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Table of Contents

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Cover

Contributors

1 Scrubbing up Equipment (Figure 1.1) Antiseptic solutions Procedure (Figure 1.4)

2 Setting up a sterile field and draping the patient Equipment (Figure 2.1) Procedure Top tips

3 Three‐way tap Description of the three‐way tap Potential uses of the three‐way tap (Figure 3.3) Safe use of a three‐way tap After the procedure Anatomical pitfalls Top tips

4 Common equipment for core clinical procedures Needles Sampling devices

5 Local anaesthetic infiltration Classes of local anaesthetics (Figure 5.1) Mechanism of action Dose Side effects Technique Anatomical pitfalls Top tips

6 Obtaining consent Why do we obtain consent? Principles of obtaining consent if the patient has capacity Principles of obtaining consent if the patient does not have capacity Obtaining consent Responsibility for obtaining consent Discussing side effects/risk Verbal or written consent? (Figures 6.2 and 6.3) Consent in children

7 Manometer for central venous pressure and lumbar puncture What is a manometer line? What is normal pressure? Set‐up of the CSF manometer line Set‐up of the CVP manometer line Common anatomical pitfalls

10  8 Bladder irrigation sets Equipment Set‐up Common anatomical pitfalls Top tips

11  9 Underwater seal for chest drains Equipment (Figure 9.1) Connection (Figures 9.3 and 9.4) How does it work? (see Figure 9.2) Anatomical pitfalls Top tips

12  10 Male catheterisation Equipment (Figure 10.1) Procedure Contraindications Common problems

13  11 Female catheterisation Indications Equipment (Figure 11.1) Pre‐procedure Procedure Top tips

14  12 Arterial blood gases Equipment (Figure 12.1) Procedure Post‐procedure Allen’s test (Figure 12.3) Brachial and femoral stabs Common anatomical pitfalls Top tips

15  13 Performing an electrocardiogram Equipment (Figure 13.1) Procedure Anatomical (and other) pitfalls Top tips

16  14 Oropharyngeal airway Equipment (Figure 14.1) Technique (Figure 14.2) Aftercare Common anatomical pitfalls Top tips

17  15 Nasopharyngeal airway Equipment (Figure 15.1) Technique (Figure 15.2) Aftercare Common anatomical pitfalls Top tips

18  16 Laryngeal mask airway Equipment Technique Aftercare Common anatomical pitfalls Top tips

19  17 Central venous cannulation (high approach internal jugular) How to insert a central venous line Equipment (Figure 17.1) Technique (Figure 17.3) Landmarks for internal jugular vein (Figure 17.4) Aftercare Common complications

20  18 Central venous cannulation (low approach internal jugular) How to insert a central venous line Equipment (Figure 18.1) Technique (Figure 18.3) Landmarks for internal jugular vein (Figure 18.4) Aftercare Common complications

21  19 Central venous cannulation (subclavian) How to insert a central venous line Equipment (Figure 19.1) Technique (Figure 19.3) Aftercare Common complications Landmarks for subclavian vein (Figure 19.4) Top tips

22  20 Direct current cardioversion Indications Equipment (Figure 20.1) Contraindications Pre‐procedure Procedure Post‐procedure Top tip Pitfalls

23  21 Intercostal drains Requirements Equipment (Figure 21.1) Procedure – Seldinger technique Procedure – Surgical technique Anatomical (and other) pitfalls

24  22 Pleural tap Requirements Equipment (Figure 22.1) Procedure Anatomical (and other) pitfalls Complications

25  23 Inserting a nasogastric tube Equipment (Figure 23.1) Procedure Post‐procedure Contraindications to NGT insertion Pitfalls Top tips

26  24 Lumbar puncture Equipment (Figure 24.1) Technique Aftercare Common anatomical pitfalls Top tips

27  25 Bone marrow aspirate Equipment (Figure 25.1) Pre‐procedure Procedure Clotting requirements for a bone marrow aspirate

28  26 Ascitic tap Equipment (Figure 26.1) Contraindications Pre‐procedure Procedure Post‐procedure Top tips

29  27 Paracentesis Indications Equipment (Figure 27.1) Pre‐procedure Procedure Post‐procedure Complications

30  28 Knee aspiration Equipment (Figure 28.1) Indications Procedure Aftercare Common anatomical pitfalls (Figure 28.3) Anatomical top tips

31  29 Skin biopsy Equipment (Figure 29.1) Indications Procedure Anatomical pitfalls Top tips

32  30 Basic suturing Equipment (Figure 30.1) Choice of suture Factors determining the choice of sutures and needles Technique Variations in suturing techniques Removal of sutures Anatomical pitfalls

33  31 Basic anastomotic techniques Equipment (Figure 31.1a–c) Technique Types (Figure 31.2) Anatomical pitfalls: Bowel Anatomical pitfalls: Vascular Aftercare: Bowel Aftercare: Vascular

34  32 Abscess drainage and debridement Equipment (Figure 32.1) Procedure (Figure 32.2) Aftercare Pitfalls Anatomical top tips

35  33 Bag mask ventilation (adults) Equipment (Figure 33.1) Technique (Figure 33.2) Aftercare Common anatomical pitfalls Top tips

36  34 Endotracheal intubation (adults) Equipment (Figure 34.1) Technique Aftercare Common anatomical pitfalls Top tips

37  35 Needle cricothryoidotomy (adults) Equipment (Figure 35.1) Technique Aftercare Common anatomical pitfalls Top tips

38  36 Surgical cricothyroidotomy Equipment Indications Contraindications Procedure (Figure 36.2) Aftercare Common anatomical pitfalls Top tip

39  37 Defibrillation Equipment (Figure 37.1) Technique Aftercare Common anatomical pitfalls Top tips

40  38 Spinal injection Equipment (Figure 38.1) Technique Aftercare Common anatomical pitfalls Top tips Difficulty aspirating CSF Safety (Figure 38.5)

41  39 Epidural injection Equipment (Figure 39.1) Technique Aftercare Common anatomical pitfalls Top tips

42  40 Procedure‐related safety The problem Definitions (as per the World Health Organisation) The response Responsibilities for National Health Service (NHS) and staff Top tips (from the World Health Organisation) References Additional reading

43  Index

44  End User License Agreement

Applied Anatomy for Clinical Procedures at a Glance

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