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Central venous catheter

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

Pleural aspiration and chest drain

…to local practice Relative Skin infection, herpes zoster or burns over the puncture site Relative Mechanical ventilation with a high PEEP (an increased risk of…

Oesophageal ECG

…1. Connect the patient to the 12 lead ECG as usual and record a resting ECG of the arrhythmia before the electrode is inserted. 2…

Endotracheal intubation

…3 3 2 3 fingerbreadths of mouth opening, 3 fingerbreadths from chin to hyoid, 2 fingerbreadths from hyoid to the upper border of the thyroid…

Soft tissue corticosteroid injection

Procedurer A corticosteroid injection into soft tissue gives rapid but time limited pain relief and rarely alters the natural history of the disease. In lateral…

Quiz: ECG in athletes

ECG Introduction to ECG interpretation 1. Which of the following ECG findings is typically considered a normal variant in asymptomatic athletes with no significant family…

Gynaecological examination and cervical smear

…cancer screening according to the national programme. Checking an intrauterine device or a pessary. Assessment of prolapse. Sampling for a suspected sexually transmitted infection — although…

ECG in myocardial ischemia: ischemic changes in the ST segment & T-wave

…the ST segment to the T wave is smooth, as is the transition between phases 2 and 3 of the action potential ( Figure 1 A …

Adenosine: Administration Technique, Dose Escalation and Precautions

…into cells through a nucleoside transport system. Because of these highly efficient elimination pathways, adenosine has an extremely short elimination half life of 1 to…

Pre-excitation, Atrioventricular Reentrant (Reentry) Tachycardia (AVRT), Wolff-Parkinson-White (WPW) syndrome

…previous myocardial infarction). ECG examples of pre excitation (short PR interval, prolonged QRS duration, delta waves, secondary ST T abnormalities). Click to zoom. Atrioventricular reentrant …

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