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Central venous catheter

Procedurer What determines the outcome of a central venous catheter insertion is decided before the needle goes in: the choice of site, the use of…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

Myocardial ischemia and infarction Definition and Pathophysiology Intravascular imaging comprises catheter based techniques that directly visualize the coronary lumen, vessel wall, plaque, thrombus, and implanted…

Invasive Coronary Angiography: Indications and Vascular Access

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

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

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

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

…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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