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VIDEOS IN CLINICAL MEDICINE
Paracentesis
Abdominal paracentesis can establish the cause of ascites or rule out spontaneous bacterial peritonitis in patients with ascites. Large-volume paracentesis in hemodynamically stable patients with tense or refractory ascites can alleviate discomfort or respiratory compromise. This video demonstrates how to perform the procedure.
Basic Laceration Repair
Lacerations are among the most common reasons for visits to emergency departments. Although most lacerations will heal without treatment, laceration repair reduces infection, scarring, and patient discomfort. Various methods may be used to repair lacerations. This video demonstrates suturing, the most common method of wound closure.
Thoracentesis
Thoracentesis may dramatically reduce respiratory distress in patients presenting with large pleural effusions. In addition, diagnostic thoracentesis is a valuable procedure in a patient with pleural effusion of unknown cause. This video demonstrates how to perform thoracentesis.
Lumbar Puncture
This video demonstrates how to perform a lumbar puncture to obtain a sample of cerebrospinal fluid for diagnostic or therapeutic purposes. Knowledge of the contraindications, the pertinent anatomy, and the methods to minimize the risk of complications is necessary for the safe and efficient performance of the procedure.
Male Urethral Catheterization
Urethral catheterization may be indicated for diagnostic or therapeutic purposes: to decompress the bladder, permit irrigation, obtain sterile urine, measure urinary output, or measure the residual urinary volume after voiding. This video demonstrates how to perform male urethral catheterization.
Arthrocentesis of the Knee
Arthrocentesis is used to establish the cause of an acute monoarthritis or polyarthritis. It is also used to drain large effusions or hemarthroses and to instill steroids or local anesthetic. This video demonstrates how to perform arthrocentesis.
Nasogastric intubation
Common indications for nasogastric intubation include decompression of the GI tract in patients with bowel obstruction and gastric emptying in intubated patients to prevent aspiration. This video demonstrates the insertion of a nasogastric tube.
Placement of an Arterial Line
Placement of an arterial line is indicated for continuous monitoring of arterial pressure and direct arterial blood sampling. This video demonstrates two techniques for arterial line placement.
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