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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

…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

Procedurer The result of a repair is determined before the first needle goes in. A wound that has not been irrigated clean, has not been…

Ankle-brachial index (ABI)

…signal is sought on the dorsum of the foot lateral to the extensor hallucis longus tendon. Measure in the same way as on the arm…

Peripheral venous cannula and intraosseous access

…antecubital fossa gives a high flow but the cannula kinks when the arm is flexed. The dorsum of the hand is suitable for finer cannulae…

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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