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Central venous catheter

…different position or a different vessel. Choice of site Vessel Advantages Disadvantages : : : Internal jugular vein (right) Best ultrasound conditions, a straight course to the superior…

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…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…picture, and several of the steps below refer to structures that are not visible when looking at the nail. The nail plate is the hard…

Wound suturing

…dressing alone. Contraindications Primary closure must be avoided or considered carefully in: Bite wounds — particularly cat and human bites, and all bites on the hand…

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

…but the cannula kinks when the arm is flexed. The dorsum of the hand is suitable for finer cannulae. Avoid the lower limb in adults…

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…

Nasogastric tube

…A fixation dressing for the nose, a vomit bowl, tissues, and a glass of water with a straw if the patient is awake and can…

Bone marrow aspiration and biopsy

…What usually ruins the examination is not the technique but the handling of the specimen — an aspirate that clots before the smears are made is…

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