Complications
Category: Procedure
Pleural Tap / Thoracentesis
Introduction =====– Can be done or Contraindications Equipment Landmarks Notes Drainage Investigations • The following investigations are sent in the same setting of pleural tapping• Pleural fluid will be classified as exudative or transudative, following Light’s criteria (i) Pleural fluid Usually, these are the common investigations sent for pleural fluid: (ii) Blood (iii) Imaging Related […]
Pericardiocentesis
Complications • Mortality / Cardiac arrest • Ventricular tachycardia • Cardiac wall perforation • Pneumothorax • Infection Procedure • Parasternal approach is preferable, rather than apical approach Tips / Reminder • Ensure patient is on during pericardiocentesis Related Posts Cardiac tamponade Reference / Further Reading https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613420/
Branula Insertion
“Can we remove this branula?” — One of the favourite questions during ward round Types of Branula • Large bore branula = green / grey Common Sites / Veins Equipment Branula 14 G + image16 G + image Steps Branula Insertion in Paeds
Equipment • 1mL syringe• Needle (blue) • Glass slides x2 • • Marker pen for label How to perform thick & thin smear?
Chest Tube
“Knowing how to insert branula is not enough. A doctor should also master chest tube insertion, as good as branula insertion” Introduction 2 methods• Open method • Closed method (do not use this method) Important parts of a chest tube • Radio-opaque tip and a marker strip along the edge• Fenestrated end (with holes for […]
Adult https://www.youtube.com/watch?v=P57-Qvn0juE Paediatrics