Articles & courses

Articles
Abscess incision and drainage

…of the abscess or at least half its diameter. Too small an incision is the commonest technical error. 4. Cut straight into the cavity with…

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

…puncture site Relative Mechanical ventilation with a high PEEP (an increased risk of pneumothorax; ultrasound guidance is mandatory) Relative A very small or loculated effusion …

Pericardiocentesis

…bridge to it. A small (under 10 mm), loculated or purely posterior effusion with no safe route for puncture — surgical drainage or pericardiotomy instead. Relative:…

Cardiac tamponade causing cardiac arrest

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

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…

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…

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

…Ultrasound with a curved array probe. Sterile preparation (chlorhexidine in alcohol 5 mg/mL), sterile gloves, fenestrated drape; full sterile attire for therapeutic drainage with…

Urinary catheterisation

…volume. A need for accurate measurement of urine output in a critically ill patient. Perioperatively and postoperatively in longer procedures and with epidural anaesthesia. Bladder…

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