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Central venous catheter

…anaesthesia, normal saline to flush all lumens, suture material or a securement device, transparent dressing. Monitoring throughout the procedure: ECG, pulse oximetry and blood pressure…

Transcutaneous and transvenous pacing

…to try yet another dose. Chronotropic support is given as an infusion of isoprenaline, adrenaline or dopamine according to local practice, and does not replace…

Arterial line

…aortic balloon pump. Assessment of stroke volume variation as part of fluid management. Contraindications Infection, burn or trauma over the insertion site. Insufficient collateral circulation…

Oesophageal ECG

…swallows — the pharyngeal muscles then guide the tip into the oesophagus rather than into the trachea. Coughing, stridor or an inability to speak means malposition…

The ECG in assessment of myocardial reperfusion

…gradual inversion of the T waves. These T waves are called post ischemic T waves and they indicate that the infarction process is more or…

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

…preferably before or at the same time as carbohydrate administration. 3. Rapid identification of seizures, delirium tremens, infection, trauma and metabolic disturbance. 4. Monitoring at…

Poisoning: quick reference for antidotes and initial management

…increase the entry of salicylate into the central nervous system. Discuss the case early with the poison control centre and with anaesthesia or intensive care…

Acute stroke and thrombolysis: quick reference

…aphasia, hemianopia or hand paresis in a person of working age Blood pressure Measure initially in both arms if this does not delay reperfusion treatment…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…Use of cannabis, electronic cigarettes or other inhaled products. Readiness to attempt cessation. Depression, schizophrenia, schizoaffective disorder, HIV infection or other circumstances that may affect…

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