cardiac catheterization(1).pptx

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The document describes the steps for catheterization procedures. The patient is placed on an x-ray table and secured with ECG leads, blood pressure monitoring, and an IV. The catheter site is cleaned and prepped. Local anesthesia is administered and general anesthesia may be used for young children. A needle is used to puncture the vein or artery and a wire is inserted. The catheter is then passed over the wire into the vessel. Common sites are the femoral vein, antecubital vein, brachial or femoral artery. The procedures can be used for coronary arteriography or transseptal techniques.

Healthcare

JudkinsCatheter
AmplatzCatheter
Swan-Ganz
pigtail

1. The client is placed in a supine position on the x-ray table, and securely
strapped into the table
2. An infusion of D5W
3. ECG leads are positioned and attached to the client as well as a cardiac monitor
4. Blood pressure, pulse and respiration equipment is used for continuous
monitoring of the heart activity and vital signs.
5. The catheterization site is shaved if necessary, cleansed and draped to
establish a sterile field.
6. A local anesthetic is injected at the insertion or cutdownsite,
7. General anesthesia via gas or rectal suppository is administered to young
children under age 12
8. The vein or artery is punctured with a needle and a wire inserted through the
needle.The catheter is then passed over the wire and into the vessel after the
needle is removed

Coronary Arteriography
The transseptal
technique

Central venous catheters (CVCs) are commonly used in critically ill children for medication administration, monitoring, and other purposes. The document discusses CVC insertion techniques and sites, including the internal jugular, subclavian, and femoral veins. Proper insertion involves strict sterility, ultrasound guidance when possible, local anesthesia, and confirming proper placement to avoid complications like bleeding, infection, and accidental arterial puncture.

Sp30 neonatal umbilical vessel catherization (neonatal)

EarlCopina1

This document provides procedures for neonatal umbilical vessel catheterization. It describes: 1) Definitions and background information on when and where these procedures are performed and requirements for supervision. 2) Materials needed including catheter trays and additional items. 3) Steps for the procedure including patient preparation, umbilical arterial catheter insertion involving dilating the artery and advancing the catheter, and umbilical venous catheter insertion. Precautions are described.

Cardiac catheterization

http://sellerfriend.blogspot.com

Right heart catheterization

Toufiqur Rahman

CENTRAL VENOUS ACCESS / PROCEDURES IN PICU

doctor / pediatrician

This document provides information on procedures in the pediatric intensive care unit (PICU) with a focus on central venous line insertion and intercostal drainage tube insertion. It discusses indications, contraindications, equipment, positioning, approaches and complications for central line placement via the internal jugular vein and subclavian vein. It also covers tunneled central venous catheters. For intercostal drainage, it reviews indications, contraindications, tube size, drainage systems, positioning, site selection and the basic procedure steps. Complications associated with both central lines and chest tubes are also summarized.

ANGIOPLASTY final.docx

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 Introduction  Definition  Indications  Uses  Contraindications  Types of cardiac cauterization  Preparation  Procedure  Post angioplasty procedure  Complication  Risk factors  Recovery  Life style changes  Cardiac rehabilitation  Nursing care management  Pre-catheterization care  intra-catheterization care  Post-catheterization care  Nurse care plan  Reference

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radhikauppal8

Cardiac catheterization in children requires careful preparation and monitoring to ensure safety. Nutritional and fluid requirements differ for infants versus older children due to faster stomach emptying and dehydration risks in infants. Premedication, sedation, and local anesthesia are used but carry risks like hypoglycemia that require monitoring. Vascular access is typically through the femoral vein but other approaches like internal jugular may be needed. Catheters and wires of varying sizes and stiffness are used to obtain pressure measurements, samples, and images to evaluate hemodynamics and diagnose conditions. Accurate interpretation of pressure tracings is important to identify abnormalities.

This document provides information on cardiopulmonary resuscitation (CPR) including the patterns of cardiac arrest, causes of reversible cardiac arrest, the primary and secondary surveys of CPR, and treatments for different cardiac rhythms encountered during resuscitation such as asystole, bradycardia, and pulseless electrical activity. It details the steps for opening the airway, providing ventilation, performing chest compressions, and defibrillation. It also outlines advanced life support interventions including intubation, intravenous access, defibrillation, and medications for specific rhythms.

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This document discusses the various monitoring systems used in intensive care units (ICU) to support critically ill patients. It covers both non-invasive and invasive hemodynamic monitoring, which measure parameters like blood pressure, heart rate, oxygen saturation to ensure tissue perfusion and oxygen delivery. Specific devices discussed include pulse oximetry, ECG, arterial lines, central venous catheters, and pulmonary artery catheters. It also discusses intracranial pressure (ICP) monitoring for patients with head injuries using devices like epidural sensors, subarachnoid bolts, or intraventricular catheters. The goal of monitoring in the ICU is to achieve stable cardiopulmonary function and optimal oxygen transport for critically ill

M132 Module 08 Coding Assignment Build the correct ICD 10 PCS .docx

infantsuk

M132 Module 08 Coding Assignment Build the correct ICD 10 PCS code based on the documentation in the Operative Report documentation given under each Case Study. 1. Case #1 PREOPERATIVE DIAGNOSES: 1. A 37 weeks intrauterine pregnancy. 2. Previous cesarean section with rupture of membranes. POSTOPERATIVE DIAGNOSES: 1. A 37 plus weeks gestation. 2. Previous cesarean section with spontaneous rupture of membranes. 3. Pelvic adhesions. ANESTHESIA: Spinal. PROCEDURE PERFORMED: Repeat low-transverse cesarean section. FINDINGS: Male infant, 6 pounds, 5 ounces. Apgars 9 and 9. ESTIMATED BLOOD LOSS: 800 mL. The patient's condition after surgery, the patient tolerated the procedure well. PERTINENT HISTORY AND PHYSICAL: The patient is a 20-year-old black female, gravida 2, para 1-0-0-1, last normal menstrual period 08/02/2006, EDC 05/08/2007, 37-5/7th weeks gestation, she presented to L D with spontaneous rupture of membranes, history of previous cesarean section in 2009 for CPD. PAST MEDICAL HISTORY: She denies allergies. MEDICATIONS: She is on prenatal vitamins. MEDICAL SURGICAL: She denies any significant history except for C-section in 2006. SOCIAL HISTORY: She denies ethanol, tobacco, or drugs. PSYCHIATRIC HISTORY: Noncontributory. FAMILY HISTORY: Noncontributory. PHYSICAL EXAMINATION: Vital Signs: Temperature, the patient is afebrile, pulse 94, respiratory rate 20, BP 97/50, fetal heart tone was 140 to 145. HEENT was within normal limits. Neck is supple. Chest: Cardiovascular, Sl and S2 regular without gallop or murmur. Lungs: Clear both fields. Breasts: No masses or tenderness. Abdomen: Gravid. Pelvic: Cervix was 50% effaced, 1 to 2 cm dilated, presenting part was vertex at -2 station, there was gross fluid, clear and Nitrazine was positive. The patient was therefore taken to the operating room for a repeat low-transverse cesarean section. OPERATIONAL TECHNIQUE: The patient was brought to the operating room and under spinal anesthesia, was prepped and draped in the usual manner for a gynecologic abdominal operation. Through the old suprapubic Pfannenstiel skin incision, the abdominal cavity was entered into after much difficulty because of the pelvic abdominal adhesion. Following entry into the abdominal cavity, the bladder peritoneum was identified, reflected down. Following that, a midline low-transverse incision was made at the lower uterine segment with a knife and carried down into the uterine cavity without any difficulty. The incision was then extended to the level of the round ligament on both sides. Following which a male infant in vertex position was delivered with vacuum and handed over to the nursery staff in attendance. Birth weight was 6 pounds 5 ounces. Apgar was 9 and 9. Placenta was manually delivered. After remnants of the placental membranes have been removed from the uterine cavity, the uterine cavity was then closed with #1 chromic continuous interlocking suture. Hemostasis was verified and found to be adequa ...

Poster Houston

Corrado Cavozza

1) The document discusses the safety and effectiveness of unilateral antegrade cerebral perfusion in aortic arch surgery. 2) It reports on 108 patients who underwent aortic arch surgery using unilateral right antegrade cerebral perfusion via cannulation of the right axillary or innominate artery. 3) The results showed low mortality and neurological deficit rates, suggesting unilateral cerebral perfusion is adequate for aortic arch surgery in most cases, though bilateral perfusion is needed if left cerebral saturation decreases significantly.

Care of patients after cardiac surgery @

SangeetaPatel64

Echocardiography, CSF study, IV and IM injections

zaid rasheed

Caseof wide QRS tachycarfdia ablation

salah_atta

A 17-year-old male presented with recurrent episodes of rapid heart palpitations. During an episode, electrocardiography (ECG) showed a wide complex tachycardia. An electrophysiology study was performed, which induced the clinical tachycardia and identified it as an atrial flutter conducting with 2:1 block to the ventricles. Linear radiofrequency ablation of the cavo-tricuspid isthmus was performed to cut the reentry circuit, requiring 8 applications to achieve bidirectional block and render the tachycardia non-inducible.

عناية مركزة م4 غير مترجم.pdf

ssuser6cd043

The document lists and describes various equipment used in intensive care units (ICUs). It discusses respiratory therapy devices like nasal cannulas, non-invasive ventilation masks, endotracheal tubes, and ventilators. It also mentions monitoring equipment like arterial lines and central venous pressure lines. Other equipment described includes infusion pumps, ultrasound machines, echocardiography machines, defibrillators, and beds specialized for patient transport and comfort.

Myelogram .pptx

Dr. LT

A myelogram is a radiographic examination that uses contrast medium injected into the spinal canal to detect spinal cord and nerve root pathology. It involves puncturing the spinal canal, usually in the lower lumbar region, and injecting contrast medium which is then imaged with fluoroscopy and x-rays. It can detect conditions like spinal cord injuries, tumors, and cysts. Precise technique and positioning are important to obtain diagnostic images and avoid complications, which while rare can include headache, infection, and contrast extravasation.

Care of CVP line .pptx

Arvind joshi

This document provides information about central venous catheters and PICC lines, including their indications, contraindications, anatomy, insertion procedures, complications, and care. It discusses the internal jugular, subclavian, and femoral vein access sites and provides details on the Seldinger technique for catheter insertion. The roles of nurses in central line care including dressing changes, flushing, and preventing infections are also covered.

Peripheral angiography

InosRagan

Peripheral angiography is a radiological procedure used to examine arteries and veins after injecting contrast media. It involves puncturing an artery such as the femoral artery using the Seldinger technique and threading a catheter over a guidewire to inject contrast media and obtain images. The procedure is used to diagnose and treat various vascular conditions. Precise positioning, sterile equipment and contrast injection are needed to obtain diagnostic images of the peripheral vasculature.

Resection of a large carotid

Patricia Khashayar

This case report describes the resection of a large carotid artery aneurysm under cervical epidural anesthesia in a 22-year-old woman. Cervical blockade was not possible due to the location and size of the aneurysm. The patient underwent cervical epidural anesthesia, which allowed for continuous neurological monitoring during the surgery and early detection of any brain ischemia when the carotid artery was clamped. The large aneurysm was successfully resected over the course of a two hour surgery. The patient recovered well with no neurological defects. The report concludes that cervical epidural anesthesia performed by an experienced anesthetist provides safe neurological monitoring and is an acceptable approach for resecting carotid artery aneurysms when other methods are not possible.

Nej mvcm074357

Raziel Dagio

This document provides instructions for central venous catheterization of the subclavian vein. It describes the indications, contraindications, necessary equipment, patient preparation, ultrasound guidance, procedure steps, potential complications, and references for central venous catheterization of the subclavian vein. The subclavian vein is the preferred site according to recent evidence. Ultrasound can help with placement despite bony landmarks. Key steps include identifying anatomic landmarks, local anesthesia, inserting the needle at a 30 degree angle, obtaining venous access, introducing the guidewire, dilating the vein, advancing the catheter over the wire, and securing the line. Potential complications include pneumothorax, hemothorax, and infection.

The DECRA trial

joemdas

1) The DECRA trial investigated whether early decompressive craniectomy improved outcomes for patients with severe traumatic brain injury and refractory intracranial hypertension compared to standard care. 2) Patients who underwent early craniectomy had decreased intracranial pressure and shorter time on ventilators and in the ICU compared to standard care. 3) However, patients who received early craniectomy were more likely to have an unfavorable outcome, with 70% having functional disability or death, compared to 51% of patients receiving standard care.

cardiaccatheterization-121024192733-phpapp01.pdf

tubakhan45

Cardiac catheterization is a procedure that uses a catheter and contrast dye to view images of the heart and blood vessels. It is used to diagnose coronary artery disease, valve problems, or other heart issues. The document describes the steps of the procedure, including patient preparation, sterile technique, accessing the arteries, inserting the catheter, obtaining images, and post-procedure care. Risks include reactions to contrast dye and complications from arterial puncture.

12 g butera metodiche interventistiche

PiccoloGrandeCuore

This document provides guidelines for fetal aortic valvuloplasty procedures. It describes the selection criteria for the procedure, which aims to promote ventricular growth and function in fetuses with evolving hypoplastic left heart syndrome (HLHS). The guidelines specify that the dominant cardiac anomaly must be aortic stenosis, with signs of evolving HLHS and potential for a technically successful procedure and biventricular outcome. The procedure involves accessing the fetal heart through needle puncture under ultrasound guidance and using catheters to dilate the stenotic aortic valve.

3. monitoring & devices used in icu ccu

BP KOIRALA INSTITUTE OF HELATH SCIENCS,, NEPAL

The document discusses various devices used in intensive care units (ICUs) for patient monitoring and life support. It describes equipment for monitoring vital signs like heart rate and blood pressure. Devices discussed include arterial lines, central venous lines, pulse oximeters, ventilators, infusion pumps, and crash carts. The roles of nurses in operating and overseeing this equipment are also reviewed.

Trauma and Burns NMS

Genevieve Canas

This document provides information on the evaluation and treatment of trauma patients. It discusses the priorities of trauma evaluation based on the ATLS guidelines - airway, breathing, circulation, disability, and exposure. It covers mechanisms of injury including acceleration-deceleration, missile wounds, and blast injuries. Evaluation and treatment of specific injuries is outlined such as pneumothorax, hemorrhage, and spinal cord injury. The secondary survey to fully examine the patient from head to toe is also described.

Iv line insertion in children

gfalakha

This document provides information on peripheral IV insertion in pediatric patients. It discusses indications, contraindications, equipment, risks, local anesthesia techniques, tips for insertion, preferred insertion sites, difficult access considerations, intraosseous line insertion, PICCs, and care of IV lines. The goal is to safely and effectively place IV lines in children while minimizing pain and risks of complications. Proper patient positioning, site selection, anesthesia, and post-insertion care are emphasized.

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cardiac catheterization(1).pptx

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