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Pleural aspiration and chest drain

…is mandatory) Relative A very small or loculated effusion — consider image guided puncture in the radiology department The thresholds for the INR and the platelet…

Ankle-brachial index (ABI)

…toe instead. Marked pain that prevents the patient from tolerating compression. Preparation and equipment Equipment: a handheld Doppler probe 5–10 MHz, ultrasound gel, a…

Arterial line

…mmHg , which provides a continuous slow flush. Ultrasound with a high frequency linear probe when the pulse is weak, after previous failed attempts, or in…

Central venous catheter

…set against the chosen side. An ultrasound machine with a high frequency linear probe, a sterile probe cover and sterile gel. Chlorhexidine in alcohol 5…

Paracentesis

…choose a new site if in doubt Cellulitis over the insertion site Change the puncture site Preparation and equipment Ultrasound with a curved array probe…

Pericardiocentesis

…procedure, not before it. Preparation and equipment Ultrasound with a sector probe (the same probe as for echocardiography) and a sterile probe cover. Continuous ECG…

Targeted temperature management after cardiac arrest

…and equipment Continuous core temperature measurement. An oesophageal probe or a urinary catheter with a temperature sensor are the first choice; rectal or intravascular measurement…

Intensive care parameters

…a driving pressure ≤ 15 cmH₂O, prone positioning at a P/F ratio < 20 kPa (150 mmHg), and permissive hypercapnia as long as the pH…

Bone marrow aspiration and biopsy

…the lateral position with the knees drawn up , or prone with a pillow under the pelvis. The lateral position is usually the most comfortable and…

Reduction of dislocations

…have occurred or been unmasked. Preparation and equipment An examination couch that can be lowered, preferably allowing the prone position. Monitoring: pulse oximetry, blood pressure…

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