In specialist centres, extracorporeal membrane oxygenation (ECMO) is a now a mainstay of the management of cardio/respiratory failure refractory to other measures. However, much of the clinical information required to care for ECMO patients at the bedside remains inaccessible to…
This is the LITFL CCC master page for tracheostomy — follow the links for further discussion of the following:
Procedures and Coagulopathy: many procedures are contra-indicated in the presence of coagulopathy; the degree of acceptable coagulopathy for different procedures is controversial
Regional Anaesthesia in the Critically Ill
Pericardiocentesis: procedure used to remove pericardial effusion by needle aspiration; treatment of pericardial effusion and/or tamponade
Intercostal catheter insertion, chest drain
Injections are most commonly administered IM (intramuscular) or SC (subcutaneously)
Prepare yourself Familiarise yourself with the procedure, including the indications, contraindications, technique with anatomical landmarks, and the potential complications. Never perform a procedure unless you have first observed. that procedure being performed, and then performed the procedure at least once…
Emergency thoracocentesis (thoracentesis) emergency decompression of a tension pneumothorax
Ultrasound guided peripheral intravenous cannula placement. Out-of-plane technique for PIV cannula placement.
Use of a Foley catheter (FC, aka urinary catheter) to achieve hemorrhage control in penetrating trauma to the neck
Cleaning Bronchoscope. The technique described uses the Matrix biofilm remover as a detergent.