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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…

Transcutaneous and transvenous pacing

…dependent torsades de pointes. Standby pacing — pads applied but the device not switched on — in second degree AV block Mobitz type 2, newly discovered complete…

Arterial line

…mg/mL for local anaesthesia in the awake patient — the anaesthetic also improves the chance of success by counteracting vascular spasm. Pressure monitoring set: stiff…

Oesophageal ECG

…lidocaine gel for the electrode. A glass of water with a straw, a vomit bowl, tissues, suction. Monitoring with ECG, blood pressure and saturation throughout…

The ECG in assessment of myocardial reperfusion

…PCI is superior to thrombolysis also in this aspect). Guidelines recommend that thrombolysis should result in 50% ST segment return (i.e reduction of the…

Endotracheal intubation

…and respiratory acidosis, or a markedly increased work of breathing with impending exhaustion. Threatened airway obstruction: inhalation injury, anaphylaxis, deep neck infection, an expanding haematoma…

Alcohol withdrawal and delirium tremens: quick reference

…of seizures, delirium tremens, infection, trauma and metabolic disturbance. 4. Monitoring at the appropriate level of care , with readiness for respiratory support. 5. Treatment of…

Poisoning: quick reference for antidotes and initial management

…salicylate poisoning, intubation with an inadequate minute ventilation can rapidly worsen the acidaemia and increase the entry of salicylate into the central nervous system. Discuss…

Acute stroke and thrombolysis: quick reference

…monitoring, complications and when thrombectomy should be considered. The doses and Swedish thresholds below are based on the national guideline for the management of reperfusion…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…schizoaffective disorder, HIV infection or other circumstances that may affect cessation or treatment monitoring. Single question screening can identify unhealthy drug use requiring counselling regarding…

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