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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

…angiography alone. It is particularly useful when ACS occurs without significant obstructive CAD or when more than one potential culprit lesion is present. Clinical Indications…

Complications of Coronary Angiography and Vascular Access Management

…more frequent during PCI than during purely diagnostic angiography. Elective PCI has reported mortality of 0.1–0.3%, large myocardial infarction in fewer than…

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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