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Central venous catheter

…Haemodialysis, plasmapheresis or other extracorporeal therapy (requires a large bore dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure and central…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…tissue prolapse, thrombus, or other acute complications; investigation of restenosis and stent thrombosis. Intravascular imaging may also clarify the mechanism of an acute coronary syndrome…

Invasive Coronary Angiography: Indications and Vascular Access

…injection under fluoroscopy. The procedure is performed by advancing guidewires and diagnostic catheters from a percutaneous arterial access site to the aortic root, engaging the…

Complications of Coronary Angiography and Vascular Access Management

…complications Complications during diagnostic coronary angiography occur in approximately 2% of patients. Serious events such as stroke and myocardial infarction occur in fewer than 1%…

Right ventricular strain: definition, causes, echocardiography

…the presence of right ventricular load. This condition implies that the right ventricle is pressure and/or volume loaded. The load itself leads to impaired…

Epistaxis — compression, cautery and anterior nasal packing

…oxidised cellulose, a gelatin–thrombin matrix), a balloon catheter, or petroleum jelly impregnated ribbon gauze. Antibiotic ointment (for example mupirocin or bacitracin), saline, and an…

Inotropes and vasopressors: doses, indications, contraindications and effects

…the intensive care or coronary care unit, and the operating theatre. Careful electrocardiographic and haemodynamic monitoring with ECG, a central venous catheter and an arterial…

Massive haemorrhage and transfusion: quick reference

…the pattern of injury or disease, the response to initial treatment and the expected continued bleeding matters more than an exact estimate of blood loss…

Pulmonary embolism: quick reference for risk stratification and treatment

…dose are according to the local protocol. Alternatives when there is a contraindication: catheter directed treatment or surgical embolectomy where available. A vasopressor (noradrenaline) and…

Urinary catheterisation

…rather than an indwelling catheter. A catheter is not, however, indicated for incontinence as the sole reason, for convenience where the workload is heavy, or…

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