General Guidelines Related to Abscess Incision and Drainage: Part II

Greetings! We’re excited to continue our series on abscess incision and drainage. This procedure should be loved and adored, because another abscess is waiting just behind the curtain. This month we will highlight (in video format) the final cut of abscess incision and drainage. We will follow up with some additional videos in the months to follow focusing on scalp, vaginal, and facial abscesses. And, just when you think you have seen it all, we will reveal a few more surprises.     The Approach ·         Identification of an abscess appropriate for I&D ·         If unsure, use ultrasound guided technique to identify fluid ·         Consider the use of IV or PO pain medication ·         Incision and drainage (I&D) ·         Packing application ·         Follow up with packing removal and/or surgical follow up   The Procedure ·         Consider pre-medicating the patient with an oral Motrin, Percocet, or Vicodin or +/- IV medication if local infiltration is not sufficient. ·         Obtain laceration tray or surgical kit for I&D. ·         Lay patient in comfortable position. ·         Prep using sterile gloves (to keep it a clean procedure), however, it is not mean to be a sterile procedure. ·         Anesthetize the skin with 1% Lidocaine. Inject slowly. ·         Make a horizontal incision using 11 or 15 blade scalpel, utilizing the entire length o...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs