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Articles
ACE Inhibitor Cough and Angioedema: Practical Management

…or on recumbency, frequent eructation, hoarseness, and throat pain may point toward gastroesophageal reflux. Physical examination should include a speculum examination of the nose to…

Epistaxis — compression, cautery and anterior nasal packing

…acid on a pledget or as a solution has a good effect in anterior bleeding. Raise the chair so that the patient's nose is…

Oesophageal ECG

…of the nose over the earlobe to the middle of the sternum. The depth is usually around 30–40 cm. Mark the measurement on the…

CPAP and non-invasive ventilation (NIV)

…cardiogenic pulmonary oedema with hypoxaemia and marked work of breathing — the strongest indication, with a rapid effect on dyspnoea and oxygenation. Atelectasis and postoperative hypoxaemia…

Spirometry

…patient sits upright with both feet on the floor and must not lean forward during expiration. 2. Apply the nose clip and have the patient…

Foreign body in the ear and nose

…a vasoconstrictor for the nose: lidocaine 4 % with oxymetazoline 0.5 % on pledgets. Mineral oil or lidocaine to kill an insect in the ear canal…

Eye examination and corneal foreign body

…Sterile cotton buds. An eye spud or a 25–27 G needle on a 2 mL syringe as a handle. A low speed rust ring…

Nasogastric tube

…laying the tube from the tip of the nose to the earlobe and from there to the xiphoid process. Mark the distance on the tube…

Skin biopsy — punch, shave and excision

…mL (adrenaline gives a bloodless field and a longer duration; it is safe even on the fingers, toes, nose and ears), a 27 G needle…

Wound suturing

…a bloodless field and a longer duration. The old rule that adrenaline is forbidden on fingers, toes, nose, ears and penis has been abandoned in…

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