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Nasogastric tube

…Sampling of gastric contents and evacuation in poisoning (see the separate text on gastric lavage). The tube is not, however, indicated routinely after uncomplicated abdominal…

Bone marrow aspiration and biopsy

…technique but the handling of the specimen — an aspirate that clots before the smears are made is unusable, no matter how well the puncture went…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…a non adherent dressing, gauze. The digital block Anaesthetise from the dorsal aspect, one injection medial and one lateral to the base of the phalanx…

Wound suturing

…apart. A wound through the full thickness of the dermis, particularly over joints and in cosmetically sensitive areas. Superficial wounds with well apposed edges, abrasions…

Central venous catheter

…low risk of pneumothorax Uncomfortable for an awake patient, harder to keep the dressing clean with a tracheostomy or copious secretions Subclavian vein Most comfortable…

Ankle-brachial index (ABI)

…of the correct size (the width should correspond to about 40 % of the circumference of the limb), a manual manometer, plastic film or a dressing…

Peripheral venous cannula and intraosseous access

…times the flow of a fine needle, and collapsed veins mean that the fine needle is in addition the only one that will go in…

Leg ulcers — wound debridement and compression therapy

…not the choice of dressing but the ankle brachial index before the first bandage is applied . Indications Venous leg ulcer — about 70% of all leg…

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…

Soft tissue corticosteroid injection

…a dressing, gloves. A cold spray or a lidocaine weal. Site Triamcinolone hexacetonide 20 mg/mL Methylprednisolone acetate 40 mg/mL Volume of lidocaine : : : : Subacromial…

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