INSTRUMENTS
SRIHER
LUMBAR PUNCTURE NEEDLE
PARTS pointed cannula with
hub & stillete
SITE L3 & L4 OR
L4 & L5
Subarachnoid space
POSITION lateral decubitus
or sitting position
INDICATIONS:
DIAGNOSTIC
Infection- Brain & spinal cord
Bleeding- subarachnoid hemorrhage
stroke
Tumors – Lymphoma
Autoimmune disorders – MS, GBS
THERAPEUTIC-
Intrathecal Injection
Methotrexate- Leukemia
Amphotericin – Fungal infection
CONTRAINDICATIONS: Skin infection at puncture site
Raised ICT, papilloedema
Hydrocephalous
Intracranial Space
occupying lesions
COMPLICATIONS: Local Back pain
Headache, Infection
Brainstem herniation
BONE MARROW ASPIRATION
PARTS: Stillete, thick body,
NEEDLE
nail, needle with guard
SITE: Posterior iliac crest
Sternum
Tibia(upto 2 yrs)
POSITION: Lateral decubitus
sitting position
USES:
Diagnostic Therapeutic
Aplastic anaemia, leukemia, PUO, Intraosseous infusion,
Megaloblastic anaemia, Storage Bone marrow transplantation.
disorders-Gauchers, nieman
picks.
JAMSHIDI’S BIOPSY NEEDLE
TUBERCULIN SYRINGE/INSULIN
SYRINGE
It is a disposable 1cc syringe.
USES
Used to administer insulin most commonly
To give PPD intradermally
To administer test doses injection of penicillin
UMBILICAL CORD CLAMP
2 clean ligatures immediately
after birth
A new blade
First ligature 2cm from
abdomen
Second – 5cm from abdomen
NASOGASTRIC TUBE
USES
Diagnostic use
o To detect internal bleeding
in stomach
o For performing gastric lavage for AFB
o To detect tracheo-esophageal fistula
o Poisoning ( for chemical analysis of
gastric content)
o Gastric analysis
Therapeutic use
o NG feeds
o Administration of drugs
o To decompress the stomach as
preoperative procedure
o Oxygen catheter
o For nasal, endotracheal and tracheostomy
suction.
PEDIATRIC AIRWAY
BAG AND MASK
VENTILATION
PARTS
Patient outlet
Pressure release valve set
to release at pressure
30-
35cm water
One way valve unit
Oxygen inlet
Air inlet( with reservoir FiO2
to be around 90 –
100%)
Bag size ranges from 450ml to
1500ml
INDICATIONS:
o Respiratory failure/arrest
o Neonatal resuscitation
CONTRAINDICATION:
o Diaphragmatic hernia
o Meconium Aspiration
Syndrome
OXYGEN RESERVOIR:
A reservoir bag
One end connected to air inlet of self inflating bag
Used to increase the FiO2 of the oxygen
delivered to patient from 40 % to 90
INHALER DEVICES
4 GROUPS
Pressurised MDIs (metered dose inhalers)
Inhalers with spacer devices
Dry powder inhalers
Nebulisers
MDI
Delivers a fixed amount of medication in aerosol form
Used for exacerbation and maintenance therapy
Press and -breath coordination
Not effective in young children.
MDI WITH SPACER
It results in large proportion of the medication
being deposited in the lungs, with less impaction
in oropharynx
Effective in young patients.
THANK YOU