• Interventions OPAT models considered were OP clinic model, nurse home visits, self (or carer)-administration by a bolus intravenous, self-administration by a commercially prefilled elastomeric device, continuous intravenous infusion of piperacillin with tazobactam or flucloxacillin with elastomeric device as OP once daily and, specifically for bone and joint and diabetic foot infections, complex outpatient oral antibiotic therapies. (bmj.com)
  • Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study. (ox.ac.uk)
  • Advances in PCA technology coupled with advances in vascular access technology that allow the placement of long-term ports and catheters to facilitate intravenous, epidural, or intrathecal administration of opioid analgesics have made the applicability of PCA in ambulatory cancer patients an attractive option. (druglibrary.org)
  • In many surgical procedures, it is routine to place an intravenous catheter so that if it is necessary to medicate a patient during a procedure, the catheter already is in place. (justia.com)
  • No. 4,512,766 discloses an intravenous catheter assembly with a valve located in the catheter hub made of needle-penetrable self-sealing material such as an elastomeric cap with a closed end. (justia.com)
  • An intravenous (IV) catheter was placed, and the patient received a 20-mL/kg bolus of normal saline. (medscape.com)
  • A urinary catheter was inserted at the commencement of the surgery. (hdc.org.nz)
  • Ultrasonography of the urinary tract: 1mL via intravesical bolus inj through the urinary catheter. (empr.com)
  • The SynchroMed Implantable Infusion Pumps are being recalled because of the unintended delivery of drugs during the priming bolus procedure. (asahq.org)
  • During this procedure, patients may receive the drug unintentionally at a high rate of infusion in the cerebrospinal fluid (CSF) followed by a period of reduced drug delivery after the priming bolus. (asahq.org)
  • and group FA (n = 35) was given first a bolus dose, then a continuous infusion 0.25% levobupivacain via a femoral catheter. (ox.ac.uk)
  • The greatest breakthrough in PCA technology came with the introduction of devices making it possible to choose between intermittent (demand bolus) and continuous administration (continuous infusion) or both intermittent and continuous modes. (druglibrary.org)
  • Medical access devices, particularly infusion devices, over-the-needle catheters, other catheters and feeding tubes are important tools for administration of fluids to patients. (justia.com)
  • propofol) are preferred to benzodiazepines (by either continuous infusion or bolus dosing). (who.int)
  • Patients with esophageal food boluses are also at risk of complications, such as perforation of the esophagus, and aspiration into the lungs. (wikipedia.org)
  • When considering esophageal dilation to treat a patient with food bolus obstruction, care must be made to look for features of eosinophilic esophagitis, as these patients are at a higher risk of dilation-associated complications. (wikipedia.org)
  • Food boluses are common in the course of illness in patients with esophageal cancer but are more difficult to treat as endoscopy to push the bolus is less safe. (wikipedia.org)
  • Patients with esophageal self-expandable metallic stents may present with food boluses lodged within the stent lumen. (wikipedia.org)
  • Percutaneous transcatheter treatment of patients with deep venous thrombosis (DVT) consists of thrombus removal with catheter-directed thrombolysis, mechanical thrombectomy, angioplasty, and/or stenting of venous obstructions. (medscape.com)
  • In this era of severe cost constraints, we reduced costs by making various changes, such as shortening length of stay, but we continue to use arterial and pulmonary artery catheters in most of our PVS patients. (asahq.org)
  • A total of 101 patients who underwent ablation therapy for AF were prospectively registered, and 72 patients completed the assessment with MRI 6 months after catheter ablation. (researchsquare.com)
  • Fifty-nine patients (86.8%) showed embolic microinfarctions on baseline DWI immediately after catheter ablation. (researchsquare.com)
  • In a previous study, we have reported alleviation of cognitive dysfunction after performing catheter ablation in patients with AF 13 , and observed de novo appearance of CMBs in correspondence with preexisting embolic microinfarctions. (researchsquare.com)
  • All patients were treated with a 200 µg bolus injection of nitroglycerin, 2.5 mg of verapamil, and 5,000 IU of unfractionated heparin and the diagnostic angiography was performed using 5-F catheters. (tctmd.com)
  • We report cases of three patients who received bolus ITPB (costotransverse foramen block and mid-point transverse process-to-pleura block in one and two cases, respectively) combined with continuous ESPB when a deep nerve block could not be administered. (anesth-pain-med.org)
  • Catheters between 4 F and 11 F were used depending on the age and weight of the child, using the same criteria for patients treated with citrate and heparin anticoagulation: 5 F dual-lumen catheters were used in children weighing less than 5 kg, 6.5 F dual-lumen catheters in patients between 5 and 15 kg, and 8 F to 11 F catheters in patients weighing over 15 kg. (hindawi.com)
  • There is also an increased risk in patients with indwelling intravascular catheters. (msdmanuals.com)
  • Two experienced neuroradiologists independently evaluated the NCCT to determine the SAH pattern (diffuse, perimesencephalic, or peripheral sulcal) and the catheter angiograms to assess the presence of a causative vascular lesion. (ajnr.org)
  • Brain MRI, including diffusion-weighted imaging (DWI) and susceptibility-weighted imaging (SWI), were examined at 1-3 days (baseline) and 6 months after catheter ablation. (researchsquare.com)
  • De novo CMBs frequently appeared after catheter ablation therapy. (researchsquare.com)
  • Since the seminal report by Dr. Michel Haïssaguerre, catheter-based ablation for atrial fibrillation (AF) has evolved and been highly effective for the elimination of atrial fibrillation (AF) compared to antiarrhythmic medications. (jafib.com)
  • The Sutureless Connector Intrathecal Catheter connector has been redesigned to reduce the potential for occlusion, which is the blockage or stoppage of drug flow due to misalignment at the point where the catheter connects to an implantable pump. (asahq.org)
  • Medtronic recommends the previous design of Sutureless Connector Intrathecal Catheter Products no longer be used due to greater potential for misalignment and subsequent occlusion. (asahq.org)
  • An esophageal food bolus obstruction is a medical emergency caused by the obstruction of the esophagus by an ingested foreign body. (wikipedia.org)
  • Food bolus obstruction is most commonly caused by Schatzki rings, which are mucosal rings of unknown cause in the lower esophagus. (wikipedia.org)
  • An increasingly commonly recognized cause for esophageal food bolus obstruction is eosinophilic esophagitis, which is an inflammatory disorder of the mucosa of the esophagus, of unknown cause. (wikipedia.org)
  • Rarely disorders of movement of the esophagus, such as nutcracker esophagus, can predispose to food bolus obstruction. (wikipedia.org)
  • The standard treatment of food bolus obstruction is the use of endoscopy or fibre-optic cameras inserted by mouth into the esophagus. (wikipedia.org)
  • Traditional endoscopic techniques involved the use of an overtube, a plastic tube inserted into the esophagus prior to the removal of the food bolus, in order to reduce the risk of aspiration into the lungs at the time of endoscopy. (wikipedia.org)
  • However, the "push technique", which involves insufflating air into the esophagus, and gently pushing the bolus toward the stomach instead, has emerged as a common and safe way of removing the obstruction. (wikipedia.org)
  • The food bolus is rapidly pushed toward the esophagus by the pharyngeal constrictor muscles. (nature.com)
  • Once this oropharyngeal phase has served to propel the bolus into the esophagus, the esophageal phase of deglutition takes over. (nature.com)
  • Other conditions that predispose to food bolus obstructions are esophageal webs, tracheoesophageal fistula/esophageal atresia (TOF/OA) and peptic strictures. (wikipedia.org)
  • While glucagon has been used in those with esophageal food bolus obstruction, evidence as of 2019 does not support its effectiveness, and its use may result in more side effects. (wikipedia.org)
  • Esophageal peristalsis results from sequential contraction of circular muscle, which serves to push the ingested food bolus toward the stomach. (nature.com)
  • He was placed on a solution of 0.25% bupivacaine with 3 m fentanyl/cc at a bolus dose of 3.5 cc with a 180 minute lockout time. (ispub.com)
  • The advantages of IT analgesia, especially if spinal anesthesia is already planned, include its simplicity, lack of need for catheter care or pumps, low cost, and easy supplementation with low-dose patient-controlled analgesia (PCA) narcotics as needed. (medscape.com)
  • Early rapid fluid resuscitation (boluses) in African children with severe febrileillnesses increases the 48-hour mortality by 3.3% compared with controls (nobolus). (biomedcentral.com)
  • We investigated 4 persons with JIA who died during 1994-2013, three of overwhelming central venous catheter-related bacterial sepsis caused by coagulase-negative Staphylococus or α-hemolytic Streptococcus infection and 1 of disseminated adenovirus and Epstein-Barr virus infection). (cdc.gov)
  • Intensive insulin therapy attempts to mimic a normal pancreas by using two types of insulin: long-acting (basal) insulin and rapid-acting (bolus) insulin. (mayoclinic.org)
  • The pump releases rapid-acting insulin and delivers insulin in two ways: continuously (basal) and in bursts (bolus), to cover food eaten. (mayoclinic.org)
  • however, data on catheter placement and continuous administration of local anesthetics are limited, with only a few reports on MTPB [ 9 ]. (anesth-pain-med.org)
  • During the continuous administration of local anesthetics via MTPB, fixation of the inserted catheter into this space and the stability of its effect are uncertain. (anesth-pain-med.org)
  • Continuous administration of local anesthetics through ESPB has been well studied, and catheter placement along the fascial surface is expected to provide stability. (anesth-pain-med.org)
  • If so, the catheter is advanced into the right renal vein and contrast medium is injected. (family-health-information.com)
  • When studies of the right renal vasculature are completed, the catheter is withdrawn into the vena cava, rotated, and guided into the left renal vein. (family-health-information.com)
  • If visualization of the renal venous tributaries is indicated, epinephrine can be injected into the ipsilateral renal artery by catheter before contrast medium is injected into the renal vein. (family-health-information.com)
  • 20-30 minutes) that are minimally invasive in cats with normal renal parameters (urea, creatinine, urine SG) a bolus of 10 ml/kg LRS given subcutaneously is OK. (vin.com)
  • For longer procedures, invasive procedures and animals with obvious renal disease a catheter should be placed and fluids (LRS) given IV. (vin.com)
  • After placement, in normal management of a catheter or other medical access device in a patient, it is often necessary to be able to add or withdraw fluids through the device. (justia.com)
  • RN F recorded in the TKJR Clinical Pathway that she did not remove Mr A's catheter because of her concerns about his low urine output. (hdc.org.nz)
  • 7. By 8pm, Mr A had still not passed urine since the removal of his catheter at 8am. (hdc.org.nz)
  • A small flexible tube connects the reservoir of insulin to a catheter inserted under the skin in the abdomen. (mayoclinic.org)
  • It delivers precise amounts of insulin via a small plastic catheter. (insulin-pumpers.org)
  • Generally, a second bolus was given immediately before catheter removal at 24 h after surgery. (asahq.org)
  • Medtronic recommends healthcare professionals continue using the priming bolus procedure to ensure therapy is initiated while a patient is under medical supervision. (asahq.org)
  • It then rapidly shuts to prevent retrograde passage of the bolus. (nature.com)
  • No. 5,085,645 teaches an over-the-needle catheter having an integral valve in a passage in the catheter hub. (justia.com)
  • People with food bolus obstruction typically display acute dysphagia (difficulty swallowing), often to the point that they cannot even swallow their saliva, leading to drooling. (wikipedia.org)
  • Lidocaine was injected in the catheter at 1st,3rd,7th,14th,21st day post-catheterization, methylene blue was injected in intrathecal at 30th day after operation, and the catheter location was observed. (bvsalud.org)
  • Other modalities rarely used now include removal of boluses using catheters,[unreliable medical source? (wikipedia.org)
  • An externalized catheter was appropriate due to the short length of time it would be indwelling and the ease of removal. (ispub.com)
  • After catheter removal, apply pressure to the site for 15 minutes and put on a dressing. (family-health-information.com)
  • severe acidosis or severe shock,respiratory, neurological) and predominant terminal clinical events(cardiovascular collapse, respiratory, neurological) were described by randomizedarm (bolus versus control) in 3,141 severely ill febrile children with shockenrolled in the Fluid Expansion as Supportive Therapy (FEAST) trial. (biomedcentral.com)
  • Asreasons for harm caused by boluses remained unclear, we undertook further analyses toexplore possible mechanisms and modes of death in children randomized to bolusresuscitation versus control. (biomedcentral.com)
  • The outer muscular coat, known as the muscularis propria, is involved in bolus transport and consists of an inner layer of circularly oriented muscle fibers and an outer layer of longitudinally oriented fibers. (nature.com)
  • After informed consent, the patient was taken to the OR and a DuPen catheter (Bard) placed under MAC anesthesia. (ispub.com)
  • Standard cooling devices include endovascular cooling devices with closed loop systems (heat exchange pads attached to the body surface or with heat exchange catheters introduced in a central vein) and surface cooling devices with closed loop systems ( cold fluid or cold air is circulated through blankets or pads that are wrapped around the patient). (who.int)
  • Then HPBCD will be pulsed in bolus doses into the twins' central nervous system so it can reach their brains. (addiandcassi.com)
  • Microorganisms that infect the endocardium may originate from distant infected sites (eg, cutaneous abscess, inflamed or infected gums, urinary tract infection) or have obvious portals of entry such as a central venous catheter or a drug injection site. (msdmanuals.com)
  • In an emergency room setting, someone with food bolus obstruction may be observed for a period to see if the food bolus passes spontaneously. (wikipedia.org)
  • Endoscopes can be used to diagnose the cause of the food bolus obstruction, as well as to remove the obstruction. (wikipedia.org)
  • The initial phase is voluntary when food is chewed, mixed with saliva and formed into a bolus before being pushed to the posterior pharynx by the tongue. (nature.com)
  • The UES opens almost immediately upon activation of the deglutition reflex, allowing the food bolus to pass through. (nature.com)
  • The main disadvantages of this technique are limited duration of action (in comparison to catheter techniques) and the adverse effects discussed above. (medscape.com)
  • The attentiveness is important, in part because if the catheter is dislodged, it must be attended to immediately. (insulin-pumpers.org)
  • Insert the catheter into the G-tube. (medlineplus.gov)
  • This was followed by atropine via the ET tube and an intraosseous NS bolus. (hawaii.edu)
  • The infraclavicular block has several advantages that make it a preferable approach to brachial plexus blockade: comprehensive upper extremity anesthesia, lower incidence of tourniquet pain and preferable site for catheter insertion. (asra.com)
  • Obstructing the artery briefly with a balloon catheter produces the same effect. (family-health-information.com)
  • We explored the effect of boluses on 48-hour all-cause mortality byclinical presentation at enrolment, hemodynamic changes over the first hour, andon different modes of death, according to terminal clinical events. (biomedcentral.com)
  • A test bolus of contrast medium is injected to determine that the vena cava is patent. (family-health-information.com)
  • The patent discloses a valve adapter that is an integral part of a catheter hub. (justia.com)
  • The catheter-engaged left main coronary artery shows an 80% distal lesion prior to the bifurcation of the left anterior descending and circumflex coronary arteries. (ispub.com)
  • Left lower extremity angiogram was then performed using digital subtraction followed by bolus chase. (aapc.com)
  • We use CCO swans where I work and it's policy to do one bolus round per shift to see if the numbers are close. (allnurses.com)
  • In a recent study of children with a mean age of 34 months, bolus dosing ranged from 0.1 to 0.4 units per 15 grams of carbohydrate. (insulin-pumpers.org)
  • The microinjection cock is reliable and convenient for repeat injection with a perfect protection function of the external portion of catheter, meanwhile it has no impact on rats' autonomous behavior so that it is worthy of further promoting. (bvsalud.org)
  • Mortality wasgreatest among children fulfilling criteria for all three PS (28% bolus, 21%control) and lowest for lone respiratory (2% bolus, 5% control) or neurological(3% bolus, 0% control) presentations. (biomedcentral.com)
  • Excess mortality from boluses occurred in all subgroups of children. (biomedcentral.com)
  • Success rates with catheter-directed thrombolytics vary depending on the age of the thrombus and its proximity to the inferior vena cava. (medscape.com)
  • The lower circulating drug levels are the suggested mechanism for the lower incidence of systemic and, in particular, intracranial hemorrhagic complications reported with catheter-directed thrombolysis. (medscape.com)
  • Perhaps the simplest technique is to observe the transport of a swallowed barium bolus using videofluoroscopy ( Video 1 ). (nature.com)
  • Concurrently, there is activation of muscles that lift the palate and close off and elevate the larynx in order to prevent misdirection of the bolus into the nasopharynx and larynx, respectively. (nature.com)
  • His catheter was placed at a T1-2 position and confirmed by radiographic means. (ispub.com)