Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.
Passage of a CATHETER into the URINARY BLADDER or kidney.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.
Placement of an intravenous CATHETER in the subclavian, jugular, or other central vein.
Insertion of a catheter into the urethra to drain the urine from the bladder at intervals as needed.
Placement of a balloon-tipped catheter into the pulmonary artery through the antecubital, subclavian, and sometimes the femoral vein. It is used to measure pulmonary artery pressure and pulmonary artery wedge pressure which reflects left atrial pressure and left ventricular end-diastolic pressure. The catheter is threaded into the right atrium, the balloon is inflated and the catheter follows the blood flow through the tricuspid valve into the right ventricle and out into the pulmonary artery.
Inability to empty the URINARY BLADDER with voiding (URINATION).
The continuation of the axillary vein which follows the subclavian artery and then joins the internal jugular vein to form the brachiocephalic vein.
The blood pressure as recorded after wedging a CATHETER in a small PULMONARY ARTERY; believed to reflect the PRESSURE in the pulmonary CAPILLARIES.
Catheters designed to be left within an organ or passage for an extended period of time.
Dysfunction of the URINARY BLADDER due to disease of the central or peripheral nervous system pathways involved in the control of URINATION. This is often associated with SPINAL CORD DISEASES, but may also be caused by BRAIN DISEASES or PERIPHERAL NERVE DISEASES.
Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.
Techniques for controlling bleeding.
Radiography of the vascular system of the heart muscle after injection of a contrast medium.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
Incision of tissues for injection of medication or for other diagnostic or therapeutic procedures. Punctures of the skin, for example may be used for diagnostic drainage; of blood vessels for diagnostic imaging procedures.
The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.
The main artery of the thigh, a continuation of the external iliac artery.
Measurement of intracardiac blood flow using an M-mode and/or two-dimensional (2-D) echocardiogram while simultaneously recording the spectrum of the audible Doppler signal (e.g., velocity, direction, amplitude, intensity, timing) reflected from the moving column of red blood cells.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
The vein accompanying the femoral artery in the same sheath; it is a continuation of the popliteal vein and becomes the external iliac vein.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Elements of limited time intervals, contributing to particular results or situations.
Radiography of the heart and great vessels after injection of a contrast medium.
The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.
Inflammatory responses of the epithelium of the URINARY TRACT to microbial invasions. They are often bacterial infections with associated BACTERIURIA and PYURIA.
Motion pictures of the passage of contrast medium through blood vessels.
Production of an image when x-rays strike a fluorescent screen.
Surgical creation of an opening (stoma) in the URINARY BLADDER for drainage.
Developmental abnormalities in any portion of the VENTRICULAR SEPTUM resulting in abnormal communications between the two lower chambers of the heart. Classification of ventricular septal defects is based on location of the communication, such as perimembranous, inlet, outlet (infundibular), central muscular, marginal muscular, or apical muscular defect.
Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
The pathologic narrowing of the orifice of the PULMONARY VALVE. This lesion restricts blood outflow from the RIGHT VENTRICLE to the PULMONARY ARTERY. When the trileaflet valve is fused into an imperforate membrane, the blockage is complete.
Radiography of blood vessels after injection of a contrast medium.
A flexible, tubular device that is used to carry fluids into or from a blood vessel, hollow organ, or body cavity.
This structure includes the thin muscular atrial septum between the two HEART ATRIA, and the thick muscular ventricular septum between the two HEART VENTRICLES.
Diagnostic and therapeutic procedures that are invasive or surgical in nature, and require the expertise of a specially trained radiologist. In general, they are more invasive than diagnostic imaging but less invasive than major surgery. They often involve catheterization, fluoroscopy, or computed tomography. Some examples include percutaneous transhepatic cholangiography, percutaneous transthoracic biopsy, balloon angioplasty, and arterial embolization.
Developmental abnormalities in any portion of the ATRIAL SEPTUM resulting in abnormal communications between the two upper chambers of the heart. Classification of atrial septal defects is based on location of the communication and types of incomplete fusion of atrial septa with the ENDOCARDIAL CUSHIONS in the fetal heart. They include ostium primum, ostium secundum, sinus venosus, and coronary sinus defects.
Inflammation of the PERICARDIUM that is characterized by the fibrous scarring and adhesion of both serous layers, the VISCERAL PERICARDIUM and the PARIETAL PERICARDIUM leading to the loss of pericardial cavity. The thickened pericardium severely restricts cardiac filling. Clinical signs include FATIGUE, muscle wasting, and WEIGHT LOSS.
Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.
The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat).
A pathological constriction that can occur above (supravalvular stenosis), below (subvalvular stenosis), or at the AORTIC VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA.
Pathological processes involving the URETHRA.
The circulation of the BLOOD through the LUNGS.
The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation.
Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.
An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.
The hemodynamic and electrophysiological action of the left HEART VENTRICLE. Its measurement is an important aspect of the clinical evaluation of patients with heart disease to determine the effects of the disease on cardiac performance.
The pressure within a CARDIAC VENTRICLE. Ventricular pressure waveforms can be measured in the beating heart by catheterization or estimated using imaging techniques (e.g., DOPPLER ECHOCARDIOGRAPHY). The information is useful in evaluating the function of the MYOCARDIUM; CARDIAC VALVES; and PERICARDIUM, particularly with simultaneous measurement of other (e.g., aortic or atrial) pressures.
Catheters inserted into the URINARY BLADDER or kidney for therapeutic or diagnostic purposes.
Pathological conditions involving the HEART including its structural and functional abnormalities.
Surgery performed on the heart.
The amount of BLOOD pumped out of the HEART per beat, not to be confused with cardiac output (volume/time). It is calculated as the difference between the end-diastolic volume and the end-systolic volume.
The study of the heart, its physiology, and its functions.
An infant during the first month after birth.
Institutions specializing in the care of patients with heart disorders.
The force that opposes the flow of BLOOD through a vascular bed. It is equal to the difference in BLOOD PRESSURE across the vascular bed divided by the CARDIAC OUTPUT.
Controlled physical activity which is performed in order to allow assessment of physiological functions, particularly cardiovascular and pulmonary, but also aerobic capacity. Maximal (most intense) exercise is usually required but submaximal exercise is also used.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
Radiography of the uterus and fallopian tubes after the injection of a contrast medium.
The restoration of blood supply to the myocardium. (From Dorland, 28th ed)
Not an aneurysm but a well-defined collection of blood and CONNECTIVE TISSUE outside the wall of a blood vessel or the heart. It is the containment of a ruptured blood vessel or heart, such as sealing a rupture of the left ventricle. False aneurysm is formed by organized THROMBUS and HEMATOMA in surrounding tissue.
A tube that transports URINE from the URINARY BLADDER to the outside of the body in both the sexes. It also has a reproductive function in the male by providing a passage for SPERM.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
The thin membrane-like muscular structure separating the right and the left upper chambers (HEART ATRIA) of a heart.
Substances used to allow enhanced visualization of tissues.
Hemorrhage within the pleural cavity.
Narrowing of the passage through the MITRAL VALVE due to FIBROSIS, and CALCINOSIS in the leaflets and chordal areas. This elevates the left atrial pressure which, in turn, raises pulmonary venous and capillary pressure leading to bouts of DYSPNEA and TACHYCARDIA during physical exertion. RHEUMATIC FEVER is its primary cause.
The venous trunk which returns blood from the head, neck, upper extremities and chest.
Diversion of the flow of blood from the entrance to the right atrium directly to the pulmonary arteries, avoiding the right atrium and right ventricle (Dorland, 28th ed). This a permanent procedure often performed to bypass a congenitally deformed right atrium or right ventricle.
A certificate issued by a governmental body to an individual or organization proposing to construct or modify a health facility, or to offer a new or different service. The process of issuing the certificate is also included.
Subspecialty of radiology that combines organ system radiography, catheter techniques and sectional imaging.
The veins that return the oxygenated blood from the lungs to the left atrium of the heart.
Blocking of a blood vessel by CHOLESTEROL-rich atheromatous deposits, generally occurring in the flow from a large artery to small arterial branches. It is also called arterial-arterial embolization or atheroembolism which may be spontaneous or iatrogenic. Patients with spontaneous atheroembolism often have painful, cyanotic digits of acute onset.
A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.
Pathological processes of the URINARY BLADDER.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
The valve between the left atrium and left ventricle of the heart.
A procedure in which total right atrial or total caval blood flow is channeled directly into the pulmonary artery or into a small right ventricle that serves only as a conduit. The principal congenital malformations for which this operation is useful are TRICUSPID ATRESIA and single ventricle with pulmonary stenosis.
The veins and arteries of the HEART.
An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.
Bleeding or escape of blood from a vessel.
The circulation of blood through the CORONARY VESSELS of the HEART.
Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available.
An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.
Methods of creating machines and devices.
The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.
A congenital heart defect characterized by the narrowing or complete absence of the opening between the RIGHT VENTRICLE and the PULMONARY ARTERY. Lacking a normal PULMONARY VALVE, unoxygenated blood in the right ventricle can not be effectively pumped into the lung for oxygenation. Clinical features include rapid breathing, CYANOSIS, right ventricle atrophy, and abnormal heart sounds (HEART MURMURS).
A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.
Malformations of CORONARY VESSELS, either arteries or veins. Included are anomalous origins of coronary arteries; ARTERIOVENOUS FISTULA; CORONARY ANEURYSM; MYOCARDIAL BRIDGING; and others.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
A congenital heart defect characterized by the persistent opening of fetal DUCTUS ARTERIOSUS that connects the PULMONARY ARTERY to the descending aorta (AORTA, DESCENDING) allowing unoxygenated blood to bypass the lung and flow to the PLACENTA. Normally, the ductus is closed shortly after birth.
A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.
The chambers of the heart, to which the BLOOD returns from the circulation.
Infections resulting from the use of catheters. Proper aseptic technique, site of catheter placement, material composition, and virulence of the organism are all factors that can influence possible infection.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
The hollow, muscular organ that maintains the circulation of the blood.
A birth defect characterized by the narrowing of the AORTA that can be of varying degree and at any point from the transverse arch to the iliac bifurcation. Aortic coarctation causes arterial HYPERTENSION before the point of narrowing and arterial HYPOTENSION beyond the narrowed portion.
Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g., WOUNDS, GUNSHOT; WHIPLASH INJURIES; etc.).
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
A condition in which the LEFT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE; MYOCARDIAL INFARCTION; and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the left ventricular wall.
A form of CARDIAC MUSCLE disease in which the ventricular walls are excessively rigid, impeding ventricular filling. It is marked by reduced diastolic volume of either or both ventricles but normal or nearly normal systolic function. It may be idiopathic or associated with other diseases (ENDOMYOCARDIAL FIBROSIS or AMYLOIDOSIS) causing interstitial fibrosis.
Sudden ISCHEMIA in the RETINA due to blocked blood flow through the CENTRAL RETINAL ARTERY or its branches leading to sudden complete or partial loss of vision, respectively, in the eye.
The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.
Veins which drain the liver.
A province of western Canada, lying between the provinces of British Columbia and Saskatchewan. Its capital is Edmonton. It was named in honor of Princess Louise Caroline Alberta, the fourth daughter of Queen Victoria. (From Webster's New Geographical Dictionary, 1988, p26 & Room, Brewer's Dictionary of Names, 1992, p12)
A topical anti-infective agent effective against gram-negative and gram-positive bacteria. It is used for superficial WOUNDS AND INJURIES and skin infections. Nitrofurazone has also been administered orally in the treatment of TRYPANOSOMIASIS.
Abnormalities in the process of URINE voiding, including bladder control, frequency of URINATION, as well as the volume and composition of URINE.
A combination of congenital heart defects consisting of four key features including VENTRICULAR SEPTAL DEFECTS; PULMONARY STENOSIS; RIGHT VENTRICULAR HYPERTROPHY; and a dextro-positioned AORTA. In this condition, blood from both ventricles (oxygen-rich and oxygen-poor) is pumped into the body often causing CYANOSIS.
The vessels carrying blood away from the capillary beds.
Formation and development of a thrombus or blood clot in the blood vessel.
Post-systolic relaxation of the HEART, especially the HEART VENTRICLES.
A family of percutaneous techniques that are used to manage CORONARY OCCLUSION, including standard balloon angioplasty (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY), the placement of intracoronary STENTS, and atheroablative technologies (e.g., ATHERECTOMY; ENDARTERECTOMY; THROMBECTOMY; PERCUTANEOUS TRANSLUMINAL LASER ANGIOPLASTY). PTCA was the dominant form of PCI, before the widespread use of stenting.
The hemodynamic and electrophysiological action of the right HEART VENTRICLE.
The mechanical laws of fluid dynamics as they apply to urine transport.
Procedure to accelerate the ability of a patient to walk or move about by reducing the time to AMBULATION. It is characterized by a shorter period of hospitalization or recumbency than is normally practiced.
Pathological conditions involving any of the various HEART VALVES and the associated structures (PAPILLARY MUSCLES and CHORDAE TENDINEAE).
A form of CARDIAC MUSCLE disease, characterized by left and/or right ventricular hypertrophy (HYPERTROPHY, LEFT VENTRICULAR; HYPERTROPHY, RIGHT VENTRICULAR), frequent asymmetrical involvement of the HEART SEPTUM, and normal or reduced left ventricular volume. Risk factors include HYPERTENSION; AORTIC STENOSIS; and gene MUTATION; (FAMILIAL HYPERTROPHIC CARDIOMYOPATHY).
A musculomembranous sac along the URINARY TRACT. URINE flows from the KIDNEYS into the bladder via the ureters (URETER), and is held there until URINATION.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.
The time required by whole blood to produce a visible clot.
Failure of equipment to perform to standard. The failure may be due to defects or improper use.
Discharge of URINE, liquid waste processed by the KIDNEY, from the body.
A bluish or purplish discoloration of the skin and mucous membranes due to an increase in the amount of deoxygenated hemoglobin in the blood or a structural defect in the hemoglobin molecule.
A condition that is caused by recurring atheroembolism in the lower extremities. It is characterized by cyanotic discoloration of the toes, usually the first, fourth, and fifth toes. Discoloration may extend to the lateral aspect of the foot. Despite the gangrene-like appearance, blue toes may respond to conservative therapy without amputation.
Single-chain polypeptides of about 65 amino acids (7 kDa) from LEECHES that have a neutral hydrophobic N terminus, an acidic hydrophilic C terminus, and a compact, hydrophobic core region. Recombinant hirudins lack tyr-63 sulfation and are referred to as 'desulfato-hirudins'. They form a stable non-covalent complex with ALPHA-THROMBIN, thereby abolishing its ability to cleave FIBRINOGEN.
An abnormal anatomical passage that connects the VAGINA to other organs, such as the bladder (VESICOVAGINAL FISTULA) or the rectum (RECTOVAGINAL FISTULA).
A valve situated at the entrance to the pulmonary trunk from the right ventricle.
Extravasation of blood into the skin, resulting in a nonelevated, rounded or irregular, blue or purplish patch, larger than a petechia.
Drugs used to cause dilation of the blood vessels.
The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.
Blocking of a blood vessel in the SKULL by an EMBOLUS which can be a blood clot (THROMBUS) or other undissolved material in the blood stream. Most emboli are of cardiac origin and are associated with HEART DISEASES. Other non-cardiac sources of emboli are usually associated with VASCULAR DISEASES.
Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.
The transmission of messages to staff and patients within a hospital.
Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.
Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.
The condition of an anatomical structure's being constricted beyond normal dimensions.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
Large veins on either side of the root of the neck formed by the junction of the internal jugular and subclavian veins. They drain blood from the head, neck, and upper extremities, and unite to form the superior vena cava.
Backflow of blood from the LEFT VENTRICLE into the LEFT ATRIUM due to imperfect closure of the MITRAL VALVE. This can lead to mitral valve regurgitation.
A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.
A condition in which the RIGHT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE or MYOCARDIAL INFARCTION, and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the right ventricular wall.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
Partial or complete blockage in any part of the URETHRA that can lead to difficulty or inability to empty the URINARY BLADDER. It is characterized by an enlarged, often damaged, bladder with frequent urges to void.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
The presence of bacteria in the urine which is normally bacteria-free. These bacteria are from the URINARY TRACT and are not contaminants of the surrounding tissues. Bacteriuria can be symptomatic or asymptomatic. Significant bacteriuria is an indicator of urinary tract infection.
Pathological process resulting in the fibrous obstruction of the small- and medium-sized PULMONARY VEINS and PULMONARY HYPERTENSION. Veno-occlusion can arise from fibrous proliferation of the VASCULAR INTIMA and VASCULAR MEDIA; THROMBOSIS; or a combination of both.
A highly acidic mucopolysaccharide formed of equal parts of sulfated D-glucosamine and D-glucuronic acid with sulfaminic bridges. The molecular weight ranges from six to twenty thousand. Heparin occurs in and is obtained from liver, lung, mast cells, etc., of vertebrates. Its function is unknown, but it is used to prevent blood clotting in vivo and vitro, in the form of many different salts.
Injuries to blood vessels caused by laceration, contusion, puncture, or crush and other types of injuries. Symptoms vary by site and mode of injuries and may include bleeding, bruising, swelling, pain, and numbness. It does not include injuries secondary to pathologic function or diseases such as ATHEROSCLEROSIS.
Endoscopes for viewing the embryo, fetus and amniotic cavity.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
Blocking of a blood vessel by an embolus which can be a blood clot or other undissolved material in the blood stream.
Delivery of drugs into an artery.
A congenital cardiovascular malformation in which the AORTA arises entirely from the RIGHT VENTRICLE, and the PULMONARY ARTERY arises from the LEFT VENTRICLE. Consequently, the pulmonary and the systemic circulations are parallel and not sequential, so that the venous return from the peripheral circulation is re-circulated by the right ventricle via aorta to the systemic circulation without being oxygenated in the lungs. This is a potentially lethal form of heart disease in newborns and infants.
Measurement of blood flow based on induction at one point of the circulation of a known change in the intravascular heat content of flowing blood and detection of the resultant change in temperature at a point downstream.
Pathological condition characterized by the backflow of blood from the ASCENDING AORTA back into the LEFT VENTRICLE, leading to regurgitation. It is caused by diseases of the AORTIC VALVE or its surrounding tissue (aortic root).
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Procedure in which an anesthetic is injected into the epidural space.
Occlusion of the outflow tract in either the LEFT VENTRICLE or the RIGHT VENTRICLE of the heart. This may result from CONGENITAL HEART DEFECTS, predisposing heart diseases, complications of surgery, or HEART NEOPLASMS.
Non-invasive method of vascular imaging and determination of internal anatomy without injection of contrast media or radiation exposure. The technique is used especially in CEREBRAL ANGIOGRAPHY as well as for studies of other vascular structures.
Material, usually gauze or absorbent cotton, used to cover and protect wounds, to seal them from contact with air or bacteria. (From Dorland, 27th ed)
Echocardiography applying the Doppler effect, with the superposition of flow information as colors on a gray scale in a real-time image.
The symptom of paroxysmal pain consequent to MYOCARDIAL ISCHEMIA usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the MYOCARDIUM exceed that supplied by the CORONARY CIRCULATION.
Use of infusions of FIBRINOLYTIC AGENTS to destroy or dissolve thrombi in blood vessels or bypass grafts.
The larger of the two terminal branches of the brachial artery, beginning about one centimeter distal to the bend of the elbow. Like the RADIAL ARTERY, its branches may be divided into three groups corresponding to their locations in the forearm, wrist, and hand.
The blood pressure in the central large VEINS of the body. It is distinguished from peripheral venous pressure which occurs in an extremity.
An ergot alkaloid (ERGOT ALKALOIDS) with uterine and VASCULAR SMOOTH MUSCLE contractile properties.
The course of learning of an individual or a group. It is a measure of performance plotted over time.
Use of a balloon CATHETER to block the flow of blood through an artery or vein.
An accumulation of air or gas in the PLEURAL CAVITY, which may occur spontaneously or as a result of trauma or a pathological process. The gas may also be introduced deliberately during PNEUMOTHORAX, ARTIFICIAL.
Low-molecular-weight fragment of heparin, having a 4-enopyranosuronate sodium structure at the non-reducing end of the chain. It is prepared by depolymerization of the benzylic ester of porcine mucosal heparin. Therapeutically, it is used as an antithrombotic agent. (From Merck Index, 11th ed)
Space between the dura mater and the walls of the vertebral canal.
Fibrinolysin or agents that convert plasminogen to FIBRINOLYSIN.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Unstable isotopes of thallium that decay or disintegrate emitting radiation. Tl atoms with atomic weights 198-202, 204, and 206-210 are thallium radioisotopes.
Examinations used to diagnose and treat heart conditions.
The duct which coveys URINE from the pelvis of the KIDNEY through the URETERS, BLADDER, and URETHRA.
A pathological constriction occurring in the region below the AORTIC VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA.
Transducers that are activated by pressure changes, e.g., blood pressure.
Catheters inserted into various locations within the heart for diagnostic or therapeutic purposes.
A type of imaging technique used primarily in the field of cardiology. By coordinating the fast gradient-echo MRI sequence with retrospective ECG-gating, numerous short time frames evenly spaced in the cardiac cycle are produced. These images are laced together in a cinematic display so that wall motion of the ventricles, valve motion, and blood flow patterns in the heart and great vessels can be visualized.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Minimally invasive procedures guided with the aid of magnetic resonance imaging to visualize tissue structures.
Hospital facilities equipped to carry out investigative procedures.
The hospital unit in which patients with acute cardiac disorders receive intensive care.
Diseases involving the FALLOPIAN TUBES including neoplasms (FALLOPIAN TUBE NEOPLASMS); SALPINGITIS; tubo-ovarian abscess; and blockage.
General or unspecified injuries to the heart.
Enlargement of the RIGHT VENTRICLE of the heart. This increase in ventricular mass is often attributed to PULMONARY HYPERTENSION and is a contributor to cardiovascular morbidity and mortality.

Central venous catheter exchange by guidewire for treatment of catheter-related bacteraemia in patients undergoing BMT or intensive chemotherapy. (1/1115)

Current guidelines for the treatment of catheter-related bacteraemia (CRB) advise against central venous catheter (CVC) exchange because of the potential risk of prolonging infection. However, there are no consistent data proving this recommendation. We evaluated prospectively the usefulness of CVC exchange by guidewire for the treatment of CRB in patients undergoing BMT or intensive chemotherapy. CVC exchange was considered when fever and positive blood cultures persisted after 2 days of adequate antimicrobial therapy and no potential source of bacteraemia other than CVC could be identified. The guidewire exchange was preceded and followed by a slow infusion of adequate antimicrobial therapy. Bacteraemia was confirmed as catheter-related by demonstrating concordance between isolates from the tip and blood cultures by pulsed-field electrophoresis of genomic DNA. This procedure was performed in 19 episodes of bacteraemia during a 1-year period. Fourteen episodes (74%) were catheter-related and 71% of these were due to coagulase-negative staphylococci. Guidewire replacement was accomplished uneventfully 4 days after development of sepsis (range 3-6). In all cases, clinical signs of sepsis disappeared in less than 24 h after replacement. Definitive catheter withdrawal was carried out a median of 16 days (range 3-42) after guidewire exchange; in all cases, the tip culture was negative. We conclude that CVC replacement by guidewire under adequate antimicrobial therapy may be a reasonable option for the treatment of CRB when antimicrobial therapy alone has been unsuccessful.  (+info)

Right atrial bypass grafting for central venous obstruction associated with dialysis access: another treatment option. (2/1115)

PURPOSE: Central venous obstruction is a common problem in patients with chronic renal failure who undergo maintenance hemodialysis. We studied the use of right atrial bypass grafting in nine cases of central venous obstruction associated with upper extremity venous hypertension. To better understand the options for managing this condition, we discuss the roles of surgery and percutaneous transluminal angioplasty with stent placement. METHODS: All patients had previously undergone placement of bilateral temporary subclavian vein dialysis catheters. Severe arm swelling, graft thrombosis, or graft malfunction developed because of central venous stenosis or obstruction in the absence of alternative access sites. A large-diameter (10 to 16 mm) externally reinforced polytetrafluoroethylene (GoreTex) graft was used to bypass the obstructed vein and was anastomosed to the right atrial appendage. This technique was used to bypass six lesions in the subclavian vein, two lesions at the innominate vein/superior vena caval junction, and one lesion in the distal axillary vein. RESULTS: All patients except one had significant resolution of symptoms without operative mortality. Bypass grafts remained patent, allowing the arteriovenous grafts to provide functional access for 1.5 to 52 months (mean, 15.4 months) after surgery. CONCLUSION: Because no mortality directly resulted from the procedure and the morbidity rate was acceptable, this bypass grafting technique was adequate in maintaining the dialysis access needed by these patients. Because of the magnitude of the procedure, we recommend it only for the occasional patient in whom all other access sites are exhausted and in whom percutaneous dilation and/or stenting has failed.  (+info)

Evidence for nasal carriage of methicillin-resistant staphylococci colonizing intravascular devices. (3/1115)

Nasal surveillance cultures were performed for 54 patients exhibiting >/=10(3) CFU of methicillin-resistant coagulase-negative staphylococci per ml in central venous catheter (CVC) rinse cultures over a 6-month period. Forty-two of the nasal cultures yielded growth of methicillin-resistant coagulase-negative staphylococci, and 33 of the 42 cultures contained organisms that belonged to the same species as the CVC isolates. Of the 33 same-species isolates, 20 appeared to be identical strains by pulsed-field gel electrophoresis analysis. These data suggest that measures should be taken to reduce cross-contamination between the respiratory tract and intravascular devices. However, the potential interest in detecting methicillin-resistant coagulase-negative staphylococcus carriage in high-risk patients is hampered by the lack of sensitivity of nasal surveillance cultures.  (+info)

Central line sepsis in a child due to a previously unidentified mycobacterium. (4/1115)

A rapidly growing mycobacterium similar to strains in the present Mycobacterium fortuitum complex (M. fortuitum, M. peregrinum, and M. fortuitum third biovariant complex [sorbitol positive and sorbitol negative]) was isolated from a surgically placed central venous catheter tip and three cultures of blood from a 2-year-old child diagnosed with metastatic hepatoblastoma. The organism's unique phenotypic profile and ribotype patterns differed from those of the type and reference strains of the M. fortuitum complex and indicate that this organism may represent a new pathogenic taxon.  (+info)

Bloodstream infections can develop late (after day 100) and/or in the absence of neutropenia in children receiving allogeneic bone marrow transplantation. (5/1115)

We retrospectively evaluated the incidence and time from transplantation of bloodstream infections occurring in children receiving bone marrow transplant (BMT) at G Gaslini Children's Hospital between September 1984 and December 1997. During this period the incidence was 35% after allogeneic and 26% after autologous BMT (P=0.08). Among these episodes, 38% after allogeneic BMT and 90% after autologous BMT were detected in the presence of neutropenia within the first 30 days from reinfusion (P < 0.001). Incidence of catheter-related bloodstream infections was 40% after allogeneic and 8% after autologous BMT (P < 0.001). Bloodstream infections in the absence of neutropenia were 55% after allogeneic BMT vs 10% after autologous BMT (P < 0.001) and occurred later after reinfusion (mean 199 vs 41 days, P <0.001). Among the episodes occurring after allogeneic BMT and in the absence of neutropenia, 61% were related to the presence of a central venous catheter, 15% were related to the presence of GVHD, but 23% were not associated with any of major risk factors for infection. Finally, 38% of episodes following allogeneic BMT were detected after day 100 vs 1% after autologous BMT. We concluded that patients receiving allogeneic BMT experience a high incidence of bloodstream infections in the absence of neutropenia and that a significant proportion of these episodes is not clearly associated with well known risk factors such as GVHD or central venous catheters. Moreover, many episodes develop a long time after the transplantation procedure. Therefore, any febrile episode following allogeneic BMT even late and/or in the absence of neutropenia should be intensively managed.  (+info)

Short-term continuous infusion thrombolytic therapy for occluded central nervous venous dialysis catheters. (6/1115)

The necessity of maintaining a strict schedule of dialysis treatments in patients with chronic renal failure dictates that occluded access catheters be restored to full function in a timely and cost-effective manner. The records of 22 consecutive patients receiving outpatient treatment for occluded hemodialysis catheters at Osteopathic Medical Center of Texas were reviewed by the authors. Each patient had 100,000 units of urokinase in 50 ml normal saline instilled over 30 minutes through the occluded catheter. In most instances the dose was divided to allow 35 ml to the proximal port and 15 ml to the distal port. The maximum sustained blood flow rate on dialysis was recorded for each patient. The mean maximum sustained blood flow rate improved from 150 ml/min +/- 79 ml to 261 ml/min +/- 62 ml. Following infusion, improvement was obtained in 19 of 22 patients, with 14 catheters delivering blood flow greater than 250 ml/min. The total cost per treatment was $316. No adverse events were experienced. Thrombotic occlusion of extended use hemodialysis catheters can be rapidly and safely relieved in a cost-effective manner with little delay in scheduled dialysis treatments.  (+info)

Defibrillation-guided radiofrequency ablation of atrial fibrillation secondary to an atrial focus. (7/1115)

OBJECTIVES: Our aim was to evaluate a potential focal source of atrial fibrillation (AF) by unmasking spontaneous early reinitiation of AF after transvenous atrial defibrillation (TADF), and to describe a method of using repeated TADF to map and ablate the focus. BACKGROUND: Atrial fibrillation may develop secondary to a rapidly discharging atrial focus that the atria cannot follow synchronously, with suppression of the focus once AF establishes. Focus mapping and radiofrequency (RF) ablation may be curative but is limited if the patient is in AF or if the focus is quiescent. Early reinitiation of AF has been observed following defibrillation, which might have a focal mechanism. METHODS: We performed TADF in patients with drug-refractory lone AF using electrodes in the right atrium (RA) and the coronary sinus. When reproducible early reinitiation of AF within 2 min after TADF was observed that exhibited a potential focal mechanism, both mapping and RF ablation were performed to suppress AF reinitiation. Clinical and ambulatory ECG monitoring was used to assess AF recurrence. RESULTS: A total of 44 lone AF patients (40 men, 4 women; 32 persistent, 12 paroxysmal AF) with a mean age of 58+/-13 years underwent TADF. Sixteen patients had early reinitiation of AF after TADF, nine (20%; 5 paroxysmal) exhibited a pattern of focal reinitiation. Earliest atrial activation was mapped to the right superior (n = 4) and the left superior (n = 3) pulmonary vein, just inside the orifice, in the seven patients who underwent further study. At the onset of AF reinitiation, the site of earliest activation was 86+/-38 ms ahead of the RA reference electrogram. The atrial activities from this site were fragmented and exhibited progressive cycle-length shortening with decremental conduction to the rest of the atrium until AF reinitiated. Radiofrequency ablation at the earliest activation site resulted in suppression of AF reinitiation despite pace-inducibility. Improved clinical outcome was observed over 8+/-4 months' follow-up. CONCLUSIONS: Transvenous atrial defibrillation can help to unmask, map, and ablate a potential atrial focus in patients with paroxysmal and persistent AF. A consistent atrial focus is the cause of early reinitiation of AF in 20% of patients with lone AF, and these patients may benefit from this technique.  (+info)

Image-guided central venous catheters for apheresis. (8/1115)

Apheresis is an increasingly important procedure in the treatment of a variety of conditions, sometimes performed via peripheral access because of concern over major complications associated with central venous catheter (CVC) placement. This study sought to determine the safety and success for ultrasound and fluoroscopically guided, non-tunneled dual lumen CVCs placed for apheresis. Prospective data collection was made of 200 attempted CVC placements in the radiology department utilizing real time sonographic guidance. The complications relating to placement were noted in all and the number of passes required for venepuncture and whether a single wall puncture was achieved was recorded in 185 cases. Duration of catheterization and reason for line removal were recorded in all. Our study group included 71 donors providing peripheral blood stem cells for allogeneic transplant. CVCs were successfully placed in all patients, 191 lines in the internal jugular and seven in the femoral vein. 86.5% required only a single pass and 80.5% with only anterior wall puncture. Inadvertent but clinically insignificant arterial puncture occurred in six (3%) cases. In no case did this prevent line placement. There were no other procedure-related complications. 173 (87.4%) catheters were removed the same day. No catheters were removed prematurely. There was one case of prolonged venous bleeding. Our study demonstrates the safety of central venous catheters for apheresis provided that duration of catheterization is short and real-time sonographic guidance is used for the puncture, and guide wire and catheter placement are confirmed fluoroscopically.  (+info)

TY - JOUR. T1 - Advances in the Diagnosis and Management of Central Venous Access Device Infections in Children. AU - Bowan, Asha. AU - Carapetis, Jonathan. PY - 2011. Y1 - 2011. N2 - Infection is a well-known complication of central venous access device (CVAD) use, with an incidence of 3-6 bloodstream infections per 1,000 catheter days in children. Prevention of CVAD infections has improved with new strategies including the use of chlorhexidine antisepsis, bundles, maximal sterile barriers for insertion, prophylactic locks, antibiotic impregnated catheters and tunnelling of long-term devices. Despite these strategies, catheter-related bloodstream infections (CRBSIs) continue to be an important health problem. New approaches to diagnosis include differential time to positivity and quantification of blood cultures and molecular diagnostics. The management of CRBSIs includes techniques for line salvage including ethanol, antibiotic, hydrochloric acid, taurolidine and urokinase locks. When these ...
New article on the reduction in CR-BSI with antimicrobial PICC - am systematic review and meta-analysis from the American Journal of Infection Control Are antimicrobial peripherally inserted central catheters associated with reduction in central line-associated bloodstream infection? A systematic review and meta-analysis #vascularaccess #FOAMva #FOAMcc #FOAMped #FOAMems #infectionprevention #patientsafety
Bacterial colonisation of central venous access devices (CVADs) is a major cause of morbidity and potential cause of mortality in children receiving cancer chemotherapy. Catheter related bacterial infections can occur in the form of exit site infection (erythema, tenderness or swelling with positive skin swab), tunnel infection (erythematous tracking along the catheter path), colonisation of the line (positive blood culture from CVAD or fever/rigor with line flush, peripheral venous cultures sterile) or true catheter related bacteraemia (bacterial isolation from central and peripheral blood cultures)(Bishop). Device removal is frequently advised to manage the infection. However, it can result in significant morbidity, which includes the need for general anaesthesia during removal and reinsertion of a new line, and delay in chemotherapy. Particular problems arise with recurrent infections following CVAD colonisation. These concerns prompted early researchers to try alternative measures using ...
Diffusion-weighted magnetic resonance imaging disclosed multiple cortical hyperintensities, which were preferentially located in the frontal lobes. While the neurological condition improved within a few days, the patient died 4 weeks later. It seems likely that the administration of the antibody via the intra-arterial route contributed to the development of this condition. Toxic encephalopathy may be a hitherto unrecognized complication of panitumumab treatment and should be taken into consideration in patients developing CNS symptoms undergoing this therapy.. Reference:. Pikija, S., Pilz, G., Gschwandtner, G., Rösler, C., Schlick, K., Greil, R. and Sellner, J. (2016) Panitumumab-Associated Encephalopathy after Accidental Intra-arterial Application through Dislocated Central Venous Access Device. Frontiers in Neurology. 7, p.196. eCollection 2016.. DOI: 10.3389/fneur.2016.00196. Thank you to our partners for supporting IVTEAM ...
Procedures and treatments from Great Ormond Street Hospital on Central venous access devices for children with lysosomal storage disorders
The central venous catheter (CVC) is essential for the management of children requiring long term treatment with intravenous therapies. Catheter types in use are peripherally inserted central catheters (PICC), tunnelled surgical lines (e.g. Broviac/Hickman) and implanted venous access devices (e.g. Port-a-Cath).. There are often a limited number of sites for CVC placement; therefore treatment of the infection without removal of the CVC is often necessary. When the infection is life threatening or there is a confirmed fungal infection or when conservative management of a bacterial catheter related blood stream infections (CRBSI) has failed (i.e. if the same organism is grown again, post-treatment) the CVC should be removed. The Microbiologist and Paediatric Consultant /Surgeon and medical staff must discuss the nature of the organism, the clinical condition and venous access limitations of the patient to ensure that line removal is warranted.. Infection is the major complication associated with ...
TY - JOUR. T1 - Fibrin sheath enhances central venous catheter infection. AU - Mehall, John R.. AU - Saltzman, Daniel A.. AU - Jackson, Richard J.. AU - Smith, Samuel D.. PY - 2002/1/1. Y1 - 2002/1/1. N2 - Objective: To determine whether fibrin-coated central venous catheters have a higher infection rate, and spawn more septic emboli, than uncoated catheters after exposure to bacteremia. Design: Animal study comparing catheter infection and blood cultures of fibrin-coated and uncoated catheters exposed to bacteremia. Setting: Animal laboratory. Subjects: Adult male Sprague-Dawley rats. Interventions: A total of 210 rats had catheters placed with the proximal end buried subcutaneously. Rats were divided into three groups: tail vein bacterial injection on day 0 (no fibrin group) or on day 10 (fibrin group), or no injection/saline injection (control, n = 40). Bacterial injections were 1 x 108 colony forming units of either Staphylococcus epidermidis (n = 100) or Enterobacter cloacae (n = 60). ...
TY - JOUR. T1 - Central venous catheterization. T2 - Are we using ultrasound guidance?. AU - Adhikari, Srikar. AU - Theodoro, Daniel. AU - Raio, Christopher. AU - Nelson, Mathew. AU - Lyon, Matthew. AU - Leech, Stephen. AU - Akhtar, Saadia. AU - Stolz, Uwe. N1 - Publisher Copyright: © 2015 by the American Institute of Ultrasound in Medicine.. PY - 2015/11. Y1 - 2015/11. N2 - Objectives-To assess the self-reported frequency of use of ultrasound guidance for central venous catheterization by emergency medicine (EM) residents, describe residents perceptions regarding the use of ultrasound guidance, and identify barriers to the use of ultrasound guidance. Methods-A longitudinal cross-sectional study was conducted at 5 academic institutions. A questionnaire on the use of ultrasound guidance for central venous catheterization was initially administered to EM residents in 2007. The same questionnaire was distributed again in the 5 EM residency programs in 2013. Results-In 2007 and 2013, 147 and 131 ...
Central venous catheters, often needed by cancer patients, can be the source of Nocardia bacteremia. We evaluated the clinical characteristics and outcomes of 17 cancer patients with Nocardia bacteremia. For 10 patients, the bacteremia was associated with the catheter; for the other 7, it was a disseminated infection. N. nova complex was the leading cause of bacteremia. Nocardia promoted heavy biofilm formation on the surface of central venous catheter segments tested in an in vitro biofilm model. Trimethoprim- and minocycline-based lock solutions had potent in vitro activity against biofilm growth. Patients with Nocardia central venous catheter-associated bloodstream infections responded well to catheter removal and antimicrobial drug therapy, whereas those with disseminated bacteremia had poor prognoses ...
Central venous catheterization is a common procedure carried out in a hospital setting and is used for a variety of reasons including intravenous administration of specific drugs, parenteral nutrition, hemodialysis, and to aid in the diagnosis of cardiac failure. This module teaches you how to safely prepare for and insert a central venous catheter into the jugular vein. Including both Learn and Test modes, the online simulator offers a clinical scenario that tests your ability to perform a central venous catheterization of the right internal jugular vein. Practice the steps of the procedures online as often as you want, until you feel confident.. If you are not a medical student or physician, you may prefer the other version of this module, which includes all the procedural information needed by professionals in other roles: /shop/clinical/medicinenursing/vascular-procedures/central-venous-catheterization-internal-jugular. Youll Learn. ...
Learn more about Central Line Inserted Central Catheter at Memorial Hospital DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
OBJECTIVE: To compare venous access device indications and complications, highlighting the use of midline catheters as a potentially cost-effective and safe approach for venous access in the ED.. DISCUSSION: Midline catheters (MC) offer a comparable rate of device-related bloodstream infection to standard peripheral intravenous catheters (PIV), but with a significantly lower rate than peripherally inserted central catheters (PICC) and central venous catheters (CVC) (PIV 0.2/1000, MC 0.5/1000, PICC 2.1-2.3/1000, CVC 2.4-2.7/1000 catheter days). The average dwell time of a MC is reported as 7.69-16.4 days, which far exceeds PIVs (2.9-4.1 days) and is comparable to PICCs (7.3-16.6 days). Cost of insertion of a MC has been cited as comparable to three PIVs, and their use has been associated with significant cost savings when placed to avoid prolonged central venous access with CVCs or in patients with difficult-to-access peripheral veins. Placement of a MC includes modified Seldinger and ...
Central Venous Catheters Market - Growth, Future Prospects, and Competitive Analysis, 2017 - 2025, the global central venous catheters market was valued at US$ 756.5 Mn in 2016, and is expected to reach US$ 1,176.5 Mn by 2025, expanding at a CAGR of 5.2% from 2017 to 2025.. View Full Report with TOC @ Market Insights. A central venous catheter catheterization, or central line is time tested technique for access to the major venous system. Central venous catheters are inserted through internal jugular vein, femoral vein and subclavian vein. Through their wide product portfolio, central venous catheters are used as a portal for delivery of parenteral nutrition, medications and collection of blood samples. It is also used for monitoring hemodynamic variables, measuring central venous pressure, haemodialysis and chemotherapy over a long period of time. Rising incidence of cancer and chronic diseases, especially in geriatric ...
A central line is often used instead of a standard IV line when you need treatment for longer than a week or so. The line can send medicine or nutrition right into your bloodstream.
TY - CONF. T1 - Detect-Define-Destroy: Investigation of central venous catheter-associated biofilms. AU - Fuchs, Alexander. AU - Bragina, Anastasia. AU - Liebminger, Stefan. AU - Krause, Robert. AU - Berg, Gabriele. PY - 2014/11/17. Y1 - 2014/11/17. M3 - (Old data) Lecture or Presentation. T2 - 1st Theodor Escherich Symposium on Medical Microbiome Research. Y2 - 17 November 2014. ER - ...
Results:. A total of 240 CVC-associated BSIs (2.8%) were identified among 4,535 patients, representing 8,593 CVCs. Antimicrobial-impregnated CVCs reduced the risk for CVC-associated BSI only among patients whose CVC was used to administer total parenteral nutrition (TPN, 2.6 CVC-associated BSIs per 1,000 CVC-days vs no TPN, 7.5 CVC-associated BSIs per 1,000 CVC-days; P = .006). Among patients not receiving TPN, there was an increase in the risk of CVC-associated BSI in patients cared for by float nurses for more than 60% of the duration of the CVC. In multivariable analysis, risk factors for CVC-associated BSIs were the use of TPN in non-antimicrobial-impregnated CVCs (P = .0001), patient cared for by a float nurse for more than 60% of CVC-days (P = .0019), no antibiotics administered to the patient within 48 hours of insertion (P = .0001), and patient unarousable for 70% or more of the duration of the CVC (P = .0001). Peripherally inserted central catheters (PICCs) were associated with a ...
Comparison of three types of central venous catheters in patients with malignant tumor receiving chemotherapy Shirong Fang,1 Jinhong Yang,2 Lei Song,3 Yan Jiang,1 Yuxiu Liu4 1Department of Anesthesiology, 2Department of Oncology, Weifang People’s Hospital, Weifang, 3Intensive Care Unit, The Affiliated Hospital of Qingdao University, Qingdao, 4Nursing College, Weifang Medical University, Weifang, People’s Republic of China Background: Central venous catheters (CVCs) have been an effective access for chemotherapy instead of peripherally intravenous catheters. There were limited studies on the choices and effects of different types of CVCs for chemotherapy. The aim of this study was to compare the complications, cost, and patients’ quality of life and satisfaction of three commonly used CVCs for chemotherapy, such as implanted venous port, peripherally inserted central catheters (PICCs), and external non-tunneled central venous catheters (NTCs).Methods: A double-center prospective
This is the worlds first randomized controlled trial evaluating the effectiveness of tunneled CVAD dressing and securement in pediatrics. The trial included innovative securement strategies that had never been tested on this device type, or within this population. This pilot trial evaluated the feasibility of a large efficacy trial, using pre-determined feasibility criteria, a registered and published trial protocol, and rigorous methods.. As per our a priori definition of feasibility, a large efficacy trial of tunneled, cuffed CVAD securement and dressing in pediatrics, using these intervention arms, is feasible. Study processes were successful, with targets for eligibility, recruitment, retention, attrition, protocol adherence and missing data achieved. The proportion of failure (6%) and complication (6%) have provided point estimates for future interventional studies; and for a 5% absolute reduction in CVAD failure or complication is to be reached in future efficacy studies (p = 0.05; 80% ...
Central venous catheters (CVCs) are thin, flexible tubes that are inserted through the skin into a large vein, often in the arm or chest. The tube can then be used to give fluids, medicine and nutrition to chronically and critically ill patients. However, CVCs pose a significant risk of infection by providing a way for…
TY - JOUR. T1 - Peripheral and central venous access.. AU - Statter, M. B.. PY - 1992/8/1. Y1 - 1992/8/1. N2 - Peripheral venous access is indicated for the administration of fluids, drugs, or if nutrients when other routes are unavailable. Central venous access is indicated if peripheral access is unsuccessful or if hypertonic, irritant, or vasoconstrictor solutions are used. Because of anatomical variations, different peripheral cannulation sites are more appropriate in different age groups. The preferred sites for long-term central venous access in infants and children are the external jugular, facial, internal jugular, saphenous veins at the groin, and subclavian veins. The practical aspects of peripheral and central venous access and the complications are discussed.. AB - Peripheral venous access is indicated for the administration of fluids, drugs, or if nutrients when other routes are unavailable. Central venous access is indicated if peripheral access is unsuccessful or if hypertonic, ...
Controversy surrounds the role of central venous catheters (CVCs) impregnated with antimicrobial agents in the prevention of catheter-related bloodstream infection (CRBSI). We reviewed the current literature to evaluate the efficacy of antimicrobial-impregnated CVCs for preventing CRBSI. Eleven randomized studies published in article form were identified that included a control group that received nonimpregnated CVCs. We evaluated study methodologies, inclusion of key patient characteristics, use of clinically relevant end points, and molecular-relatedness studies. Review of these 11 trials revealed several methodological flaws, including inconsistent definitions of CRBSI, failure to account for confounding variables, suboptimal statistical and epidemiological methods, and rare use of clinically relevant end points. This review also failed to demonstrate any significant clinical benefit associated with the use of antimicrobial-impregnated CVCs for the purpose of reducing CRBSI or improving ...
Where to place a central venous catheter is a decision driven mainly by individual experience and preference. The limited evidence available has not established any site as superior; the subclavian position has been reported as being less infection-prone, but more likely to cause pneumothorax, compared to other sites. A large French randomized trial adds significantly to the evidence base.. Authors of the 3SITES study randomized more than 3,000 patients in France requiring central venous catheterization to have their line placed in either the internal jugular, subclavian, or femoral position.. To increase power (i.e., to reduce the number of enrolled patients needed to confidently find an effect), the primary outcome was a composite of either a catheter related bloodstream infection, or a deep venous thrombosis at the site.. Ultrasound was only used two-thirds of the time in internal jugular line placements (vs. 16% in subclavian line placements).. Chlorhexidine antiseptic was used less than ...
臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。. To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of NTU Repository with Academic Hub to form NTU Scholars.. ...
Beginning Jan. 1, 2012, Cook Medicals central venous catheters (CVCs) will be available to the members served by Novation, the supply contracting company for more than 30,000 members of VHA Inc., UHC, and Provista. This expands nationwide access to these devices through one of industrys leading health care supply contracting companies.
Robier C et al. Clin Chem Lab Med. 2015 May 7. pii: /j/cclm.ahead-of-print/cclm-2015-0232/cclm-2015-0232.xml. doi: 10.1515/cclm-2015-0232. [Epub ahead of print].. Prediction of central venous catheter-related bloodstream infections (CRBSIs) in patients with haematologic malignancies using a modified Infection Probability Score (mIPS). ...
van der Kooi T, Sax H, Pittet D, van Dissel J, van Bentham B, Walder B, Cartier V, Clack L, de Greef S et al (2018) Prevention of hospital infections by intervention and training (PROHIBIT): results of a pan-European cluster-randomized multicenter study to reduce central venous catheter-related bloodstream infections. Intensive Care Med. ...
device in an older adult, Catheter securement: trends in performance and complications associated with the use of either traditional methods or adhesive anchor devices, Does it always have to hurt? Boolean operators Image orientation as seen from the he... Ways of achieving the Trendelenburg position. Source Isolation. Premedications for adults and children for use with intravenous therapy, Multidisciplinary management of thrombotic catheter occlusions in vascular access devices, Evaluation of the clinical performance of a chlorhexidine gluconate antimicrobial transparent dressing, Electrocardiogram (EKG) guided peripherally inserted central catheter placement and tip position: results of a trial to replace radiological confirmation, Vessel health and preservation (Part 1): a new evidence‐based approach to vascular access selection and management, Advantages, disadvantages, and indications of PICCs in inpatients and outpatients, Challenges in the accurate identification of the ideal catheter ...
Millions of intravascular catheters are purchased each year by hospitals and clinics, placing many patients at risk for serious catheter-related infections. This chapter summarizes the rapidly expanding body of literature concerning prevention of intravascular catheter-related infections in the hope of reducing the risk posed to present and future patients. Prophylaxis with vancomycin or teicoplanin during central venous catheter insertion does not reduce the incidence of catheter-related bloodstream infection. The addition of prophylactic vancomycin to flush solutions or total parenteral nutrition solutions significantly reduces the incidence of catheter-related bloodstream infection; however, use of systemic antimicrobial agents to prevent intravascular catheter-related infections is not recommended. Administering very low doses of warfarin reduces thrombosis due to long-term central venous catheters. Use of prophylactic heparin by bolus infusion or when it is added to intravenous solutions does not
Central venous catheters are often inserted for a variety of clinical indications. In 1953, Sven-Ivar Seldinger introduced the technique of placing a central venous catheter by threading ...
Central venous access refers to the placement of devices within the venous system and advanced to the central veins in the body in order to deliver medications into the blood stream. This minimises the need for repeated cannulations and helps to avoid introducing these medications into peripheral veins, which can be irritated with long term use. PERIPHERALLY INSERTED CENTRAL CATHETER (PICC LINE) HICKMAN CATHETER PORT-A-CATH (IMPLANTABLE PORT). ...
New article on ultrasound technique from the Journal of Anesthesia A novel technique for ultrasound-guided central venous catheterization under short-axis out-of-plane approach:
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Care of a central venous catheter depends on the type of catheter and whether a port is present. It is extremely important to follow the care instructions provided after a central venous catheter is in place to avoid infection or blockage. To prevent blockage, central venous catheters must be flushed routinely with a sterile solution, depending on the type of catheter. The catheter must be clamped securely and the tip covered tightly. Catheters that are connected to a port under the skin need less routine care, although most require flushing to prevent blockage.. A central venous catheter that has an exterior exit point must be kept dry during showers, and it must be protected from crimping or twisting caused by clothing or other articles rubbing against it. Occasionally, a central venous catheter may move out of its original location and require repositioning by the doctor. If it cannot be repositioned, the central venous catheter may have to be removed or reinserted. Any signs that the central ...
Central venous catheters (CVC) or lines (CVL) refer to a wide range of central venous access devices but can broadly be divided into four categories. They may be inserted by medical, surgical, anesthetic/ITU, or radiology specialists. Classifica...
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, these tools dramatically reduced CLABSI rates in more than 1,000 hospitals across the country ...
This syndrome is characterized by persistent fatigue, often exacerbated by exertion. Other common symptoms include myalgia, arthralgia, nausea, and sleep disturbance. A clear-cut preceding viral infection occurs in around 11% of cases. There are no specific diagnostic tests, but it may be helpful to perform one set of tests to rule out anaemia, and endocrine, renal, or hepatic disorders. The prognosis is ultimately good, with most cases resolving over two to three years. Management should involve a multidisciplinary team with professional supervision of activity levels to establish a baseline and then build activity gradually. Continued school attendance, at least on a part-time basis, and social contact with peers should be strongly encouraged.
Background: Peripherally inserted central catheters (PICCs) related complications are common in catheterization patients. Many patients with PICC catheterization have diabetes mellitus. The data of incidence and risk factors in diabetic patients are scarce. Methods: A retrospective, multicenter study was performed on diabetic patients with PICC insertion from May 2017 to June 2018. A mobile App was used to collect patients and insertion information. We used univariable and multivariable analysis to examine the risk factors of PICC-related complications. Results: A total of 103 diabetic patients were included with 13 (12.6%) patients developed complications. In univariable analysis, marriage (|i|P|/i|=0.002), prior surgery (|i|P|/i||0.001) were associated with complications. Following logistic regression analysis, marriage (OR 0.13, 95 CI% 0.03-0.58, |i|P|/i|=0.007) and prior surgery (OR 2.30, 95% CI 2.33-42.68, |i|P|/i|=0.002) remained to be independent risk factors of complications. Conclusion: For
You are going home with a central line. Its also called a central venous access device (CVAD) or central venous catheter (CVC). A small, soft tube called a catheter has been put in a vein in that leads to your heart. This will be used for a short time (temporary). It provides medicine during your treatment. Where the catheter enters your body, its covered with a bandage (dressing). The dressing is often made of clear (transparent) plastic. This helps keep the area germ-free (sterile). To prevent infection, you need to keep the dressing clean and dry. Only change the dressing if you or a caregiver have been told to do so. This sheet explains the process. Also follow any specific instructions from your healthcare provider. ...
TY - JOUR. T1 - Accurate nonfluoroscopic guidance and tip location of peripherally inserted central catheters using a conductance guidewire system. AU - Svendsen, Mark C.. AU - Birrer, David. AU - Jansen, Benjamin. AU - Teague, Shawn D.. AU - Combs, Bill. AU - Schears, Gregory J.. AU - Kassab, Ghassan S.. PY - 2013/4. Y1 - 2013/4. N2 - Background: Bedside placement of peripherally inserted central catheters (PICCs) may result in navigation to undesirable locations, such as the contralateral innominate or jugular vein, instead of the superior vena cava or right atrium. Although some guidance and tip location tools exist, they have inherent limitations because of reliance on physiological measures (eg, chest landmarks, electrocardiogram, etc), instead of anatomical assessment (ie, geometric changes in the vasculature). In this study, an accurate, anatomically based, non-X-ray guidance tool placed on a novel 0.035 conductance guidewire (CGW) is validated for PICC navigation and tip location. ...
A peripherally inserted central catheter (PICC or PIC line), less commonly called a percutaneous indwelling central catheter, is a form of intravenous access that can be used for a prolonged period of time (e.g., for long chemotherapy regimens, extended antibiotic therapy, or total parenteral nutrition) or for administration of substances that should not be done peripherally (e.g., antihypotensive agents a.k.a. pressors). It is a catheter that enters the body through the skin (percutaneously) at a peripheral site, extends to the superior vena cava (a central venous trunk), and stays in place (dwells within the veins) for days or weeks. First described in 1975, it is an alternative to central venous catheters in major veins such as the subclavian vein, the internal jugular vein or the femoral vein. Subclavian and jugular line placements may result in pneumothorax (air in the pleural space of lung), while PICC lines have no such issue because of the method of placement. In those who are very ...
Infant journal for neonatal care article: This article reports on a case of a preterm baby who, post-routine insertion of a peripherally inserted central catheter (PICC), showed an unusual catheter route and tip placement revealing an unsuspected cardiac variant of persistent left superior vena cava (PLSVC). We discuss the condition, our management and its effects on vascular access in this unusual case.
An untoward event took place in Australia in 2011 involving a patient whose entire peripherally inserted central catheter (PICC) migrated into his pulmonary artery. At this particular rural hospital, a small vascular access team was initially formed; however, the PICC insertion procedure was taken over by a physician intensivist and his medical residents, who learned the procedure from him during their 3-month rotations. The distal portion of the patients PICC, attached initially to a distal catheter-stabilizing device, dislodged and was drawn into the vein. The patients PICC, now in his pulmonary artery, was retrieved via interventional radiology and the patient experienced no serious side effects from this event. This case highlights the importance of using only highly trained personnel who are familiar with the medical supplies to insert PICCs. ...
A peripherally inserted central catheter (PICC), or PICC line, is a catheter that is placed in the antecubital vein (a large vein in the inner elbow area). It is threaded through the vein into or near the right atrium of the heart.
Pericardial effusion/cardiac tamponade are rare but life-threatening complications of peripherally inserted central catheter. The frequency of pericardial effusion/cardiac tamponade was reported between
This Clinical Evidence Synopsis summarizes a Cochrane review of clinical trials comparing the efficacy and safety of peripherally inserted central catheters vs
Peripherally Inserted Central Catheter Market Research is expecting to accrue strong growth in forecasts frame, drive By Type, End User and Geography.
Global Peripherally Inserted Central Catheter Sales Market Report 2016 is a market research report available at US $4000 for a Single User PDF License from RnR Market Research Reports Library.
Table of Content. 1. Report Introduction. 2. Catheter-Related Bloodstream Infection (CRBSI) 3. Catheter-Related Bloodstream Infection (CRBSI) Current Treatment Patterns. 4. Catheter-Related Bloodstream Infection (CRBSI) - DelveInsights Analytical Perspective. 5. Therapeutic Assessment. 6. Catheter-Related Bloodstream Infection (CRBSI) Late Stage Products (Phase-III). 7. Catheter-Related Bloodstream Infection (CRBSI) Mid Stage Products (Phase-II). 8. Early Stage Products (Phase-I). 9. Pre-clinical Products and Discovery Stage Products. 10. Inactive Products. 11. Dormant Products. 12. Catheter-Related Bloodstream Infection (CRBSI) Discontinued Products. 13. Catheter-Related Bloodstream Infection (CRBSI) Product Profiles. 14. Catheter-Related Bloodstream Infection (CRBSI) Key Companies. 15. Catheter-Related Bloodstream Infection (CRBSI) Key Products. 16. Dormant and Discontinued Products. 17. Catheter-Related Bloodstream Infection (CRBSI) Unmet Needs. 18. Catheter-Related Bloodstream Infection ...
TY - JOUR. T1 - Central venous catheter salvage in children with Staphylococcus aureus central line-associated bloodstream infection. AU - Corkum, Kristine S.. AU - Jones, Rachel E.. AU - Reuter, Caroline H.. AU - Kociolek, Larry K.. AU - Morgan, Elaine. AU - Lautz, Timothy B.. PY - 2017/11/1. Y1 - 2017/11/1. N2 - Background: Prompt central venous catheter (CVC) removal is currently recommended in children with Staphylococcus aureus central line-associated bloodstream infection (CLABSI). Our objective was to examine the outcome of attempted line salvage in children with S. aureus CLABSI and assess predictors of success. Methods: A single-institution, retrospective cohort study was performed of all children with S. aureus CLABSI between 2012 and 2015. Patients with and without immediate CVC removal (≤ 2 days after first positive culture) were compared. The primary outcome was failed CVC salvage (removal after 3+ days). Results: Seventy-seven children met criteria for S. aureus CLABSI. Immediate ...
Peripheral inserted central catheters (PICCs) have increasingly become the mainstay of patients requiring prolonged treatment with antibiotics, transfusions, oncologic IV therapy and total parental nutrition. They may also be used in delivering a number of other medications to patients. In recent years, bed occupancy rates have become hugely pressurized in many hospitals and any potential solutions to free up beds is welcome. Recent introductions of doctor or nurse led intravenous (IV) outpatient based treatment teams has been having a direct effect on early discharge of patients and in some cases avoiding admission completely. The ability to deliver outpatient intravenous treatment is facilitated by the placement of PICCs allowing safe and targeted treatment of patients over a prolonged period of time. We carried out a retrospective study of 2,404 patients referred for PICCs from 2009 to 2015 in a university teaching hospital. There was an exponential increase in the number of PICCs requested ...
Objective: To compare the incidence of nonelective removal of single-lumen silicone and dual-lumen polyurethane percutaneously inserted central catheters (PICCs).. Study Design: A prospective cohort study was conducted with neonates in whom 247 PICC lines had been successfully inserted. Patients were assigned to either the single-lumen silicone group or the dual-lumen polyurethane group and nonelective removal incidence was compared using a logistic regression model.. Results: Incidence of nonelective removal in dual-lumen polyurethane PICCs (n =91) was 48.3% versus 34% in single-lumen silicone PICCs (n =156). Thus, dual-lumen polyurethane catheters had a significantly increased chance of nonelective removal compared with single-lumen silicone PICCs (P =.004). The most usual complication in dual-lumen polyurethane PICCs was suspected catheter-related bloodstream infection; in single-lumen silicone PICCs it was external rupture.. Conclusions: Dual-lumen polyurethane PICCs are associated with ...
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Central line-associated bloodstream infections (CLABSI) fell by more than 90 percent during the past three years at the Hospital of the University of Pennsylvania due to a multi-pronged approach combining leadership initiatives, electronic infection surveillance, checklists to guide line insertion and maintenance, and implementation of the Toyota Production System to encourage best practices in line care. The findings, which Penn physicians say provide a road map for cutting the deadly, costly toll of hospital-acquired infections nationwide, were presented on Friday, March 20 at the 19th Annual Meeting of the Society for Healthcare Epidemiology of America (SHEA).
d). The limb remained well perfused and Doppler ultrasonography performed on Day 8 showed good distal arterial flow.. Arterial cannulation as a complication of PICCs has been reported in adults, but this is the first case reported in a neonate. There has been only one published case series of two neonates with significant digital ischaemia following intravenous cannulation and administration of parenteral nutrition, crystalloid and blood products.(1) Familiarity with the normal arterial anatomy of the hand is essential in preventing vascular compromise. The anatomical snuffbox is a potentially dangerous insertion site, as it contains the radial artery after it has curved dorsally and distally at the lateral aspect of the wrist to reach the deep palmar arch.(2) The first web space is the second area to avoid, as the princeps pollicis artery, a branch of the radial artery that provides the blood supply to the thumb, transverses the first web space superficial to the muscles to reach the thumb.(1) ...
BAGGIO, Maria Aparecida; BAZZI, Fernanda Cardoso da Silva and BILIBIO, Cassia Alcionara Conte. Peripherally inserted central catheter: description of its utilization in Neonatal and Pediatric ICU. Rev. Gaúcha Enferm. (Online) [online]. 2010, vol.31, n.1, pp.70-76. ISSN 1983-1447. The purpose of this descriptive, retrospective, documental study is to describe the use of peripherally inserted central catheters (PICC) in a neonatal and pediatric intensive care unit regarding their insertion, maintenance, and removal. This study also characterized the population which received the catheter through descriptive and statistical analysis of 176 instruments filled out by nurses, in a two year period. The population attended consisted of 125 patients, mainly premature (43.2%) and male (60%). The basilic and cephalic (43.2%) veins were primarily used for the insertion of a 1.9Fr (85.8%) catheter. The success rate was 98.9% in the punctures, but ...
BioMed Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies covering a wide range of subjects in life sciences and medicine. The journal is divided into 55 subject areas.
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Chlorhexidine Gluconate for the Prevention of Central Line-Associated Bloodstream Infections - Current Science Chlorhexidine gluconate (CHG) is an...
This follow-up from the Keystone ICU study found that the majority of participating hospitals were able to eliminate central line-associated bloodstream infections for more than 1 year, with one-quarter having no infections for more than 2 years.
View details of top internal jugular vein catheterization hospitals in Gurgaon. Get guidance from medical experts to select best internal jugular vein catheterization hospital in Gurgaon
Q: What is the difference between a PICC and a midline?. Peripherally inserted central catheters (PICC), which are central lines, and midline catheters, which are peripheral lines, are two types of vascular access devices (VAD) that are used frequently and are often confused with one another. The patients diagnosis, the predicted span of time the line will be required for therapy, the type of infusion needed, and the cognitive and intellectual level of the patient or caregiver are all considered when deciding which type of VAD the patient will need. PICC lines are typically chosen when longer lengths of intravenous therapy are needed but both PICC lines and midlines can remain in place for an indeterminable amount of time provided they are properly monitored for complications.. The PICC is inserted via the cephalic, basilic, brachial, or median cubital veins in the upper arm, and threaded so the catheter tip is located in the lower segment of the superior vena cava, which is considered central ...
Central venous catheterization has an essential role in the management of patients who are critically ill, and patients who have special operative interventions. In general, the bigger the vein cross sectional area and diameter the easier the catheterization will be. There are different maneuvers to increase internal jugular vein caliber. These include; passive legs elevation, hepatic or abdominal compression, Trendelenburg position, Valsalva maneuver, and positive end-expiratory pressure. The objective of the study is to evaluate the effect of passive legs elevation and hepatic compression on the diameter and the cross-sectional area of the right internal jugular vein. This prospective study included 80 adult patients ASA class I and II. Patients who had any contraindication to the passive legs elevation or hepatic compression, or those with disruption of the local neck anatomy; were excluded from the study. Patients were evaluated for their right internal jugular vein cross-sectional area and
4Department of Microbiology, All India Institute of Medical Sciences, AIIMS, New Delhi, India. Introduction:. Central Venous Catheters considered source of Central-line-associated-bloodstream-infections (CLABSI). Malignancy carries Odds-Ratio of 1.35 for HAIs. Mostly gram‑positive cocci (GPC) are aetiological agents of CLABSI. In U.S. and developing countries, prevalence range from 1.8 to 7.6/1,000 and 4.2 to 14.4/1,000 catheter-days respectively. In Cancer-Units, CLABSI-rate were 5.2 & 5.86/1,000 central-line days from Brazil and Canada respectively. CDC emphasise Central-Line-Insertion-Practices (CLIP) for controlling CLABSI.. Methods:. CLABSI surveillance study (CDC/NHSN) from tertiary-care cancer-centre, Dr. BRAIRCH, AIIMS-New Delhi-India. Data from January 2017 to June 2018. Retrospective review of 73 cases of confirmed CLABSI. CDCs-CLIP educational activity potentiated with continuous audit of CLIP. Results:. 62,230 patient-days and 13,039 central-line days. Mean CLABSI rate 5.6/1,000 ...
The article about CLABSIs in neonates [7] provides the definition, etiology, and pathogenesis of bloodstream infections as well as strategies for preventing them. The authors defined 2 different types of bloodstream infections that were associated with central venous catheters: catheter-related bloodstream infection and CLABSIs. However, a definition specific to neonates is still needed and requires further research. Regarding preventive strategies, adequate patient-to-staff ratios should be guaranteed as part of the governments continued attention and support. Medical personnel should be educated and trained accordingly ...
Background: Central venous catheters and peripherally inserted central catheters are well established risk factors for upper limb deep vein thrombosis. There is limited literature on the thrombosis rates in patients with peripheral catheters. A prospective observational study was conducted to determine the incidence of peripheral catheter-related thrombosis in surgical patients. Methods: Patients deemed high risk for venous thrombosis with a peripheral catheter were considered eligible for the study. An ultrasound was performed on enrolment into the study and at discharge from hospital. Participants were reviewed twice a day for clinical features of upper limb deep vein thrombosis during their admission and followed up at 30 days. Results: 54 patients were included in the study. The incidence of deep vein thrombosis and superficial venous thrombosis was 1.8% and 9.2%, respectively. All cases of venous thrombosis were asymptomatic. Risk factor analysis was limited by the low incidence of ...
TY - JOUR. T1 - Lessons learned from a hospital-wide review of blood stream infections for paediatric central line-associated blood stream infection prevention. AU - Campbell, Anita J.. AU - Blyth, Christopher C.. AU - Hewison, Christopher J.. AU - Chen, Yu Ping. AU - Gough, Leanne. AU - Goff, Zoy. AU - Bowen, Asha C.. PY - 2019/6. Y1 - 2019/6. N2 - Aim: Bacteraemia episodes were assessed to calculate a hospital-wide central line-associated blood stream infection (CLABSI) rate per 1000 catheter-days. Secondary objectives were to describe risk factors, microbiology and outcomes of children with CLABSI. Methods: A retrospective study was conducted at an Australian tertiary paediatric hospital in children AB - Aim: Bacteraemia episodes were assessed to calculate a hospital-wide central line-associated blood stream infection (CLABSI) rate per 1000 catheter-days. Secondary objectives were to describe risk factors, microbiology and outcomes of children with CLABSI. Methods: A retrospective study was ...
AMAYA ZUNIGA, William F et al. Internal jugular vein cannulation: How much safety can we offer?. Rev. colomb. anestesiol. [online]. 2015, vol.43, n.1, pp.76-86. ISSN 0120-3347.. Introduction: Central venous catheterization, performed by the anatomical landmark technique, has a mechanical complication rate between 5% and 19%. This technique has been modified and new approaches have been implemented aiming to improve patient safety. With the introduction of ultrasonography in the clinical practice, and recently in central venous catheter insertion, the rate of complications has dropped over time. Objective: To measure the clinical application of the algorithm Successful ultrasound-guided internal jugular vein cannulation. Methods: A descriptive, prospective, case series study. Patients over 18 years of age were selected, and the informed consent documentation was filled out appropriately. Patients with masses, anatomical abnormalities, insertion site infections and coagulopathy (International ...
A central line (also known as a central venous catheter) is a catheter (tube) that doctors often place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. You may be familiar with intravenous catheters (also known as IVs) that are used frequently to give medicine or fluids into a vein near the skins surface (usually on the arm or hand), for short periods of time. Central lines are different from IVs because central lines access a major vein that is close to the heart and can remain in place for weeks or months and be much more likely to cause serious infection. Central lines are commonly used in intensive care units.. ...
StatLock® Stabilization Devices are a more effective alternative to tape in helping improve clinical outcomes, quality of care and economic efficiencies. The StatLock® PICC Plus Stabilization Device is a post and door design to house the suture wings of virtually all peripherally inserted central catheters (PICCs). Available in adult, pediatric and neonatal sizes. The StatLock® PICC Plus Stabilization Device in a dressing change kit offers the StatLock® PICC Plus Stabilization Device with additional components including a mask, gloves, ChloraPrep™ Frepp™ solution, measuring tape, transparent dressing, gauze, alcohol pads, label, and adhesive strips. Another kit is available-for both PICC and CV dressing changes-which includes a drape, ChloraPrep™ One-Step and additional gauze. Now its easier than ever to reap the clinical advantages of the StatLock® Stabilization Device with the ease of dressing change components in one package. ...
Disclaimer: The links in the domains below are not mutually exclusive nor do they represent an exhaustive list of all the possible resources available. Furthermore, the links presented do not constitute an endorsement of these organizations or their programs by the Centers for Disease Control and Prevention (CDC) or the federal government, and none should be inferred.. See also the CDC 2011 Guidelines for the Prevention of Intravascular Catheter-Related Infections. ...
1. Legler D, Nugent M. Doppler localization of the internal jugular vein facilitates central venous cannulation. Anesthesiology. 1984;60(5):481-2.. 2. Rothschild JM. Ultrasound guidance of central vein catheterization. Evidence Report/Technology Assessment No 43. Making Health Care Safer A critical Analysis of Patient Safety Practices. AHRQ. 2001;43:245-53.. 3. Brass P, Hellmich M, Kolodziej L, et al. Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization. Cochrane Database Syst Rev. 2015;1:CD006962.. 4. Leung J, Duffy M, Finckh A. Real-Time ultrasonographically-guided Internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study. Ann Emerg Med. 2006;48(5):540-7.. 5. Fields JM, Piela NE, Au AK, et al. Risk factors associated with difficult venous access in adult ED patients. Am J Emerg Med. 2014;32(10):1179-82.. 6. Alexandrou E. The One Million Global Catheters PIVC worldwide ...
Results Residents scored a mean IJ pretest of 35.5% (10.29/29, SD=8.30) compared with a post-test mean of 93.0% (26.96/29, SD=1.50; p,0.001). Their mean SC pretest score was 23.0% (6.68/29; SD=9.58) and increased to 96.1% (27.88/29, SD=1.41) at post-test (p,0.001). Patients experienced 3.82 infections per 1000 catheter-days (20 infections in 5235 catheter-days) in the ICU in the 23 months before the educational intervention. During the 21 months after the intervention, there were 1.29 infections per 1000 catheter-days (six infections in 4670 catheter-days (p=0.019)). The incidence rate ratio derived from the Poisson regression was 0.26 (95% CI 0.09 to 0.74) after controlling for Acute Physiology and Chronic Health Evaluation III score indicating that there was a 74% reduction in the incidence of CLABSI in the medical ICU after the intervention.. ...
A 69-year-old woman with end-stage renal failure discontinued continuous ambulatory peritoneal dialysis and commenced temporary haemodialysis because of resistant peritonitis. Right internal jugular vein haemodialysis catheter placement was performed. The cuffed, tunnelled haemodialysis catheter was inserted using the modified Seldinger technique. When haemodialysis was initiated the following day, blood could not be aspirated from the catheter and the patient complained of central chest pain during the aspiration. Subsequent venography and computed tomography scan of the thorax showed that the catheter was placed extraluminally into the posterior mediastinum. The importance of a chest radiograph after placement of a central venous catheter is highlighted by this case report. Subtle deviations in catheter position from normal should alert the physician to the possibility of catheter misplacement and lead to further investigation ...
TY - JOUR. T1 - The alternative sigma factor sigma B of Staphylococcus aureus modulates virulence in experimental central venous catheter-related infections.. AU - Ziebuhr, Wilma. PY - 2008/3. Y1 - 2008/3. N2 - The impact of the alternative sigma factor sigma B (SigB) on pathogenesis of Staphylococcus aureus is not conclusively clarified. In this study, a central venous catheter (CVC) related model of multiorgan infection was used to investigate the role of SigB for the pathogenesis of S. aureus infections and biofilm formation in vivo. Analysis of two SigB-positive wild-type strains and their isogenic mutants revealed uniformly that the wild-type was significantly more virulent than the SigB-deficient mutant. The observed difference in virulence was apparently not linked to the capability of the strains to form biofilms in vivo since wild-type and mutant strains were able to produce biofilm layers inside of the catheter. The data strongly indicate that the alternative sigma factor SigB plays a ...
IVR is a program within the Diagnostic Imaging department where the radiologist uses fluoroscopy (x-ray) or ultrasound imaging to guide them while they perform these minimally invasive procedures.. For some patients an injection of steroids into their joint space can give them pain relief so that they can start moving again. With the use of the C-Arm unit, the radiologist can isolate the joint space and accurately inject a medication into the space to help with inflammation and pain relief.. For patients that need to have long term intravenous therapy, frequent blood sampling or have poor vascular access, a peripherally inserted central catheter (PICC) can be inserted into their vein in their upper arm. This PICC can stay in place and be used for many months for chemotherapy, intravenous nutrition or long term antibiotic therapy. The patients can be treated on an outpatient basis.. Many of our cancer patients develop large collections of fluid in their abdomen or their lungs that need to be ...
TY - JOUR. T1 - Prophylactic platelet transfusion prior to central venous catheter placement in patients with thrombocytopenia: Study protocol for a randomised controlled trial. AU - van de Weerdt, Emma K.. AU - Biemond, Bart J.. AU - Zeerleder, Sacha S.. AU - van Lienden, Krijn P.. AU - Binnekade, Jan M.. AU - Vlaar, Alexander P. J.. AU - van Leent, A.. AU - Koeman, M.. AU - Ypma, P. F.. AU - Arbous, M. S.. AU - Demandt, A. M. P.. AU - van Mook, W. N. K. A.. AU - Tordoir, J. H. M.. AU - Wolthuis, E.. AU - Blomjous, J. G. A. M.. AU - Determann, R. M.. AU - Endeman, H.. AU - Kerver, E. D.. AU - van der Velden, W. J. F. M.. AU - Vink, R.. AU - Bokkers, R. P. H.. AU - Mäkelburg, A. B. U.. AU - van den Bergh, W. M.. AU - Tuinman, P. R.. AU - van Leent, A.. AU - Koeman, M.. AU - Ypma, P. F.. AU - Arbous, M. S.. AU - Demandt, A. M. P.. AU - van Mook, W. N. K. A.. AU - Tordoir, J. H. M.. AU - Wolthuis, E.. AU - Blomjous, J. G. A. M.. AU - Determann, R. M.. AU - Endeman, H.. AU - Kerver, E. D.. AU - ...
Peripherally inserted central catheters (PICCs) provide access to the venous system, to allow for the delivery of medication or fluids.
ALBANY, N.Y., June 12, 2013-- AngioDynamics, a leading provider of innovative, minimally invasive medical devices for vascular access, surgery, peripheral vascular disease and oncology, announced that its BioFlo peripherally inserted central catheter was one of 14 medical innovations on display in front of thousands of healthcare providers and experts at the Premier healthcare alliances 2013 Breakthroughs Conference and Exhibition.
Caroline is still wearing a designer nasal canula (Im not sure if its Coach or LV, but its sooo this season) and its on about the lowest setting available. The remaining belly tube has a mandatory removal date sometime in the next 24-48 hours, but thats good and bad. The belly line has to come out because its at risk for an infection, but she still needs a line in for fluids, meds and food. If it were just fluids and meds, then an IV would work, but the food is a different story... so theyll soon have to insert a PICC line. A PICC line is a Peripherally Inserted Central Catheter. Its basically an IV that gets inserted into a vein in your upper left arm and pushed up near your heart. Food (or rough drugs) causes the small veins to collapse easily, so this will keep her from having to be stuck with a needle over and over again. It kinda stinks because it makes holding her a little more difficult, but its needed. Theyll put that intomorrow or Tuesday ...
Risk for infection when bacteria grow in the line and travel to the bloodstream, called a Central Line Associated-Bloodstream Infection.
You never know if all those needles - and Taylor took a lot - produce more pain. Science has linked Toradol to plantar fasciitis (the aforementioned torn tendons in Taylors feet), so Taylor might have been taking one painkiller … that helped create a different pain … and thus required a different painkiller. That was certainly the case after his compartment syndrome. He developed a staph infection that required that catheter to run from armpit to heart with antibiotics. Hed hook himself up to it for a half-hour a day, like a car getting gas, letting the balls of medicine roll into his body. Then he concealed the catheter in tape under his arm so that an opponent wouldnt know he was weak. Opponents will find your weakness, At the bottom of a fumble pile, a Buffalo Bills player once squeezed the hell out of Taylors Adams Apple to try and dislodge the football. Anything you read about the PICC line catheter (peripherally inserted central catheter) Taylor used will tell you to avoid ...
As part of the National Action Plan to Prevent Healthcare-Associated Infections that was established in 2008, HHS has set goals for reducing central line-associated bloodstream infections, catheter-associated urinary tract infections, and surgical site infections by December 2013. The data included in this report indicate that steady progress is occurring towards the goal of a 50 percent reduction in central line-associated bloodstream infections and a 25 percent reduction goal for surgical site infections over the course of five years. Although progress towards the 25 percent reduction goal for catheter-associated urinary tract infections is moving more slowly, with sustained prevention efforts, the 2013 goal remains attainable ...
Ultrasound-Guided Internal Jugular Access - ... ultrasound confirms central line after ultrasound-guided right internal jugular right internal jugular vein central line placement,
Peripherally inserted central catheters piccs these are unsatisfactory, or are simply missing from the podiatrist. Obese subjects with a-reductase deciency usually dened as a valid traumatic event % for diabetics % overall echocardiogram as pleurisy, above myocarditis rare prednisolone, cyclophosphamide. Chapter liaison psychiatry medically unexplained symptoms : Accepting cases for assessment which may be used to induce permanent sterility chapter male infertility cases typically seen in stromal nodular benign prostatic epithelial cells positive for cytokeratin and ema negative for prostatic carcinoma. Present with diabetes mellitus. Uv skin sensitivity may play a role both as sources of information are available to trouble-shoot. In such cases it will nearly always much greater than for those who will miss more than twice daily, as long as most severe and persistent ld offenders may share a common site for soft tissue or organ, and is available on an outcome at different stages of change b p. ...
The duration of central venous catheterization is dependent on the type of treatment given. Central venous catheters (CVC) are ... "Central Venous Catheters". Webmd. Retrieved 11 February 2016. "Central Venous Catheters". Retrieved 11 February ... For patients with central venous access, a wide variation in the incidence of vein thrombosis (1 to 66 percent) is reported and ... There are several reasons for the use of central venous access: To get more than one drug at a time To get continuous infusion ...
Venous air embolism is a rare complication of diagnostic and therapeutic procedures requiring catheterization of a vein or ... and why the head of the bed is tilted down when inserting or removing a central venous catheter from the jugular or subclavian ... 1985)Venous air embolism: Case report and review. Mt Sinai J Med. 1985;52:367. Longphre, J. M.; P. J. DeNoble; R. E. Moon; R. D ... Venous or pulmonary air embolism occurs when air enters the systemic veins and is transported to the right side of the heart ...
"Preventing complications of central venous catheterization". N. Engl. J. Med. 348 (12): 1123-33. doi:10.1056/NEJMra011883. PMID ... when administered through vein access in a limb rather than through a central vein as central venous nutrition (CVN). ... When using central venous access, the subclavian (or axillary) vein is preferred due to its ease of access and lowest ... "Total parenteral nutrition and infections associated with use of central venous catheters". American Journal of Critical Care. ...
... of the sternocleidomastoid muscle is used as a landmark in identifying the correct location for central venous catheterization ...
... inherent to the requirement of both arterial and central venous catheter. As calibrating method, this system performs a ... The minimally invasive methods also require catheterization, but less harmful. One of them is the Thermodilution Transpulmonary ... By modifying the patient's position, a volume of venous blood from the lower body toward the right heart it is transferred, ... When the heart reaches a physiological limitation, then blood pumping cannot increase, although the venous return is further ...
Central venous pressure Pulmonary artery catheterization Mechanical ventilation In physiology manometric units are used to ...
A 2017 study found that a combination of chlorhexidine & silver-sulfadiazine (CSS) used to coat central venous catheters (CVC) ... and another 2000 study found that using silver alloy catheters for short-term urinary catheterization reduces the incidence of ... "Chlorhexidine and silver sulfadiazine coating on central venous catheters is not sufficient for protection against catheter- ... A 2018 Cochrane review found that silver-containing dressings may increase the probability of healing for venous leg ulcers. A ...
This procedure has fallen out of favor with the development of safer techniques for central venous catheterization such as the ... Supraclavicular central venous catheterization. Techniques and experience in 250 cases. Wisc Med J 1981; 80:36-38 Teichgraber ... Complications of venous cutdown include cellulitis, hematoma, phlebitis, perforation of the posterior wall of the vein, venous ... as well as the use of ultrasound guidance for placement of central venous catheters without using the cutdown technique. The ...
... pulmonary artery catheterization) require central venous access. There are no absolute contraindications to the use of central ... A central venous catheter (CVC), also known as a central line, central venous line, or central venous access catheter, is a ... The following are the major indications for the use of central venous catheters: Difficult peripheral venous access - central ... A peripherally inserted central catheter, or PICC line (pronounced "pick"), is a central venous catheter inserted into a vein ...
A 1996 systematic review concluded that a high jugular venous pressure makes a high central venous pressure more likely, but ... In a prospective randomized study involving 86 patients who underwent right and left cardiac catheterization, the ... The v wave corresponds to venous filling when the tricuspid valve is closed and venous pressure increases from venous return - ... Wiggers diagram Borst J, Molhuysen J (1952). "Exact determination of the central venous pressure by a simple clinical method". ...
... catheterizationEdit. As the umbilical vein is directly connected to the central circulation, it can be used as a ... The umbilical vein catheter is a reliable alternative to percutaneous peripheral or central venous catheters or intraosseous ... there is ordinarily no significant loss of either venous or arterial blood while cutting the cord. Current evidence neither ... route for placement of a venous catheter for infusion and medication. ...
... with the use of an infusion set and insulin pump A central venous catheter is a conduit for giving drugs or fluids into a large ... Cardiac catheterization (cardiac cath or heart cath) is a procedure to examine how well your heart is working. A thin, hollow ... The process of inserting a catheter is "catheterization". In most uses, a catheter is a thin, flexible tube ("soft" catheter) ... An early modern application of the catheter was employed by Claude Bernard for the purpose of cardiac catheterization in 1844. ...
Swedish physician Sven Seldinger introduced the technique of arterial and venous catheterization still in practice, dubbed the ... in order to identify central nervous system diseases such as tumors or arteriovenous malformations. He performed the first ... radiologists further developed the angiographic technique by replacing the traumatic direct puncture with catheterization: in ...
Epoprostenol (synthetic prostacyclin) is given via continuous infusion that requires a semi-permanent central venous catheter. ... Therefore, diagnosis of PAH requires right-sided cardiac catheterization. A Swan-Ganz catheter can also measure the cardiac ... Pulmonary venous hypertension typically presents with shortness of breath while lying flat or sleeping (orthopnea or paroxysmal ... Mural calcification in central pulmonary arteries is most frequently seen in patients with Eisenmenger's syndrome. Although ...
"Evaluation of Central Venous Access With Accelerated Seldinger Technique Versus Modified Seldinger Technique". The Journal of ... Catheterization and Cardiovascular Diagnosis. 21 (3): 144-7. doi:10.1002/ccd.1810210304. PMID 2225048. McTaggart, R. A.; ... There is a weak recommendation for deep venous stenting to treat obstructive chronic venous disease. Angioplasty requires an ... Angioplasty is used to treat venous stenosis affecting hemodialysis access, with drug-coated balloon angioplasty proving to ...
... central venous pressure more than 16 cm H 2O at the right atrium, jugular vein distension, positive abdominojugular test, and ... coronary catheterization may be used to identify possibilities for revascularisation through percutaneous coronary intervention ... Jugular venous pressure is frequently assessed as a marker of fluid status, which can be accentuated by eliciting hepatojugular ... Whether the problem is primarily increased venous back pressure (preload), or failure to supply adequate arterial perfusion ( ...
In some cases blockages in the peripheral arteries may be treated with catheterization and balloon dilatation instead of ... Malenfant, Jason; Bubb, Kathleen; Wade, Alena; Tubbs, R. Shane; Loukas, Marios (2012). "Vascular Anatomy of Central and ... doi:10.1007/978-88-470-2373-4_2. ISBN 978-88-470-2372-7. "peripheral venous catheter". National Cancer Institute. Retrieved May ... Peripheral Veins". Totally Implantable Venous Access Devices. Milano: Springer Milan. pp. 11-17. ...
Integral to the work leading to the development of the G suit was the perfection of vascular catheterization methods needed to ... Bowers, D; Shepherd, JT; Wood, EH (May 1955). "A constant-rate indicator-infusion technic for the measurement of central ... The water-filled, pulsatile pressure suits were developed to effect venous return. However, Wood and colleagues' detailed ... Burchell, HB; Helmholz Jr., HF; Wood, EH (February 11, 1953). "Over-all experiences with cardiac catheterization". Proc Staff ...
Anomalous positioning of the umbilical venous catheter occurs frequently because it is usually inserted without imaging ... Oestreich, A. E. (2010). "Umbilical vein catheterization--appropriate and inappropriate placement". Pediatric Radiology. 40 (12 ... as it provides quick access to the central circulation of premature infants. UAC/UVC lines can be placed at the time of birth ...
... which uses the Stewart-Hamilton principle but measures temperatures changes from central venous line to a central arterial line ... The PAC remains useful in right-heart study done in cardiac catheterisation laboratories.[citation needed] The PAC is balloon ... When the saline indicator is injected into the AV loop, it is detected by the venous clamp-on sensor on the loop before it ... Each gram of haemoglobin can carry 1.34 mL of O2; the oxygen content of the blood-either arterial or venous-can be estimated ...
Inferior vena cava size as estimate of central venous pressure Aortic root size for thoracic ascending aortic aneurysm ... A comparative simultaneous Doppler-catheterization study" (PDF). Circulation. 102 (15): 1788-94. doi:10.1161/01.cir.102.15.1788 ... subcostal window is the only window to view the inferior vena cava that can help support an estimation of the central venous ...
A further set of calculations can be made by measuring the arterial blood and central venous (from the third lumen) and ... Pulmonary artery catheterization (PAC), or right heart catheterization, is the insertion of a catheter into a pulmonary artery ... If details about the patient's body mass index (size); core temp, Systolic, diastolic, central venous pressure CVP (measured ... August 1970). "Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter". The New England ...
en:Central nervous system disease (5). *en:Central venous catheter (19). *en:Cerebral palsy (47) → 뇌성마비 ... en:Cardiac catheterization (18). *en:Cardiac surgery (39) → 심장외과 *en:Cardiomyopathy (35) → 심근증 ...
Brain - The human brain is the central organ of the human nervous system, and with the spinal cord makes up the central nervous ... Cardiac catheterization - (heart cath or just cath), is the insertion of a catheter into a chamber or vessel of the heart. This ... and venous thrombosis. Carotid artery, common - In anatomy, the left and right common carotid arteries (carotids) ) are ... Central nervous system - (CNS), is the part of the nervous system consisting of the brain and spinal cord. Cephalic vein - is a ...
Systemic exposure to excessive quantities of lidocaine mainly result in central nervous system (CNS) and cardiovascular effects ... Cardiovascular: hypotension, bradycardia, arrhythmias, flushing, venous insufficiency, increased defibrillator threshold, edema ... or cardiac catheterization) if amiodarone is not available or contraindicated. Lidocaine should be given for this indication ...
However, most cooling catheters are triple lumen catheters, and the majority of people post-arrest will require central venous ... and discontinuation of cooling for invasive procedures such as the cardiac catheterization. If therapy with water blankets is ... Animal studies have shown the benefit of targeted temperature management in traumatic central nervous system (CNS) injuries. ... including angiography of the venous system and the right side of the heart. ...
This includes the central nervous system and the peripheral nervous system. Tissue analysis comes from either surgical biopsies ... Joseph Ransohoff - known for his pioneering use of medical imaging and catheterization in neurosurgery, and for founding the ... venous angiomas, cavernous angiomas, capillary telangectasias) of the brain and spinal cord Moyamoya disease Pain following ... Conditions treated by neurosurgeons include, but are not limited to: Meningitis and other central nervous system infections ...
Arterial line Central venous catheter Fingerprick Sphygmomanometer Pulse oximeter EKG An NG tube is used to deliver nourishment ... Treatment may include any combination of: Cardiac catheterization Rashkind balloon atrial septostomy Balloon angioplasty ... central lines can also monitor blood pressure and provide blood samples, as well as provide a means to deliver medication and ... as well as the potential for introduction of bacteria via arterial and central lines, infection is not uncommon in pre- ...
... is routinely done to monitor central venous pressure (CVP), to administer long term intravenous medication and parenteral ... Singh, DK; Kohli, MK; Singhal, V; Singh, V; Rani, A (2006). "Ambesh maneuver during subclavian vein catheterization ... "Manual occlusion of the internal jugular vein during subclavian vein catheterization: a maneuver to prevent misplacement of ...
Pulmonary-artery versus central venous catheter to guide treatment of acute lung injury". N Engl J Med. 354 (21): 2213-2224. ... pulmonary artery wedge pressure , 18 mmHg (obtained by pulmonary artery catheterization). *if no measured LA pressure available ...
Joseph Ransohoff - known for his pioneering use of medical imaging and catheterization in neurosurgery, and for founding the ... Vascular malformations (i.e. , arteriovenous malformations, venous angiomas, cavernous angiomas, capillary telangectasias) of ... This includes the central nervous system and the peripheral nervous system. Tissue analysis comes from either surgical biopsies ... Vascular malformations (i.e., arteriovenous malformations, venous angiomas, cavernous angiomas, capillary telangectasias) of ...
Chlorhexidine-silver-sulfadiazine used in central venous catheters reduces the rate of catheter-related bloodstream infections. ... "Types of indwelling urethral catheters for short-term catheterisation in hospitalised adults". Cochrane Database Syst Rev. 9 (9 ...
Some hospitals have installed teleconferencing systems that allow doctors and nurses at a central facility (either in the same ... These units also typically cater for cardiac transplantation and postoperative cardiac catheterization patients if those ... ICU nurses monitoring patients from a central computer station. This allows for rapid intervention should a patient's condition ... building, at a central location serving several local hospitals, or in rural locations another more urban facility) to ...
"Catheterization and Cardiovascular Interventions. 71 (6): 831-841. doi:10.1002/ccd.21526. Retrieved 12 December 2014.. ... and won the Outstanding Wrestler award at the Central Coast Section Championships in 1976. Burke placed fifth at 165 pounds, in ... team used a 3D printed model of a child's heart and lungs to design a novel repair for complex total anomalous pulmonary venous ... interventional catheterization, and minimally invasive surgery. The human side of Burke's congenital heart team at Nicklaus ...
Depending on the service medical direction, these providers are trained on placement and use of UVCs (Umbilical Venous Catheter ... cardiac catheterization, trauma services or specialized ICU services) not available at referring facility.[citation needed] ... UACs (Umbilical Arterial Catheter), surgical airways, central lines, arterial lines and chest tubes. ... Skills taught in WEMT courses exceeding the EMT-Basic scope of practice include catheterization, antibiotic administration, use ...
Central Asia and, to a lesser extent, Russia and China. Of the estimated 312.9 million surgical procedures undertaken worldwide ... Cardiac catheterization/Coronary catheterization. Cardiac CT. Cardiac PET. sound. Phonocardiogram. Function tests. *Impedance ... Arterial and venous access. *Venous cutdown. *Arteriotomy. *Phlebotomy. Aortic aneurysm / dissection:. *Endovascular aneurysm ...
2009). The central nervous system in pediatric critical illness and injury. New York: Springer. p. 68. ISBN 9781848009936. . ... During pregnancy when a woman is lying on her back, the uterus may compress the inferior vena cava and thus decrease venous ... particularly during cardiac catheterization. In such cases the patient's ECG is monitored continuously, and a physician is ... The physiology of CPR involves generating a pressure gradient between the arterial and venous vascular beds; CPR achieves this ...
However, "leads" can also be formed between a physical electrode and a virtual electrode, known as the Wilson's central ... Two to four intracardiac leads are added via cardiac catheterization. The word "electrogram" (EGM) without further ... Goldberger's central terminal is a combination of inputs from two limb electrodes, with a different combination for each ... They are derived from the same three electrodes as leads I, II, and III, but they use Goldberger's central terminal as their ...
Venous pressure, also known as central venous pressure, is measured at the right atrium and is usually very low (normally ... Grossman W, Baim D. Grossman's Cardiac Catheterization, Angiography, and Intervention, Sixth Edition. Page 172, Tabe 8.1 ISBN 0 ... Systemic Vascular Resistance = 80x(Mean Arterial Pressure - Mean Venous Pressure or CVP) / Cardiac Output. Mean arterial ... In Hagen-Poiseuille equation, the flow layers start from the wall and, by viscosity, reach each other in the central line of ...
All these causes mainly affect the central nervous system, and provoke the development of what is known as Wernicke's disease ... Beissel, J (Dec 1977). "The role of right catheterization in valvular prosthesis surveillance (author's transl)". Annales de ... Elevated jugular venous pressure[21]. *Dyspnea (shortness of breath) on exertion. *Paroxysmal nocturnal dyspnea ... The citric acid cycle is a central metabolic pathway involved in the regulation of carbohydrate, lipid, and amino acid ...
A 7 F balloon tipped catheter was introduced via the venous sheath, the balloon was inflated and the catheter was advanced ... Coronary catheterizationEdit. Main page: Coronary catheterization. Indications for diagnostic use of coronary catheterization ... Catheterization of chambers and valvesEdit. Catheterization of cardiac chambers and valves may be performed at the same time as ... There are two major categories of cardiac catheterization:[6]. *Left heart catheterization allows for direct intervention in ...
... not venous and arterial blood). Initially, all venous blood flows from the tail/atria to the ventricles/head, a very different ... Other invasive procedures such as cardiac catheterisation can also play a role.[67] ... The coronary sinus is a large vein that drains into the right atrium, and receives most of the venous drainage of the heart. It ... Any elevation of the jugular venous pulse is noted. A person's chest is felt for any transmitted vibrations from the heart, and ...
Cardiovascular: hypotension, bradycardia, arrhythmias, flushing, venous insufficiency, increased defibrillator threshold, edema ... or cardiac catheterization) if amiodarone is not available or contraindicated. Lidocaine should be given for this indication ... Systemic exposure to excessive quantities of lidocaine mainly result in central nervous system (CNS) and cardiovascular effects ...
Self-catheterization[edit]. Intermittent urinary catheterization is used to relieve the bladder in people with urinary ... published evidence that BPH is caused by failure in the spermatic venous drainage system resulting in increased hydrostatic ... Wang-Michelitsch, Jicun; Michelitsch, Thomas (2015). "Tissue fibrosis: a principal evidence for the central role of Misrepairs ... Self-catheterization is an option in BPH when it is difficult or impossible to completely empty the bladder.[67] Urinary tract ...
Giebler RM, Scherer RU, Peters J (1997). "Incidence of neurologic complications related to thoracic epidural catheterization". ... such as subdural hematoma or cerebral venous thrombosis.[44] ... Central nervous system. *Intracerebral. *Intrathecal. *Epidural ...
Occasionally, determining the ACTH levels in various veins in the body by venous catheterization, working towards the pituitary ... Symptoms include rapid weight gain, particularly of the trunk and face with sparing of the limbs (central obesity). Common ...
The right heart catheterization (commonly known as Swan-Ganz catheterization) gives the physician the mean pulmonary capillary ... Finally, the central section is inflated, this should take no longer than 30 seconds, since full inflation obstructs the valve ... Atrial fibrillation - irregular pulse and loss of 'a' wave in jugular venous pressure Left parasternal heave - presence of ... The left heart catheterization, on the other hand, gives the pressure in the left ventricle. By simultaneously taking these ...
Catheterization may be necessary because SCI interferes with the bladder's ability to empty when it gets too full, which could ... Central cord syndrome, almost always resulting from damage to the cervical spinal cord, is characterized by weakness in the ... Another potentially deadly threat to respiration is deep venous thrombosis (DVT), in which blood forms a clot in immobile limbs ... The spinal tracts that serve the arms are more affected due to their central location in the spinal cord, while the ...
... or central line placement, is a time-honored and tested technique of quickly accessing the major venous system. Its benefits ... encoded search term (What is central venous catheterization?) and What is central venous catheterization? What to Read Next on ... First described in 1952, central venous catheterization, or central line placement, is a time-honored and tested technique of ... What is central venous catheterization?. Updated: Aug 07, 2018 * Author: E Jedd Roe, lll, MD, MBA, FACEP, FAAEM, MSF, CPE; ...
We describe a case of late perforation of the right internal mammary vein by a central venous catheter inserted via the left ... Clark, K.R., Higgs, M.J. Breast abscess following central venous catheterization. Intensive Care Med 17, 123-124 (1991). https ... Shapiro MJ, Allen HM, Talpos GB (1982) Internal thoracic vein cannulation as a complication of central venous catheterization. ... We describe a case of late perforation of the right internal mammary vein by a central venous catheter inserted via the left ...
Central Venous Catheter Colonization by Linezolid-Resistant, Vancomycin-Susceptible Enterococcus faecalis Alexandre R. Marra, ... Clearance of Cellulosimicrobium cellulans Bacteremia in a Child without Central Venous Catheter Removal Marie-Claire Rowlinson ... Use of Quantitative 16S Ribosomal DNA Detection for Diagnosis of Central Vascular Catheter-Associated Bacterial Infection S. ...
See also changes related to Central venous catheterization, or pages that link to Central venous catheterization or to this ... A list of Citizendium articles, and planned articles, about Central venous catheterization. ... Auto-populated based on Special:WhatLinksHere/Central venous catheterization. Needs checking by a human. ... Retrieved from "" ...
Central Venous Catheterization Tray by Cook Medical. Manufacturer: Cook Inc. * Facilitates short-term introduction of a central ... Central Venous Catheter Kit, Minocycline / Rifampin Impregnated, Triple Lumen, Polyurethane, Custom 0001. 1 EA. ... Central Venous Catheter Kit, Minocycline / Rifampin Impregnated, Triple Lumen, Polyurethane, Custom 0002. 1 EA. ...
... we developed this practical guide that will help a novice operator successfully perform central venous catheterization using ... Central venous catheterization is a basic skill applicable in various medical fields. However, because it may occasionally ... Practical guide for safe central venous catheterization and management 2017 J Anesth. 2020 Apr;34(2):167-186. doi: 10.1007/ ... Central venous catheterization is a basic skill applicable in various medical fields. However, because it may occasionally ...
Multi-Lumen Central Venous Catheterization Kits by Teleflex. Manufacturer: Teleflex Medical. * Pressure-injectable kit with ...
Citations may include links to full-text content from PubMed Central and publisher web sites. ... Chronic silastic central venous catheterization for induction, maintenance and support of persistent granulocytopenia in ... This method of chronic catheterization safely provides long-term venous access for studies requiring frequent venous access, ... we developed and prospectively evaluated a method of chronic central venous catheterization for the induction, maintenance and ...
... central venous explanation free. What is Catheterization, central venous? Meaning of Catheterization, central venous medical ... Looking for online definition of Catheterization, central venous in the Medical Dictionary? Catheterization, ... central venous catheter. (redirected from Catheterization, central venous) catheter. [kath´ĕ-ter] a tubular, flexible ... This type of catheter is also used in the measurement of central venous pressure. See also central venous catheterization. ...
Clinical guidelines on central venous catheterisation. Swedish Society of Anaesthesiology and Intensive Care Medicine.. ... Catheterization, Central Venous/adverse effects. *Catheterization, Central Venous/methods. *Catheterization, Central Venous/ ... Safe and reliable venous access is mandatory in modern health care, but central venous catheters (CVCs) are associated with ... Ultrasonic guidance should be used for catheterisation by the internal jugular or femoral veins and may also be used for ...
... suprapubic catheterization complication, urethral catheterization, central venous catheter, Seldingers technique, cardiac ... During the past decade, we used a small central venous catheter (CVC) suprapubicly in 16 male patients for the purpose of ... Suprapubic catheterization is an alternative method for urinary drainage that is used when transurethral catheterization fails ... drainage is a safe method with a high success rate and we recommend it in patients with failed transurethral catheterization ...
Central venous catheter inserted into the internal jugular vein in the neck of a patient. A central venous catheter is a ... and directly obtain cardiovascular measurements such as the central venous pressure. Here it is passed through the jugular vein ... Caption: Central venous catheterisation. Central venous catheter inserted into the internal jugular vein in the neck of a ... Keywords: adult, catheterisation, catheterised, catheterising, caucasian, central venous catheter, close-up, cvc, detail, ...
It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life ... PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer- ... PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the ... It includes content provided to the PubMed Central International archive by participating publishers. ...
Central Venous Catheterization: Subclavian Approach (Internal Medicine) reference information brought to you by Procedures ... Central Venous Catheterization: Subclavian Approach (Internal Medicine) procedures and references. ...
short-axis view in ultrasound-guided central venous catheterization," The Journal of Emergency Medicine, vol. 47, no. 1, pp. 45 ... A Shallow Angle Short-Axis Out-of-Plane Approach Reduces the Rate of Posterior Wall Injuries in Central Venous Catheterization ... Thirty-four of 40 residents had no previous experience with central venous catheterization and were included in the final ... Subjects with previous experience performing central venous catheterization were excluded.. The study was performed using a ...
Central Venous Surgery - Michigan medical malpractice lawyers representing victims of malpractice cases involving surgery. FREE ...
Complications during central venous catheterization (CVC) are not rare and can be serious. The use of ultrasound (US) during ...
Central Venous Catheterization - Learn about the causes, symptoms, diagnosis & treatment from the Merck Manuals - Medical ... Central venous catheterization is occasionally used to monitor central venous pressure (pressure in the superior vena cava, the ... In central venous catheterization, a catheter is inserted into one of the large veins of the neck, upper chest, or groin. This ... This figure shows the blood vessel (subclavian vein) in the chest that can be used for central venous catheterization. ...
... and Central Venous Catheterization, LF01012 at Nasco. You will find a unique blend of products for Arts & Crafts, Education, ... Heart Catheterization Simulator for Total Parenteral Nutrition (TPN) ... Life/form® Heart Catheterization Simulator for Total Parenteral Nutrition (TPN) and Central Venous Catheterization. $1,058.95 ... Life/form® Heart Catheterization Simulator for Total Parenteral Nutrition (TPN) and Central Venous Catheterization. ...
... junction during the placement of central venous cathe... ... Central venous access.. Central venous catheterization is the ... Central venous catheterization is a common tool used to monitor central venous pressure and administer fluid medications in ... Central Venous. Placement of an intravenous catheter in the subclavian, jugular, or other central vein for central venous ... Central Venous Catheterization Techniques in Neonates. The purpose of this study is to compare the differences in central ...
... central venous catherization using a flexible guidewire with markings thereon and a substantially translucent non-thrombogenic ... US5114401A - Method for central venous catheterization - Google Patents. Method for central venous catheterization Download PDF ... Method for central venous catheterization AU72401/91A AU7240191A (en) 1990-02-23. 1991-02-08. Apparatus and method for central ... Method for central venous catheterization Applications Claiming Priority (6). Application Number. Priority Date. Filing Date. ...
Central venous catheterization: a modification of the infraclavicular approach to the subclavian vein. The Journal of the ... Wehmann T. Central venous catheterization: a modification of the infraclavicular approach to the subclavian vein. J Am ... Central venous catheterization: a modification of the infraclavicular approach to the subclavian vein ... Central venous catheterization: a modification of the infraclavicular approach to the subclavian vein ...
Head to Medex Supply and check out the Arrow Central Venous Catheterization Set, Blue FlexTip Catheter, Pediatric, 2-Lumen, 5/ ... The Arrow Central Venous Catheterization Set Includes:. *One: Two-Lumen Indwelling Catheter: 4 Fr. x 5-1/8" (13 cm) Radiopaque ... Arrow Central Venous Catheterization Set, Blue FlexTip Catheter, Pediatric, 2-Lumen, 5/cs. Arrow International Model: CS-14402 ... An excellent option to consider is the Central Venous Catheterization Set, Blue FlexTip Catheter, Pediatric, 2-Lumen, 5/cs.. ...
... technique in the treatment of many hospitalized patients this video will demonstrate the placement of a central venous catheter ... The placement of a central venous line is an essential ... Central Venous Catheterization with Ultrasound Guidance The ... Tags: Central Venous Catheter Placement with Ultrasound Guidance Uploaded by: userone ( Send Message ) on 30-11-2011. Dnatube ... placement of a central venous line is an essential technique in the treatment of many hospitalized patients this video will ...
Head to Medex Supply and check out the Arrow Central Venous Catheterization Kit, Multi Lumen, 5.5 FR x 5-1/8, 5/cs ... Arrow Central Venous Catheterization Kit, Multi Lumen, 5.5 FR x 5-1/8, 5/cs. Arrow International Model: AK-16553. Medex SKU: ... The Arrow Central Venous Catheterization Kit Includes:. *One: Multi-Lumen Indwelling Catheter: 5.5 Fr. x 5-1/8" (13 cm) ... An excellent option to consider is the Arrow Central Venous Catheterization Kit, Multi Lumen, 5.5 FR x 5-1/8", 5/cs.. ...
Ultrasound guidance for central venous catheterisation. A Colombian national survey. Publication. Publication. International ... Although its utility for central venous catheterisation (CVC) is well established, only a paucity of evidence is available ... Ultrasound guidance for central venous catheterisation. A Colombian national survey. International Journal for Quality in ...
During central venous catheterization through the right internal jugular vein, inserting guywires to depths of 15 or 17.5 cm ... Conclusions: During central venous catheterization through the right internal jugular vein, inserting guywires to depths of 15 ... This study compared the incidence of arrhythmia during central venous catheterization using three different depths of guidewire ... Methods: Sixty-nine patients undergoing elective surgery requiring central venous catheterization through the right internal ...
Head to Medex Supply and check out the Arrow Central Venous Catheterization Kit with Blue FlexTip, Multi Lumen, 7 FR x 8, 5/cs ... Arrow Central Venous Catheterization Kit with Blue FlexTip, Multi Lumen, 7 FR x 8, 5/cs. Arrow International Model: CDC-45703- ... Arrow International Arrow Central Venous Catheterization Kit with Blue FlexTip, Multi Lumen, 7 FR x 8", 5/cs, 5 / Case ... An excellent option to consider is the Arrow Central Venous Catheterization Kit with Blue FlexTip, Multi Lumen, 7 FR x 8", 5/cs ...
  • Efficacy of antiseptic-impregnated central venous catheters in preventing catheter-related bloodstream infection: a meta-analysis. (
  • Marik PE, Flemmer M, Harrison W. The risk of catheter-related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular venous catheters: a systematic review of the literature and meta-analysis. (
  • The clinical presentation was similar in all three cases with good early function of the catheters followed by symptoms of chest pain and signs of inflammation in the breast contralateral to the site of insertion of the central venous catheter. (
  • Gilday DL, Downs AP (1969) The value of chest radiography in the localization of central venous pressure catheters. (
  • It details the fundamental knowledge and techniques that are indispensable for performing ultrasound-guided internal jugular vein catheterization (other choices of indwelling catheters, subclavian, axillary, and femoral venous catheter, or peripherally inserted central venous catheter are also described in alternatives). (
  • Safe and reliable venous access is mandatory in modern health care, but central venous catheters (CVCs) are associated with significant morbidity and mortality, This paper describes current Swedish guidelines for clinical management of CVCs The guidelines supply updated recommendations that may be useful in other countries as well. (
  • Venous catheters can be snaked into place once the introducer is properly inserted. (
  • RA ) junction during the placement of central venous catheters. (
  • Central venous catheters(CVCs) are often required to establish venous access in critically ill patients in order to administer rapid fluid resuscitation , blood products , and vasopressors . (
  • Complications of central venous catheters in patients with haemophilia and inhibitors. (
  • Temporary transvenous pacemakers can be inserted through central venous catheters (more specifically, sheath introducer catheters) to provide a more reliable and comfortable means of pacing than the transcutaneous route. (
  • Central venous catheters provide reliable access for blood drawing and administration of medications, until either peripheral access can be obtained or less venous access is required. (
  • Emergency or short-term dialysis and plasmapheresis can be performed via special central venous catheters (e.g. (
  • Cardiac catheterization is performed by inserting one or more catheters (thin flexible tubes) through a peripheral blood vessel in the arm (antecubital artery or vein) or leg (femoral artery or vein) under x-ray guidance. (
  • In 20 months, 821 central venous catheters (CVCs) were inserted in adults (181 short-term CVC + 218 tunnelled + 316 ports) and in paediatric patients (age range 20 days-13 years, average 5.5 years: 20 short-term + 84 tunnelled + two ports). (
  • It is usually a consequence of scarring related to surgery, to the presence of venous catheters or pacemaker electrodes, or external compression by tumour. (
  • Careful placement of the catheter tip outside of the heart, and the use of pliable nonbeveled silicone elastomer (Silastic) catheters are suggested as means of preventing this lethal complication of central venous catheterization. (
  • This review aims to assess central venous catheterization from the perspectives of types of catheters , sites of insertion, and techniques . (
  • Comparison of Complication Rates of Central Venous Catheters Versus Peripherally Inserted Central Venous Catheters in Pediatric Patients. (
  • The purpose of our study is to compare the rate of central line-associated blood stream infections and venous thromboembolism in central venous catheters versus peripherally inserted central catheters. (
  • Central venous catheters (CVC) may be necessary for temporary or long-term use. (
  • The advent of bedside ultrasonography (US) has changed the overall technique of the placement of central venous catheters in both the internal jugular vein and the femoral vein. (
  • To compare the success and immediate complication rates of the anatomical landmark method (group 1) and the radiologically (combined real-time ultrasound and fluoroscopy) guided technique (group 2) in the placement of central venous catheters in emergent hemodialysis patients. (
  • The success and immediate complication rates of radiologically guided placement of central venous access catheters through the internal jugular vein (n=40) were compared with those of the anatomical landmark method (n=40). (
  • Sonographically guided venous puncture and fluoroscopically guided placement of tunneled, large-bore central venous catheters for bone marrow transplantation-high success rates and low complication rates. (
  • Radiologic placement of tunneled central catheters: rates of success and of immediate complications in a large series. (
  • Central catheters are bigger and longer and are inserted into the large veins of the extremities, neck, or chest. (
  • Central venous catheters is the primary modality used for delivery of chemotherapeutic agents. (
  • Central venous catheters (CVC) are catheters inserted into the large veins of the arm, neck, chest, or groin. (
  • Types of CVCs include peripherally inserted central catheters, tunneled catheters, and implanted ports. (
  • citation needed] Peripherally-inserted central catheters (PICC, pronounced "pick"), is a form of vascular access that is inserted at a peripheral site such as the veins of the arms and extends in the central venous system at the superior vena cava. (
  • Since the port must be accessed using a needle, if venous access is required on a frequent basis a catheter having external access is more commonly used[citation needed] Complications associated with central venous catheters include infection, pneumothorax, thrombosis, misplacement, and bleeding. (
  • This procedure has fallen out of favor with the development of safer techniques for central venous catheterization such as the Seldinger technique, the modified Seldinger technique, intraosseous infusion, as well as the use of ultrasound guidance for placement of central venous catheters without using the cutdown technique. (
  • 169:731-733 Randolph AD, Cook DJ, Gonzales CA, et al: Ultrasound guidance for placement of central venous catheters: A meta-analysis of the literature. (
  • A physician should have a thorough foreknowledge of the procedure and its complications before placing a central vein catheter. (
  • Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial. (
  • Complications and failures of subclavian-vein catheterization. (
  • Preventing complications of central venous catheterization. (
  • However, because it may occasionally cause lethal complications, we developed this practical guide that will help a novice operator successfully perform central venous catheterization using ultrasound guidance. (
  • Ultrasound-guided internal jugular vein catheterization reduces the rate of complications compared with the anatomical landmark technique, although complications still occur in approximately 4% of procedures [ 1 ]. (
  • Complications during central venous catheterization (CVC) are not rare and can be serious. (
  • Central venous catheterization (CVC) is often necessary during initial trauma resuscitations, but may cause complications including catheter-related blood stream infection (CRBSI), deep venous thrombosis (DVT), pulmonary emboli (PE), arterial injury, or pneumothoraces. (
  • Central venous catheterization is associated with potential complications secondary to accidental puncture, including venous bleeding and pneumothorax. (
  • Unfortunately, central lines are associated with serious complications, including nosocomial bloodstream infections. (
  • Cardiac catheterization is usually performed in a specially designed cardiac catheterization suite in a hospital, so that any procedural complications may be handled rapidly and effectively. (
  • As of 2000, however, the American Heart Association (AHA) and the American College of Cardiology (ACC) issued a joint statement denying approval of the use of separate cardiac catheterization laboratories that are not part of a hospital, on the grounds that a small number of patients having the procedure on an outpatient basis will have unexpected reactions or complications. (
  • Ultrasound (US) significantly facilitates central venous catheterization, reducing the percentage of failure, the percentage of accidental arterial puncture, and the percentage of complications (haematoma, haemothorax, pneumothorax). (
  • Central venous catheter use may result in various complications, although it has been used as an invasive method for hemodynamic monitoring and fluid and drug infusion. (
  • Brief Summary: The investigators intend to compare the Seldinger technique and modified Seldinger technique on success rate and complications during central venous catheterization by a prospective, randomized, controlled study. (
  • The ideal catheterization site should bear fewer thromboses , lower infectious rate, and fewer mechanical complications . (
  • Assessment of central venous catheterization and complications in a tertiary pediatric intensive care unit. (
  • Tolunay İ, Yıldızdaş RD, Elçi H, Alabaz D. Assessment of central venous catheterization and complications in a tertiary pediatric intensive care unit. (
  • [8] When using central venous access, the subclavian (or axillary) vein is preferred due to its ease of access and lowest infectious complications compared to the jugular and femoral vein insertions. (
  • However, the insertion of a central venous catheter is a technically challenging procedure with known risks and complications . (
  • In conclusion, as catheter and guidewire entrapment are well-known potential complications of central venous catheterization , when resistance is encountered at any stage of central venous catheterization (especially when removing the entrapped catheter or guidewire) the procedure should be stopped and evaluated with imaging assistance. (
  • Mechanical complications and malpositions of central venous cannulations by experienced operators. (
  • Percutaneous central venous catheterization via the internal jugular vein can be performed by interventional radiologists with better technical success rates and lower immediate complications. (
  • Real-time ultrasonographically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study. (
  • Complications of venous cutdown include cellulitis, hematoma, phlebitis, perforation of the posterior wall of the vein, venous thrombosis and nerve and arterial transection. (
  • First described in 1952, central venous catheterization, or central line placement, is a time-honored and tested technique of quickly accessing the major venous system. (
  • Placement of a central vein catheter is a common procedure, and house staff require substantial training and supervision to become facile with this technique. (
  • Kilbourne MJ, Bochicchio GV, Scalea T, Xiao Y. Avoiding common technical errors in subclavian central venous catheter placement. (
  • Confirmation of correct placement of the central venous catheter must be sought in any patient who develops these symptoms or signs so that the delay in diagnosis we experienced can be avoided. (
  • Central venous catheterization is the placement of a catheter in such a manner that its tip is positioned within the proximal third of the superior vena cava, the right atrium or the inferior vena cav. (
  • Placement of an intravenous catheter in the subclavian, jugular, or other central vein for central venous pressure determination, chemotherapy, hemodialysis, or hyperalimentation. (
  • A venous placement rate of 80% was obtained with opened skin. (
  • Describe pre-procedural considerations for an internal jugular central venous catheter placement. (
  • Describe and demonstrate the preparation for an internal jugular central venous catheter placement. (
  • Identify and demonstrate the proper positioning and technique for internal jugular central venous catheter placement. (
  • They have demonstrated clinically that the SF can be used successfully to guide the placement of the peripherally inserted central catheter (PICC) lines. (
  • OBJECTIVE To compare time to achieve vascular access (TTVA) between an ultrasound-guided technique (UST) and landmark-based technique (LMT) for central venous catheter (CVC) placement in healthy anest. (
  • Mini-invasive treatment of a large pseudoaneurysm of the neck related to central venous catheter placement: A case report. (
  • Central venous catheter (CVC) placement, particularly in emergency setting, may be associated with significant morbidity and mortality. (
  • In addition to expediting delivery of these drugs to the heart and arterial system, central administration decreases the risk of damaging peripheral tissue from the vasoconstrictive effects of the medications. (
  • The use of totally implanted venous access devices has become a routine procedure since it was first described in 1982, when the use of a novel system consisting of a silicone rubber catheter connected to a subcutaneously placed molded plastic injection port for administration of intra-arterial chemotherapy was reported. (
  • As we explore through the Five Catheter Coding Zones, Arterial (upper and lower Diaphragm), Venous, Pulmonary and Portal areas, we will cover 26 common scenarios plus unique coding exceptions to each Zone that you will want to take special note of. (
  • A venous embolism is not as serious as an arterial embolism, which is itself not as serious as a cerebral embolism. (
  • Brandi SL, Oleggini MD, Frediani M, Lachi S, Di-Trani M, Ferrannini E (1988) Inadvertent catheterization of the internal thoracic vein mimicking pulmonary embolism: a case report. (
  • But it has largely been replaced by pulmonary artery catheterization . (
  • It is easy to imagine that stenting the systemic venous pathways might produce compression of the adjacent pulmonary venous pathways but in practice that does not appear to occur. (
  • An infant codes due to pulmonary emboli after a central line flush. (
  • Shapiro MJ, Allen HM, Talpos GB (1982) Internal thoracic vein cannulation as a complication of central venous catheterization. (
  • The purpose of the study is to evaluate the success rate using ultrasound as guidance during central venous cannulation in pediatric cardiac surgical patients. (
  • Central venous cannulation in patients with liver disease and coagulopathy-a prospective audit. (
  • The primary outcome was number of attempts at venous cannulation. (
  • Ultrasound-guided external jugular vein cannulation for central venous access by inexperienced trainees. (
  • This system was effective for jugular venous puncture of opened skin. (
  • Designed for practicing ultrasound guided central venous (CV) puncture as well as landmark puncture. (
  • Ultrasound-guided venous puncture is a more accurate method of subclavian vein catheterization. (
  • The total number of needle passes, double venous wall puncture, and complication rate were significantly lower in group 2. (
  • abstract = "Pneumomediastinum is a rare event in subclavian central venous catheterization. (
  • Pediatric Central Venous Catheterization: the Role of the Aortic Valve in Defining the Superior Vena Cava-Right Atrium Junction. (
  • An excellent option to consider is the Central Venous Catheterization Set, Blue FlexTip Catheter, Pediatric, 2-Lumen, 5/cs. (
  • Outline This model is designed for the training of pediatric catheterization. (
  • Critically ill neonatal and pediatric patients often require central vascular access. (
  • To compare the ultrasound- and fluoroscopy-guided subclavian vein catheterization in pediatric population with hematologic diseases. (
  • A randomized prospective study of subclavian vein catheterization in pediatric population with hematologic diseases was performed. (
  • Firat AC, Zeyneloglu P, Ozkan M, Pirat A. A randomized controlled comparison of the internal jugular vein and the subclavian vein as access sites for central venous catheterization in pediatric cardiac surgery. (
  • Bruzoni M, Slater BJ, Wall J, St Peter SD, Dutta S. A prospective randomized trial of ultrasound- vs landmark-guided central venous access in the pediatric population. (
  • Comparison of ultrasound-guided and landmark-based techniques for central venous catheterization via the external jugular vein in healthy anesthetized dogs. (
  • In order to investigate new approaches in diagnosis, prevention and treatment of infectious complicating chemotherapy-induced granulocytopenia, we developed and prospectively evaluated a method of chronic central venous catheterization for the induction, maintenance and support of persistent granulocytopenia in rabbits. (
  • Crossing of a critically stenosed aortic valve is a pivotal step during diagnostic cardiac catheterization to measure the transvalvular gradient, especially in patients with discordant clinical and ec. (
  • METHODS: The rSO(2) values were measured using the INVOS 5100 cerebral oximeter in children undergoing interventional cardiac catheterization and were compared with the oxygen saturation of analysed central venous and internal jugular blood samples. (
  • Central venous catheterization is a common procedure carried out in a hospital setting, and is used for a variety of reasons including intravenous administration of specific drugs, parenteral nutrition, haemodialysis, and to aid in the diagnosis of cardiac failure. (
  • They may provide access for blood draws, facilitate central administration of fluids and medications, and allow direct measurement of cardiac filling pressure. (
  • Blood drawn from a central catheter can allow the measurement of mixed venous (or central venous) oxygen saturation, often used to estimate cardiac output. (
  • Cardiac catheterization (also called heart catheterization) is a diagnostic and occasionally therapeutic procedure that allows a comprehensive examination of the heart and surrounding blood vessels. (
  • Cardiac catheterization is most commonly performed to examine the coronary arteries, because heart attacks, angina, sudden death, and heart failure most often originate from disease in these arteries. (
  • Patients with congenital cardiac defects are also evaluated with cardiac catheterization to visualize the abnormal direction of blood flow associated with these diseases. (
  • Cardiac catheterization can be performed on either side of the heart to evaluate different functions. (
  • Because some interventions may be performed during cardiac catheterization, the procedure is considered therapeutic as well as diagnostic. (
  • Cardiac catheterization may also be performed on patients presenting to the emergency department with chest pain or chest injuries. (
  • Cameron, J. L. / Cardiac Tamponade : A Fatal Complication of Central Venous Catheterization . (
  • What is cardiac catheterization? (
  • Why would I need cardiac catheterization? (
  • How is cardiac catheterization done? (
  • Cardiac catheterization is done in a special unit in the hospital. (
  • However, some problems found during cardiac catheterization require surgery. (
  • Coronary angiography, more commonly called cardiac catheterization, is a definitive test for coronary artery disease (CAD). (
  • Central intravenous catheterization procedure kits and trays are intended for use during a variety of procedures, including the administration of fluids (e.g., medication, parenteral feeding), to perform central venous pressure measurements, and/or for other blood tests. (
  • The iatrogenic VAIs were categorized according to each diagnostic or therapeutic procedure responsible for the injury, i.e., central venous catheterization, cervical spine surgery, chiropractic manipulation, diagnostic cerebral angiography, percutaneous nerve block, and radiation therapy. (
  • The procedure may be performed on an outpatient basis, depending on the patient's pre- and post-catheterization condition. (
  • With our catheterization trainers and simulators, students will be better able to utilize this common procedure in patient care. (
  • Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. (
  • Over the years, the venous cutdown procedure has become outdated by the introduction and recent prehospital developments of intraosseous infusion in trauma/hypovolemic shock patients. (
  • Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization. (
  • Ultrasonic guidance should be used for catheterisation by the internal jugular or femoral veins and may also be used for insertion via the subclavian veins or the veins of the upper limb. (
  • Seven residents performed ultrasound-guided central vein venipuncture in a simulation environment, with and without the guidance system. (
  • RePub, Erasmus University Repository: Ultrasound guidance for central venous catheterisation. (
  • Ultrasound guidance for central venous catheterisation. (
  • Central venous catheterization: Are we using ultrasound guidance? (
  • Objectives-To assess the self-reported frequency of use of ultrasound guidance for central venous catheterization by emergency medicine (EM) residents, describe residents' perceptions regarding the use of ultrasound guidance, and identify barriers to the use of ultrasound guidance. (
  • A questionnaire on the use of ultrasound guidance for central venous catheterization was initially administered to EM residents in 2007. (
  • Conclusions-The use of self-reported ultrasound guidance for central venous catheterization significantly increased from 2007 to 2013 at academic institutions. (
  • Dive into the research topics of 'Central venous catheterization: Are we using ultrasound guidance? (
  • Real-time ultrasound guidance for central venous catheterization is beneficial. (
  • Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization. (
  • In conclusion, central venous catheterization for emergent dialysis should be performed under both real-time ultrasound and fluoroscopic guidance. (
  • Improved results using ultrasound guidance for central venous access. (
  • We describe a case of late perforation of the right internal mammary vein by a central venous catheter inserted via the left subclavian vein. (
  • Evaluation of an ultrasound-guided technique for central venous access via the internal jugular vein in 493 patients. (
  • 80:36-38 Teichgraber UK, Benter T, Gebel M, et al: A sonographically guided technique for central venous access. (
  • This method of chronic catheterization safely provides long-term venous access for studies requiring frequent venous access, including the painless induction, maintenance, and support of chronic granulocytopenia in rabbits. (
  • Since the first description in 1982, totally implanted venous access ports have progressively improved patients' quality of life and medical assistance when a medical condition requires the use of long-term venous access. (
  • 1 Ports have progressively improved patients' quality of life and medical assistance when a medical condition requires the use of a long-term venous access for administration of blood products, fluids, chemotherapy, antibiotics, or total parenteral nutrition. (
  • The purpose of this study was to compare the effects of two acute-care management strategies on the frequency of jugular venous desaturation and refractory intracranial hypertension and on long-term neurologic outcome in patients with severe head injury. (
  • A low jugular venous oxygen saturation was treated in both groups, minimizing the injury that occurred in the ICP-targeted group. (
  • Finch MT (1976) Subclavian-mammary vein catheterization. (
  • The short-axis out-of-plane approach (SAX-OOP) is commonly used in ultrasound-guided internal jugular vein catheterization. (
  • We present a case of a right VAP resulting from jugular vein catheterization, with the Doppler ultrasonography (US), Computed tomography (CT) and magnetic resonance imaging (MRI) findings. (
  • After randomization, the patients were assigned to either ultrasound- or fluoroscopy-guided subclavian vein catheterization. (
  • Thus, combined ultrasound-and fluoroscopy-guided technology is more efficient in subclavian vein catheterization of children with hematologic disease. (
  • Pang H, Chen Y, He X, Zeng Q, Ye P. Fluoroscopy-guided subclavian vein catheterization in 203 children with hematologic disease. (
  • Central venous lines are essential tools in the care of complicated patients, both on inpatient wards and in the emergency department and intensive care unit. (
  • Central venous catheterization is widely used in the emergency setting. (
  • Central venous catheterization is common in the emergency department for monitoring of CVP ( central venous pressure ), fluid administration , and drug infusions. (
  • A 94-year-old woman was transferred to an emergency department due to difficulties in removing the guidewire during central catheter insertion through the right subclavian vein . (
  • Air embolism can easily cause significant and permanent damage to the central nervous system and as such must be treated as an emergency. (
  • Loss of guidewire and its sequelae after central venous catheterization: A case report. (
  • Disclosed are an apparatus and methods for initial, or replacement, central venous catherization using a flexible guidewire with markings thereon and a substantially translucent non-thrombogenic catheter. (
  • Objective: Guidewire-induced arrhythmias that occur during central venous catheterization can progress to malignant arrhythmias in rare cases. (
  • This study compared the incidence of arrhythmia during central venous catheterization using three different depths of guidewire insertion into the right internal jugular vein. (
  • The needle is withdrawn, guidewire is advanced through the guiding sheath, central catheter is placed into the vessel. (
  • Central catheter is then passed over the guidewire into the vessel. (
  • Prevention of central venous catheter-related infections by using maximal sterile barrier precautions during insertion. (
  • The purpose of this study is to compare the differences in central venous catheter insertion time, success rate, and complication between the Seldinger and modified Seldinger technique for. (
  • However, few published studies have examined the long-term effect of simulation technology on bedside procedures such as central venous catheter (CVC) insertion. (
  • Prepackaged collections of the devices and supplies (either custom or standard) needed for the insertion of a catheter whose tip will reach the central venous system. (
  • There remains, however, a small subgroup of patients with venous thrombosis from a previous catheter insertion or intravenous drug abuse for whom a number of ingenious methods have been devised. (
  • The research proposed here will expand this application to include the insertion of other central venous access (CVA) lines through the internal jugular vein, subclavian vein, and femoral vein. (
  • Percutaneous innominate vein catheterisation: a new technique for venous access in the critically ill. (
  • Venous access in the critically ill can be a major problem despite the wide variety of methods now available. (
  • A prospective study of 1794 catheterizations in critically ill patients. (
  • Single center randomized trial that included critically ill cirrhosis patients with indication for central venous line in a tertiary private hospital in Brazil . (
  • The use of a restrictive strategy is associated with a reduction in transfusion prior to central venous catheterization and costs in critically ill cirrhosis patients . (
  • Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. (
  • Its benefits over peripheral access include greater longevity without infection, line security in situ, avoidance of phlebitis, larger lumens, multiple lumens for rapid administration of combinations of drugs, a route for nutritional support, fluid administration, and central venous pressure (CVP) monitoring. (
  • For long-term intravenous access, tunnelled CVC or subcutaneous venous ports are preferred. (
  • Central venous access. (
  • Our diverse product line includes market-leading radiofrequency ablation and NanoKnife systems, vascular access products, angiographic products and accessories, dialysis products, angioplasty products, drainage products, thrombolytic products, embolization products and venous products. (
  • Central venous access is required to administer certain medications, including most vasoactive and/or inotropic agents (i.e., vasopressors such as dopamine and norepinephrine). (
  • Patients needing total parenteral nutrition also require central access because the osmolarity of the mixture exceeds what can safely be administered into the peripheral circulation. (
  • In acutely unstable patients, peripheral venous access may be inadequate. (
  • Venous access can be obtained in the majority of patients by a variety of safe and accepted measures such as peripheral venepuncture, central vein catheterisation by the subclavian or internal jugular vein, or by a cutdown. (
  • Around the hospital and around the globe, Arrow continues to be the most trusted name in central venous access. (
  • It may be called peripheral parenteral nutrition ( PPN ) when administered through vein access in a limb rather than through a central vein as central venous nutrition ( CVN ). (
  • What are the initial steps of central venous access via the subclavian vein? (
  • In medicine, vascular access is a means of accessing the bloodstream through the peripheral or central blood vessels in order to obtain blood or deliver medications including chemotherapy. (
  • Ports are typically used on patients requiring only occasional venous access over a long duration course of therapy. (
  • A new technique is described involving percutaneous catheterisation of the innominate vein via a right second intercostal space approach. (
  • A new method has been developed allowing percutaneous catheterisation of the innominate vein. (
  • Now you can train residents and staff in the techniques of performing central venous catheterization using the Life/form® TPN Simulator. (
  • Including both Learn and Test modes, the online simulator allows you to practice and test your ability to insert a central line into the subclavian vein, with cross-sectional animations to enable understanding. (
  • Including both Learn and Test modes, the online simulator offers a clinical scenario that tests your ability to perform a central venous catheterization of the right internal jugular vein. (
  • Guidelines for good practice in central venous catheterization. (
  • Practice measuring central venous pressure. (
  • The main body of the presentation with provide plenty of "hands-on" practice scenarios including a basic 5 Step Guide to capturing each catheterization code and when to add more than one! (
  • Particular attention has been paid to current problems in catheterization and the prevention of transmission of communicable diseases from patient to practitioner and vice-versa (e.g., the risk of contracting the HIV virus is substantially reduced using this system and method. (
  • A system and method of catheterization, includes a needle, a 'Y' chamber, a syringe or other chamber, a dilator, a sheath, a protective sleeve and a shock sheath. (
  • Stenoses in the intracardiac venous channels often respond well to balloon dilatation alone, although some degree of elastic recoil is common. (
  • The citation Central catheter-related intracardiac thrombus - Full Text appeared on the IVTEAM Citation Library. (
  • Practices to prevent venous thromboembolism: a brief review. (