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Oct 01, 2021 Issue
Ultrasound Guidance for the Placement of Peripheral Intravenous Catheters [Medicine by the Numbers]
Learn more about ultrasound guidance for the placement of peripheral intravenous catheters.
Procedural anesthesia may be administered by family physicians when treating a variety of conditions, such as neuropathies, fracture reduction, foreign body removals, and complex wounds. Nerve blocks of the ulnar, median, and radial nerves at the wrist and elbow provide effective anesthesia for medical procedures in the upper extremity.
Nerve blocks are used for a variety of procedures involving the lower extremity. Depending on the required area of anesthesia for the procedure, various points throughout the lower extremity can be used to block the lateral femoral cutaneous, common peroneal, saphenous, tibial, deep peroneal, superficial peroneal, and sural nerves.
High-quality, office-based spirometry can be as useful and reliable as testing performed in a pulmonary function laboratory. A stepwise approach to spirometry should be used, including assessing for obstruction and reversibility, grading of severity, and referral for full pulmonary testing as indicated.
Point-of-care ultrasonography (POCUS) reduces cost, radiation exposure, and imaging delays, and increases patient satisfaction. POCUS is useful in resource-limited settings, and the use of POCUS in primary care is increasing.
automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with hypertension.
Patients believe that staples and subcuticular sutures provide similar cosmetic outcomes after cesarean deliveries. However, the risk of wound complications (e.g., infection, separation, hematoma, seroma) is doubled with staples.
To get the most accurate measure, let patients sit for a few minutes, and then measure their blood pressure on a completely bare arm. Does a difference of 4 mm systolic and 6 to 7 mm diastolic matter?
Get the latest evidence on the effectiveness of corticosteroid injections in patients with adhesive capsulitis; subacromial impingement syndrome; lateral and medial epicondylitis; carpal tunnel syndrome; de Quervain tenosynovitis; trigger finger; hand, wrist, hip, and knee osteoarthritis; greater trochanteric bursitis; and Morton neuroma.
Infection rates in patients undergoing uncomplicated minor skin surgery were not different when sterile gloves, rather than simply clean gloves, were worn. A previous study similarly found no difference in infection rates between sterile and nonsterile gloves in patients undergoing uncomplicated laceration repair in the emergency department.