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Central venous catheter

…changed or removed once the situation has stabilised. Preparation and equipment A central line set with a triple lumen catheter, usually 7 Fr. Catheter length…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…SCAD), or another occult structural abnormality. IVUS IVUS generates images by transmitting ultrasound from an intracoronary catheter and recording echoes reflected from the vessel wall…

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

…in the general sense; the decision depends on balancing the expected diagnostic or therapeutic benefit against the patient’s specific procedural risks. Vascular access and…

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

…bore access, or rapid central access, but do not delay transfusion or control of the bleeding in order to obtain a central venous catheter. 4…

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

…clots (a three way catheter). Instillation therapy and contrast studies of the urinary tract. Wound healing with a sacral pressure sore or extensive perineal wounds…

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