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Central venous catheter

…Preparation and equipment A central line set with a triple lumen catheter, usually 7 Fr. Catheter length: the right internal jugular vein requires the shortest…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…occult lesions, and optimize percutaneous coronary intervention (PCI). Imaging can therefore influence several stages of intervention: lesion preparation; selection of stent diameter and length; identification…

Invasive Coronary Angiography: Indications and Vascular Access

…thrombus. A rounded or polypoid intraluminal mass and lesion haziness raise suspicion of thrombus, although haziness is not specific. Intravascular imaging can identify plaque disruption…

Complications of Coronary Angiography and Vascular Access Management

…contrast media are injected selectively into the epicardial coronary arteries through a catheter advanced from a peripheral artery to the aortic root and coronary ostia…

Right ventricular strain: definition, causes, echocardiography

…in investigating right ventricular load. Pressure in the right atrium (right atrial pressure) With the PA catheter (Swan Ganz catheter), the right atrial pressure can…

Epistaxis — compression, cautery and anterior nasal packing

…haemodynamic instability — stabilise the patient first. Marked septal deviation towards the bleeding side (relative). Preparation and equipment Personal protective equipment (gloves, a visor, an apron)…

Inotropes and vasopressors: doses, indications, contraindications and effects

…and haemodynamic monitoring with ECG, a central venous catheter and an arterial line is necessary to achieve an optimal result. Overview of vasopressors and inotropes…

Massive haemorrhage and transfusion: quick reference

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

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

…longer procedures and with epidural anaesthesia. Bladder washout and continuous irrigation in macroscopic haematuria with clots (a three way catheter). Instillation therapy and contrast studies…

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