. A known or suspected intracranial…

…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…

…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…

…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…

…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…

…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…

…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…

…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…