CHAPTER 19
Procedures and Skills
Ana Paola Uranga, MD, MBA
Cardiothoracic Procedures 857
PERICARDIOCENTESIS 857
THORACENTESIS 858
THORACOSTOMYTUBE 859
EMERGENCYDEPARTMENTTHORACOTOMY 861
TRANSCUTANEOUSCARDIACPACING 862
TRANSVENOUSCARDIACPACING 863
Vascular Access 865
CENTRALVENOUSCATHETERIZATION 865
VENOUSCUTDOWN 866
INTRAOSSEOUSINFUSION 867
UMBILICALVEINCATHETERIZATION 869
ARTERIALCATHETERIZATION 870
Abdominal and Gastrointestinal Procedure 870
PARACENTESIS 870
RECTALFOREIGNBODYREMOVAL 871
DIAGNOSTICPERITONEALLAVAGE 872
BALLOONTAMPONADE OFGASTROESOPHAGEALVARICES 873
Neurologic Procedures 874
LUMBARPUNCTURE 874
VENTRICULOPERITONEALSHUNTEVALUATION 875
Perimortem Cesarean Section 876
Anesthesia 877
LOCALANESTHESIA 877
REGIONALNERVEBLOCKS 878
PROCEDURALSEDATION 880
Ophthalmologic Procedures 883
LATERALCANTHOTOMY 883
IOP MEASUREMENT 884
Ultrasound 884