British journal of hospital medicine
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The passage of a nasogastric tube may be met with some difficulty. The indications and contraindications for, and the method of insertion of, the tube are described, as are the difficulties that may be encountered, their solutions, and the complications that may result from the procedure.
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Comment Letter Case Reports
An anaesthetic dilemma with no obvious solution.
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The pulmonary artery flow-directed catheter (Swan-Ganz catheter) has been in clinical use for 20 years. These devices are now used by 80% of UK intensive care units for the diagnosis and monitoring of a wide range of cardiorespiratory problems. The principal indications for the use of pulmonary artery catheters and the evidence supporting these indications are outlined in this article.
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Establishing venous access in infants and young children can be difficult and distressing for both operator and subject. Full competence in this procedure can only be achieved with experience. Nevertheless, a background knowledge of the basic principles involved and the differences from adult practice will considerably reduce the learning time.