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Takotsubo cardiomyopathy (broken heart syndrome, stress induced cardiomyopathy)

…these patients are immediately referred to angiography but no coronary artery occlusion can be identified. Injection of contrast media into the ventricle will instead reveal…

Transcutaneous and transvenous pacing

…same as for a central venous catheter — coagulopathy, infection at the puncture site, known thrombosis in the target vein. With a mechanical tricuspid prosthesis the…

Nasogastric tube

…preferably with a local anaesthetic, and a decongestant nasal spray if the nasal passage is narrow. A 50–60 mL catheter syringe, a collection bag…

Central venous catheter

…emergency — but it should be changed or removed once the situation has stabilised. Preparation and equipment A central line set with a triple lumen catheter…

Paracentesis

…mg/mL), sterile gloves, fenestrated drape; full sterile attire for therapeutic drainage with an indwelling catheter. Lidocaine 10 mg/mL, 5–10 mL, 25 G…

Arterial line

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

Peripheral venous cannula and intraosseous access

…the head of the humerus. A pressure bag or a 50 mL syringe with a three way tap — intraosseous flow requires pressure ; gravity is not…

Cardiac arrest due to pneumothorax

…risk of injury. Thoracostomy should be performed promptly following needle decompression. Thoracostomy with drainage typically serves as a stabilizing intervention. References Debehnke DJ, Hilander SJ…

Injection technique — intramuscular, subcutaneous and intradermal

…on the same side. A paretic limb — poorer absorption. Injection into an arm with a dialysis fistula. Preparation and equipment Hand disinfection; gloves where there…

Laryngeal mask and difficult airway

…laryngeal mask of the correct size plus one size above and one below. Second generation masks with a separate drainage channel (i gel, LMA Supreme…

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