Applied Anatomy for Clinical Procedures at a Glance
Applied Anatomy for Clinical Procedures at a Glance is a concise resource combining high-quality images and step-by-step instructions to provide expert guidance on the major core training pathways in medicine, surgery and anaesthesia. Written by an experienced team of Foundation Training programme directors and clinical skills examiners, this unique revision and learning guide aligns with training pathways rather than anatomical area to support Foundation doctors and core trainees master these vital clinical procedures.
Succinct yet thorough descriptions of each procedure include photographs of surface anatomy, line diagrams of the anatomy, instructions on the procedural techniques, and practical tips for performing the procedures safely whilst minimising risks of complications. All major aspects of Foundation procedures and Core training in applied anatomy are covered, including catheterisation, ECGs, central venous cannulation, basic suturing and anastomotic techniques, endotracheal intubation, epidural injection and spinal injection, defibrillation, and many others.
- Helps Foundation doctors and Core trainees apply their medical school knowledge in clinical settings
- Explains the common anatomical pitfalls of invasive clinical procedures
- Features practice questions on anatomy and clinical aspects to aid in preparing for clinical skills examinations
- Includes sections on aftercare and on specific equipment, including manometers and underwater seals
Applied Anatomy for Clinical Procedures at a Glance is ideal for Foundation doctors and Core trainees, as well as medical students, physician’s assistants and surgical scrub practitioners.
Cover Table of Contents 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 8 Bladder irrigation sets Equipment Set‐up Common anatomical pitfalls Top tips 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 10 Male catheterisation Equipment (Figure 10.1) Procedure Contraindications Common problems 11 Female catheterisation Indications Equipment (Figure 11.1) Pre‐procedure Procedure Top tips 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 13 Performing an electrocardiogram Equipment (Figure 13.1) Procedure Anatomical (and other) pitfalls Top tips 14 Oropharyngeal airway Equipment (Figure 14.1) Technique (Figure 14.2) Aftercare Common anatomical pitfalls Top tips 15 Nasopharyngeal airway Equipment (Figure 15.1) Technique (Figure 15.2) Aftercare Common anatomical pitfalls Top tips 16 Laryngeal mask airway Equipment Technique Aftercare Common anatomical pitfalls Top tips 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 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 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 20 Direct current cardioversion Indications Equipment (Figure 20.1) Contraindications Pre‐procedure Procedure Post‐procedure Top tip Pitfalls 21 Intercostal drains Requirements Equipment (Figure 21.1) Procedure – Seldinger technique Procedure – Surgical technique Anatomical (and other) pitfalls 22 Pleural tap Requirements Equipment (Figure 22.1) Procedure Anatomical (and other) pitfalls Complications 23 Inserting a nasogastric tube Equipment (Figure 23.1) Procedure Post‐procedure Contraindications to NGT insertion Pitfalls Top tips 24 Lumbar puncture Equipment (Figure 24.1) Technique Aftercare Common anatomical pitfalls Top tips 25 Bone marrow aspirate Equipment (Figure 25.1) Pre‐procedure Procedure Clotting requirements for a bone marrow aspirate 26 Ascitic tap Equipment (Figure 26.1) Contraindications Pre‐procedure Procedure Post‐procedure Top tips 27 Paracentesis Indications Equipment (Figure 27.1) Pre‐procedure Procedure Post‐procedure Complications 28 Knee aspiration Equipment (Figure 28.1) Indications Procedure Aftercare Common anatomical pitfalls (Figure 28.3) Anatomical top tips 29 Skin biopsy Equipment (Figure 29.1) Indications Procedure Anatomical pitfalls Top tips 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 31 Basic anastomotic techniques Equipment (Figure 31.1a–c) Technique Types (Figure 31.2) Anatomical pitfalls: Bowel Anatomical pitfalls: Vascular Aftercare: Bowel Aftercare: Vascular 32 Abscess drainage and debridement Equipment (Figure 32.1) Procedure (Figure 32.2) Aftercare Pitfalls Anatomical top tips 33 Bag mask ventilation (adults) Equipment (Figure 33.1) Technique (Figure 33.2) Aftercare Common anatomical pitfalls Top tips 34 Endotracheal intubation (adults) Equipment (Figure 34.1) Technique Aftercare Common anatomical pitfalls Top tips 35 Needle cricothryoidotomy (adults) Equipment (Figure 35.1) Technique Aftercare Common anatomical pitfalls Top tips 36 Surgical cricothyroidotomy Equipment Indications Contraindications Procedure (Figure 36.2) Aftercare Common anatomical pitfalls Top tip 37 Defibrillation Equipment (Figure 37.1) Technique Aftercare Common anatomical pitfalls Top tips 38 Spinal injection Equipment (Figure 38.1) Technique Aftercare Common anatomical pitfalls Top tips Difficulty aspirating CSF Safety (Figure 38.5) 39 Epidural injection Equipment (Figure 39.1) Technique Aftercare Common anatomical pitfalls Top tips 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 Index End User License Agreement
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