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Pleural aspiration and chest drain

…fine needle is tolerated at considerably worse values. Follow the local protocol. Preparation and equipment Ultrasound with a curved array or linear probe. Sterile clothing…

Wound suturing

…through a 20 mL syringe and a large bore needle. Chlorhexidine in alcohol to the skin around the wound — not into the wound. Sterile gloves…

Eye examination and corneal foreign body

…Tonometry is contraindicated with suspected perforation or infection. Removal Proceed from the least to the most invasive technique. 1. Irrigate with sterile saline — loose particles…

Joint aspiration

…when the syringe is changed after aspiration. Procedure 1. Examine the joint, locate the effusion and mark the puncture site with a pen or an…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…27 G needle, a 5 mL syringe. A tourniquet: a Penrose drain with artery forceps, or the cut off finger of a sterile glove rolled…

Bone marrow aspiration and biopsy

…sterile dressings, pressure dressing. Procedure 1. Place the patient in the lateral position with the knees drawn up , or prone with a pillow under the…

Paracentesis

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

Pericardiocentesis

…a spinal needle or the needle from a pericardiocentesis set), 10 mL and 20 mL syringes, a three way tap. A Seldinger set with a…

Injection technique — intramuscular, subcutaneous and intradermal

…with the needle stings. Needles of the correct length (see the table), a syringe of the correct size, a sharps bin. For vaccination: adrenaline 1…

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…

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