Practical procedures

2017 ◽  
pp. 758-777
Author(s):  
Ian B. Wilkinson ◽  
Tim Raine ◽  
Kate Wiles ◽  
Anna Goodhart ◽  
Catriona Hall ◽  
...  
Keyword(s):  
Tension Pneumothorax ◽  
Cardiac Pacemaker ◽  
Chest Drain ◽  
Venous Cannulation ◽  
Central Venous Cannulation ◽  
Arterial Blood Gas ◽  
Emergency Airway ◽  
Arterial Blood ◽  
Nasogastric Tubes ◽  
Abdominal Paracentesis

This chapter presents practical procedures, including nasogastric tubes, placing IV cannulae, cutting down on to a vein, catheterizing bladders, draining ascites, diagnostic aspiration of a pleural effusion, abdominal paracentesis, inserting a chest drain, relieving a tension pneumothorax, aspiration of a pneumothorax, lumbar puncture (LP), cardioversion/defibrillation, arterial blood gas sampling, emergency airway management, central venous cannulation, internal jugular catheterization, and inserting a temporary cardiac pacemaker.

Practical procedures

2014 ◽  
Author(s):  
Murray Longmore ◽  
Ian B. Wilkinson ◽  
Andrew Baldwin ◽  
Elizabeth Wallin
Keyword(s):  
Pleural Effusion ◽  
Lumbar Puncture ◽  
Tension Pneumothorax ◽  
Chest Drain ◽  
Blood Gas ◽  
Arterial Blood Gas ◽  
Gas Sampling ◽  
Arterial Blood ◽  
Nasogastric Tubes ◽  
Abdominal Paracentesis

Placing nasogastric tubesPlacing iv cannulae (drips)Cut down on to a veinCatheterizing bladdersDraining ascitesDiagnostic aspiration of a pleural effusionAbdominal paracentesisInserting a chest drainRelieving a tension pneumothoraxAspiration of a pneumothoraxLumbar puncture (lp)Cardioversion/defibrillationArterial blood gas sampling...

Practical procedures

2021 ◽  
pp. 239-292
Keyword(s):  
Regional Anaesthesia ◽  
Percutaneous Dilatational Tracheostomy ◽  
Face Mask ◽  
Chest Drain ◽  
Venous Cannulation ◽  
Invasive Ventilation ◽  
Central Venous Cannulation ◽  
Non Invasive ◽  
Abdominal Paracentesis ◽  
Nasogastric Tube Insertion

This chapter assesses the practical procedures in surgery. It begins with airway procedures, including the anaesthesia face mask, laryngeal mask airway (LMA), and endotracheal intubation. It also looks at percutaneous dilatational tracheostomy (PDT) and cricothyroidotomy, before differentiating between non-invasive and invasive ventilation. The chapter then turns to circulation procedures, including venepuncture and intravenous cannulation; interosseous access; central venous cannulation; arterial puncture and arterial cannulation; cardioversion; and defibrillation. It also considers the insertion and management of chest drain, which is used to drain pneumothoraces or pleural effusions. Finally, the chapter deals with pericardiocentesis; nasogastric tube insertion; urethral and suprapubic catheterisation; abdominal paracentesis; rigid sigmoidoscopy; and local and regional anaesthesia.

Procedures

2018 ◽  
pp. 523-578
Author(s):  
Tim Raine ◽  
George Collins ◽  
Catriona Hall ◽  
Nina Hjelde ◽  
James Dawson ◽  
...  
Keyword(s):  
Exercise Tolerance ◽  
Feeding Tube ◽  
Tolerance Test ◽  
Normal Vaginal Delivery ◽  
Chest Drain ◽  
Central Lines ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Peg Feeding Tube ◽  
Abdominal Paracentesis

This chapter explores procedures, including practical procedures, laboratories, achievement of core foundation skills, blood and injections, taking blood (venepuncture), femoral stab, blood tubes, IV cannulation, taking blood in children, arterial blood gas (ABG), SC/IM injections, IV injections, cardiology, ECGs and cardiac monitors, exercise tolerance test, chemical cardioversion (adenosine), cardioversion and defibrillation, central lines, thrombolysis, respiratory, pleural tap, chest drain (Seldinger method), endotracheal intubation (adult), laryngeal mask airway (LMA), urology, urethral catheterization, replacing a suprapubic catheter, gastroenterology, replacing a PEG feeding tube, nasogastric (NG) tubes, ascitic tap (abdominal paracentesis), neurology, lumbar puncture (LP), normal vaginal delivery, joint aspiration and injection, local anaesthetic (LA), suturing, and reduction of fractures and dislocations.

Practical procedures

2018 ◽  
Author(s):  
James Thomas ◽  
Tanya Monaghan ◽  
Prarthana Thiagarajan
Keyword(s):  
Central Venous Access ◽  
Venous Catheter ◽  
Venous Access ◽  
Chest Drain ◽  
Arterial Line ◽  
Tube Insertion ◽  
Central Venous ◽  
Urethral Catheterization ◽  
Arterial Blood Gas ◽  
Arterial Blood

Using this chapterInfiltrating anaesthetic agentsHand hygieneConsentAseptic techniqueSubcutaneous and intramuscular injectionsIntravenous injectionsVenepunctureSampling from a central venous catheterArterial blood gas (ABG) samplingPeripheral venous cannulationFemoral venous catheter insertionCentral venous access: internal jugular veinCentral venous access: subclavian veinCentral venous access: ultrasound guidanceIntravenous infusionsArterial line insertionFine needle aspiration (FNA)Lumbar punctureMale urethral catheterizationFemale urethral catheterizationBasic airway managementOxygen administrationPeak expiratory flow rate (PEFR) measurementInhaler techniqueNon-invasive ventilationPleural fluid aspirationPneumothorax aspirationChest drain insertion (Seldinger)Recording a 12-lead ECGCarotid sinus massageVagal manoeuvresTemporary external pacingDC cardioversionPericardiocentesisNasogastric tube insertionAscitic fluid sampling (ascitic tap)Abdominal paracentesis (drainage)Sengstaken–Blakemore tube insertionBasic interrupted suturingCleaning an open woundApplying a backslabManual handling

scholarly journals Local Anaesthesia for Venous Cannulation and Arterial Blood Gas Sampling: Are Doctors Using It?

2005 ◽  
Vol 98 (4) ◽  
pp. 158-160 ◽  
Author(s):  
Daniel M Sado ◽  
Charles D Deakin
Keyword(s):  
Local Anaesthesia ◽  
Blood Sampling ◽  
Arterial Puncture ◽  
Venous Cannulation ◽  
Blood Gas ◽  
Arterial Blood Gas ◽  
Arterial Blood Sampling ◽  
Gas Sampling ◽  
Arterial Blood

The pain of venous cannulation and arterial puncture can be greatly lessened by local anaesthesia. We sought information about the use of local anaesthesia for these procedures by doctors working in medicine, surgery and anaesthetics. A questionnaire was hand-delivered to 178 doctors in eight hospitals, all of whom responded. For insertion of large-bore cannulae, local anaesthesia was used by all the anaesthetists but less than half the medical and surgical doctors. For arterial blood sampling it was used by 60% of anaesthetists and 2% of ward doctors. Previous recommendations to use local anaesthesia seem to have been ignored, and in many instances these procedures are more painful than necessary.

Atrial fibrillation associated with carbon monoxide poisoning

2019 ◽  
pp. 203-206
Author(s):  
Mevlut Demir ◽  
◽  
Muslum Sahin ◽  
Ahmet Korkmaz ◽  
◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Carbon Monoxide ◽  
Sinus Rhythm ◽  
Partial Pressure ◽  
Motor Vehicle ◽  
Carbon Monoxide Poisoning ◽  
Venous Blood ◽  
Blood Gas ◽  
Arterial Blood Gas ◽  
Arterial Blood

Carbon monoxide intoxication occurs usually via inhalation of carbon monoxide that is emitted as a result of a fire, furnace, space heater, generator, motor vehicle. A 37-year-old male patient was admitted to the emergency department at about 5:00 a.m., with complaints of nausea, vomiting and headache. He was accompanied by his wife and children. His venous blood gas measures were: pH was 7.29, partial pressure of carbon dioxide (pCO2) was 42 mmHg, partial pressure of oxygen (pO2) was 28 mmHg, carboxyhemoglobin (COHb) was 12.7% (reference interval: 0.5%-2.5%) and oxygen saturation was 52.4%. Electrocardiogram (ECG) examination showed that the patient was not in sinus rhythm but had atrial fibrillation. After three hours the laboratory examination was repeated: Troponin was 1.2 pg/ml and in the arterial blood gas COHb was 3%. The examination of the findings on the monitor showed that the sinus rhythm was re-established. The repeated ECG examination confirmed the conversion to the sinus rhythm. He was monitored with the normobaric oxygen administration.

Popliteal artery cannulation as a saviour during prone positioning

2020 ◽  
Vol 13 (6) ◽  
pp. e234370
Author(s):  
Narayan Bala ◽  
Vinay Pathak ◽  
Shilpa Goyal ◽  
Nikhil Kothari
Keyword(s):  
Prone Position ◽  
Popliteal Artery ◽  
Blood Pressure Monitoring ◽  
Arterial Cannulation ◽  
Invasive Blood Pressure ◽  
Arterial Blood Gas ◽  
Artery Cannulation ◽  
Arterial Blood ◽  
Arterial Cannula ◽  
Invasive Blood Pressure Monitoring

The cannulation of the peripheral artery is a prerequisite for invasive blood pressure monitoring and repeated arterial blood gas sampling. Radial artery is commonly used site for inserting an arterial cannula. Many times, either during the change of posture or during prone ventilation, the arterial cannula gets displaced, and it is challenging to reinsert the arterial cannula in the lateral or prone position. In such circumstances, an alternative site of arterial cannulation needs to be looked into; we report a case in which the popliteal artery was used for arterial cannulation while the patient was in a prone position.

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