Myringotomy children, while local anesthesia suffices for adults. The ear is washed and a small incision made in the eardrum. Any fluid that is present is then aspirated, the tube of choice inserted, and the ear packed with cotton to control any slight bleeding that might occur. This is known as conventional (or "cold knife") myringotomy and usually heals in one to two days. A new variation (called "tympanolaserostomy" or "laser-assisted tympanostomy") uses CO laser, and is performed with a computer-driven laser and a video monitor to pinpoint a precise location for the hole. The laser takes one tenth of a
Incision and drainage insertion of a PICC line to enable readiness of treatment for possible septic shock. Incision and drainage is often abbreviated as "I&D" or "IND" by medical professionals. Uncomplicated cutaneous abscesses do not need antibiotics after successful drainage. For incisional abscesses, it is recommended that incision and drainage is followed by covering the area with a thin layer of gauze followed by sterile dressing. The dressing should be changed and the wound irrigated with normal saline at least twice each day. In addition, it is recommended to administer an antibiotic active against staphylococci and streptococci, preferably vancomycin when there is a