Instruments
Dr.R.Gajanthan
3
Abraham’s Pleural Biopsy needle 4
• Abraham’s pleural biopsy needle
7
8
PD[peritoneal dialysis]catheter
• Chart
Date,cycle number
time-filling;dwelling;draining
volume-dialysate+/-dextrose;effluent;cycle
balance;cumilative balance
• Indication-pt who needs renal replacement
Tx.but haemodynamically unstable
• Intercostal drainage tube with introducer
• Inserted in the safe triangle formed by
anterior axillary line,mid axillary line and 4 th
intercostal space
• Indication-tension pneumothorax, massive
pleural effusion, haemothorax
Desferrioxamine Infusion Pump
12
13
SALAH NEEDLE
Salah BMA needle
15
Jamshidi BM Trephine Biopsy needle
16
• Samples taken from posterior iliac crest
ISLAM BM Bx NEEDLE
note
• FNAC-95% alcohol used to fix
• Biopsy-kept in 5% formaline
• Triple lumen central venous line
• With introducer and guide wire
• Technique-Seldinger technique
• Complications
1.Arrythmias
2.Pneumothorax
3.Accidental puncture of carotid artery
4.Infections
5.haematoma
• CVP manometer
• 3 way tap
• One end to CVP line
• Other end to heparinized saline
• Haemodialysis catheter [dual lumen]
• With introducer & guide wire[but not in this
picture]
• Haemodialysis filter membrane
• Oropharyngeal airways
• Size-tragus of the ear to angle of the mouth
• Nasopharyngeal airways
• LMA[laryngeal mask airways]
• LMA
• Proseal
• Can insert NG tube
• ETT[endo tracheal tube]
• Cuffed/not
• Reinforced /not
• Parts[cuff;radio opaque line;pilot balloon;
murphy’s eye;two ring marks at the proximal
end]
• Size[diameter]=age/4 +4 mm-applicable only
in children
• Reinforced ETT
• Won’t kink
• Eg; in thyroidectomy
• ETT
• Gum elastic bougie
• Uncuffed, oral RAE tube[south pole-inward
angle]
• Cuffed,oral RAE
• Uncuffed,nasal RAE tube[north pole]
• Cuffed ,nasal RAE tube
• RAE tube,nasal
• Venturi devices
• Fixed performance devices
• Also write down the O2 delivery percentage
[FiO2] & O2 flow required to achieve this
• Face mask with venturi device
• Used in COPD patients
• Simple face mask for O2 delivery
• Face mask with reservior bag
• Tracheostomy tube
• Indications
1.Bypass URT obs[eg:supra glottic tumours]
2.Prolonged ventilation
• Face mask with reserviour bag
• Tracheostomy tubes
T-Piece
• T-Piece Kit designed for use in recovery for
the delivery of Oxygen via the patients 15mm
ET connection or Laryngeal mask
• Tri-balls incentive spirometer
• For respiratory physiotheraphy in post
operative patients
Respirometer
• For measuring tidal volume , minute volume
& vital capacity at bed side
• Small inner dial records 0-1 liter (for
measuring tidal volume)
• Large outer dial records 0-100 liters
• Respirometer
• Mention 3 autoimmune conditions where it is
used
1.MG[anti ach recep Ab]
2.GBS[antiganglioside Ab]
3.polymyositis[anti Jo Ab]
• PEF meter with mouth piece
• 1.Stand up straight.
• 2.Make sure the indicator is at the bottom of the
meter.
• 3.Keep the meter horizontal
• 4.Take a deep breath filling your lungs completely.
• 5.Place the mouthpiece in your mouth; lightly bite
with your teeth, and close your lips on it.
• 6.Blast the air out as hard and as fast as possible in
a single blow.
• 7.Record the number that appears on the meter.
• 8.Repeat these steps three times.
• 9.Record the highest of the three readings in an
asthma diary. This reading is your or your child's
peak expiratory flow.
Spirometer
• To assess FEV1;FVC;IC
• But can’t assess RV ;FRV ;TLC
• TLC calculated by helium dilution test
bottles
• Plain bottle[nothing inside]-SE, LFT, S.Cr, BU,
GP & DT
• E bottle[EDTA]-FBC ; blood picture;
S.fibrinogen; DAT[coomb’s test]
• S bottle[NaF]-blood sugar
• Citrate bottle-ESR[1.6ml blood+0.4ml citrate]
APTT/PT/INR[1.8ml blood+0.2ml citrate]
• Blood culture bottle
• BHI[brain heart infusion]
• BHI:blood=10:1
• ?in SL 5:1
• Westergren tube
• For ESR measurements
• 20 cm
• Wintrope tube
• 10cm long
• Smaller diameter than westergren tube
• Mainly used for PCV measurement
• Capillary tube
• Clotting time measurements
• Pulse oximeter
• To measure Hb O2 saturation & HR
• External defibrillator
• Don’t touch the pt
• Remove O2
• 360 J in monophasic
150-360 J in biphasic
• VF & pulseless VT are shockable
• One below the right clavicle
• Otherone left lower ant chest
• Nebulizer
• 1ml salbutamol+ 1ml saline for adults
• Salbutamol solution-0.5%w/v[ie: 5 mg in 1
ml]
• Metered dose inhaler[MDI]
• Salbulamol-blue
• Steroids-brown
Metered dose inhalers[MDI]
1.Hand washing
2.Shake it before use
3.Hold it vertically
4.Breath out slowly as much as you can
5.Seal the lips around the mouth piece tightly[head tilted
slightly back]
6.Press the canister while inhaling slowly & deeply over 3-5
sec
7.Hold the breathe for about 10 sec
8.Then slowly exhale
9.If using more than 1 puff repeat the steps 2-8 every time
10.After finishing rinse the mouth with water
11.Keep an account on how many puffs you have used.
• Spacers
• Mouth end have valve;can attach a face mask
to that end
• Inhaler end to attach the MDI
• Spacer is kept slightly tilted with inhaler end
uppermost to facilitate valve movement.
• Usually washed once a month with water and
let it air dry without wiping it[in order to
remove static charge build up]
Rotahaler
Turbohaler
Accuhaler
Aerolizer
• Goniometer
• Measures an angle
Haemocytometer
to count blood cells
• Enteral feeding tube
• AV fistula needle
• CPAP mask[continuous positive airway
pressure]
• TPM pulse generator
• TPM pulse generator with its leads.
opthalmoscope
• Technique
• Introduce;consent
• Ask to fix the eye to a distant object
• Can blink
• Light will be shown to your eyes
• Will not hurt you
• Examiner will come to close to their eyes/face
• When asked , look at the light[macular examination]
• Check opthalmoscope
• If pt is wearing glasses,ask to remove
• Demonstrate red reflex
• Examine macula
• Both eyes examined unless asked to do otherwise
• Tell the finding to the patient/reassurance
• Ask him to put the glasses back
• thanking
• Otoscope with ear specula
• Inexpensive Disposable Skin Biopsy Punch
• Prader orchidometer
• Pinard stethoscope
• To listen to the fetal heart sound
• Snellen chart
• To assess visual acuity
• Ishihara chart
• To assess colour vision
Hertal exopthlmometer
• to quantify proptosis
• Indirect laryngoscopy
• Hand held doppler
• ABPI[ankle brachial pressure index]
measurement.
• Insulin syringe
• Total 1 ml divided into 100
• Each small caliber-1 unit insulin
• S/C injection
• Foley catheter
• Condom catheter
• Silicon urinary catheter
Trach light
Sengstaken-Blakemore tube.
• Balloon tamponade of
bleeding esophageal
varices
• The 3 major
components of a
Sengstaken-Blakemore
tube are a gastric
balloon, an esophageal
balloon, and a gastric
suction port.
Swan-Ganz Catheter
• 5 lumen
• Used to measure PCWP
Capnometer
Capnography
Naso gastric tube[NG tube]
NG tube
• Indications
1. Nasogastric feeding
2. Decompress the stomach by emptying
[reduces aspiration]
Suction catheter
ENDOSCOPY CAPSULE
Burette Infusion Set
• 150 ml
3 way tap
SPIRAL EXTENSION LINE
FLOW REGULATOR WITH
MEASUREMENT
• Butterfly canula
• SCALP VEIN SETS
INFUSION SET NON VENTED 14mm
INFUSION SET WITH AIRVENT
Aneasthesia Face Mask
• Black Rubber
• Suitable for use in respiratory care of
aneasthesia and resuscitator.
• Body with antistatic property.
• Good grip.
Bacterial Viral Filter
• Suitable for suction machine , this bactarial
filter is superior in quality & eliminates
airborne contamination .
• Available as single-use (sterilized ) or re-
usable (autoclavable).
CLOSE WOUND SUCTION SET 800ml
SUCTION SET CROWN TIP VENTED
Oxygen Mask With Nebuliser
URINE BAG WITH UROMETER
HAEMODIALYSIS SET
Venflon intravenous cannula
• 14g - Orange
• 16g - Grey
• 17g - White
• 18g - Green
• 20g - Pink
• 22g - Blue
T Tubes
• Super smooth siliconised low friction surface
prevents clotting.
GLUCOMETER
BROOK life saving airway
• A tube for use in mouth-to-mouth
resuscitation.
Pain scale
laryngoscope
Thank you
