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Ankle-brachial index (ABI)

…cast or has extensive wounds so that the cuff cannot be applied. Place the cuff over a protective dressing, or measure at the toe instead…

Leg ulcers — wound debridement and compression therapy

…amputation. The decisive step is therefore not the choice of dressing but the ankle brachial index before the first bandage is applied . Indications Venous leg…

Bone marrow aspiration and biopsy

…Suspected bone marrow metastasis. Assessment of treatment response and measurement of residual disease (MRD). Fever of unknown origin or suspected granulomatous disease with marrow involvement…

Wound suturing

…under about 5 mm often do better with adhesive strips, tissue adhesive or a dressing alone. Contraindications Primary closure must be avoided or considered carefully…

Abscess incision and drainage

…vessel loop for loop drainage. Gauze, absorbent dressing. Local anaesthesia works poorly in inflamed tissue — the acidic environment inactivates the anaesthetic. Place a field block…

Central venous catheter

…anaesthesia, normal saline to flush all lumens, suture material or a securement device, transparent dressing. Monitoring throughout the procedure: ECG, pulse oximetry and blood pressure…

CPAP and non-invasive ventilation (NIV)

…masks are alternatives in intolerance. A hydrocolloid dressing for the bridge of the nose applied before the mask goes on, not after the sore has…

Eye examination and corneal foreign body

…Sterile saline with a syringe for irrigation. An eye shield (never a pressure dressing when perforation is suspected). A tonometer: an applanation tonometer on the…

Joint aspiration

…6. Withdraw the needle, apply compression and a dressing. The knee The patient lies supine with the leg extended and the quadriceps relaxed. The superolateral…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…nitrate. Electrocautery or a heated paper clip for trephination. Antibiotic ointment, a non adherent dressing, gauze. The digital block Anaesthetise from the dorsal aspect, one…

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