…25–27 G needle on a 2 mL syringe as a handle. A low speed rust ring burr if one is available. Sterile saline with…

…of the phalanx, 2–3 mL on each side, with the needle tip directed volarly until a weal forms over the volar nerve. Wait 10…

…3. Mark the puncture site, clean in wide circles and apply the drape. 4. Anaesthetise the skin and the needle track. Wait a minute or…

…the wound — not into the wound. Sterile gloves, a fenestrated drape, toothed forceps, a needle holder, scissors, artery forceps, a size 15 scalpel. Local anaesthetic…

Procedurer What determines the outcome of a central venous catheter insertion is decided before the needle goes in: the choice of site, the use of…

Procedurer Almost all the complications of pleural aspiration arise from two errors: the needle is placed in the wrong site, and too much is drained…

…aspiration. Press the fluid from the medial towards the lateral side with your free hand. The needle is inserted directed medially and slightly caudally, parallel…

…liver, lung or vessel lies in the path of the needle. Access Puncture site Direction Comment : : : : Subxiphoid 1–2 cm below and to the left

… a smaller size in children. A set with an integrated guidewire (Seldinger technique) helps when the vessel is difficult to puncture. Sterile preparation with chlorhexidine…

…change side, and avoid irradiated fields. Preparation and equipment Informed consent, current full blood count and coagulation screen, medication list. Chlorhexidine in alcohol, sterile gloves…

…depth with no bowel in the path of the needle and measure the skin to peritoneum distance. 2. Mark the site. Sterile preparation and draping…

…oxygen, and the ability to lay the patient down. Injection Needle Angle Maximum volume per site : : : : Deltoid, adult 23–25 G, 25 mm 90° 1…

…patient. Fixation material for the intraosseous needle. Procedure Peripheral venous cannula 1. Apply the tourniquet 10–15 cm proximal to the intended puncture site, let…

…where asymmetric lung sounds are noted, specifically with an absence of sounds on the affected side. Ultrasonography can reveal pneumothorax (highlighted by a lack of…

…and ears), a 27 G needle, a 2–5 mL syringe. Punches of 2, 3, 4 and 6 mm. A size 15 scalpel, a double…

…the atria and the ventricles (particularly the former). Even small pressure elevations on the right side can compromise venous return to the right ventricle. Therefore…

…mg/mL with adrenaline (epinephrine). Syringe, 27 G and 21 G needles. Irrigation fluid (NaCl 9 mg/mL) and a 20 mL syringe. Culture swab…

…See the separate guide to joint aspiration and injection. Indications Condition Injection site Comment : : : Subacromial bursitis, rotator cuff syndrome The subacromial space The best documented…