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Short Synacthen test

…the day of the test can therefore be given dexamethasone. That is the practical key: the patient does not have to be left unprotected for…

Central venous catheter

…never happens, and to make sure the catheter does not become the patient's next focus of infection. Indications Infusion of vesicant solutions: vasopressors, concentrated…

Nasogastric tube

…a fracture in the cribriform plate into the cranium Absolute Corrosive injury of the oesophagus or stomach after ingestion of a caustic substance Absolute Choanal…

Pleural aspiration and chest drain

…earlier era. The needle is inserted close to the upper border of the rib, never at the lower border where the neurovascular bundle lies, and…

Cardiac arrest due to pneumothorax

…lack of lung tissue) and its impact on cardiac function. Clinically, patients may present with: Absent breath sounds on the affected side Crepitus Subcutaneous emphysema…

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…

Paracentesis

…fluid collects in the left flank. Have the patient empty the bladder first. Procedure Choice of insertion site The left lower quadrant is the first…

Laryngeal mask and difficult airway

…larger , since a mask that is too small leaks and gives a poorer seal. Procedure Insertion of the laryngeal mask 1. Check the mask, remove…

Oesophageal ECG

…mouthful of water and hold it. Advance the electrode at the very moment the patient swallows — the pharyngeal muscles then guide the tip into the…

Arterial line

…the insertion site. Insufficient collateral circulation to the hand. Vascular disease in the limb: marked peripheral arterial disease, Raynaud's phenomenon, thromboangiitis obliterans. An arm…

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