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Cardiac tamponade causing cardiac arrest

…Complications : Post surgical complications following thoracic procedures can cause tamponade. Tamponade with swinging heart of the pericardium. Source. Rapid diagnosis of cardiac tamponade is possible…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…patients therefore require protection against inhibition during the period of anticipated EMI. The perioperative strategy should also recognize that CRT patients may rely on continuous…

Skin biopsy — punch, shave and excision

Procedurer The biopsy method determines what the pathologist can report. A shave biopsy of a pigmented lesion that turns out to be a melanoma can…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…and by feel nail spicules are left behind — which is the commonest cause of recurrence. Indications Condition Procedure : : Acute paronychia with fluctuance or visible pus…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…comorbidities Surgical risk and contraindications to prolonged dual antiplatelet therapy Patient preferences, local expertise and operator or institutional experience Assessment of coronary complexity The SYNTAX…

Laryngeal mask and difficult airway

…Procedure Insertion of the laryngeal mask 1. Check the mask, remove air from the cuff so that it is flat with a slightly upturned leading…

Leg ulcers — wound debridement and compression therapy

…and in patients with diabetes or renal failure the index may be falsely normal because of medial sclerosis — in that case add toe pressure measurement…

Nasogastric tube

Procedurer The insertion itself is rarely the difficult part — it is the confirmation of the position that determines whether the tube is safe. A misplaced…

Endotracheal intubation

…a syringe for the cuff, a cuff manometer. A laryngeal mask of the correct size as a rescue airway, and surgical airway equipment (a size…

Pericardiocentesis

…counterpart of pulsus paradoxus Contraindications In overt tamponade with shock there are no absolute contraindications other than the conditions in which the procedure is the…

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