Arterial Line Insertion Pre Reading
|
|
- Moris Stokes
- 6 years ago
- Views:
Transcription
1 PROCEDURE ACCREDITATION THE CANBERRA HOSPITAL EMERGENCY DEPARTMENT Arterial Line Insertion Pre Reading
2 Indications Requirement for continuous blood pressure monitoring (all patients on pressors, inotropes, HTN crises etc) Frequent sampling of ABG required (intubated patient, NIV patient etc) Patient requiring critical transport or anaesthesia where complications anticipated
3 Indications Remember patient outcome is likely to improve because an art line is in! Remember lines have complications Thus Make sure you have a good indication before inserting.. Not just because you can!
4 Consent Verbal consent if patient awake, implied consent if unable Complications Arterial injury: dissection, rupture, bleeding, haematoma Thrombosis, embolus Hand ischaemia Infection Nerve injury
5 Equipment Arterial line Femoral or radial Seldinger or cannula
6 All in one Arrow radial seldinger Femoral seldinger Old fashioned 20G cannula Long Radial seldinger
7 Equipment Arterial catheter arm board Pressure line 500mL bag N/Saline Suture kit 4/0 prolene Local anaesthetic with 27G needle Chlorhexidine prep Steristrips Tegaderm
8 Equipment Monitor capable of accepting IBP tracing
9 Set up Prior to commencing Have the arterial pressure line primed and ready nearby Have 2 steristrips nearby Have open gauze ready
10 Radial arterial line Insertion technique
11 Positioning Kylie absorbent mat under arm Dorsiflexed, supinated wrist on flat surface over 500mL fluid bag Taped into dorsiflexion Ensures: straight, superficial, stable radial artery
12 Preparation Sterile field with sterile gloves and sterile drapes. Sterile gown optional. Chlorhexidine prep to include dorsum of wrist if possible to mid palm and distal 1/3 forearm Local anaesthetic using 27 G needle over pulse and to either side for suturing. Massage anaesthetic to disperse bleb
13 Holding the patient Hold the patients wrist with your non dominant hand: thumb on dorsum; index and middle fingers palpating pulse (ensures good control of patient movement and good localisation of vessel) Use tips of fingers to localise pulse.
14 PRACTICE TIP Use the long radial seldinger in situations where difficulty is anticipated or long term use is expected. The separate needle, wire and catheter allow far greater control and adjustment The length and design allow for greater longevity and securing with sutures.
15 Seldinger technique Hold the needle in dominant hand between thumb and forefinger like a dart Place your thenar eminence on the patients thenar eminence (stability and control) Insert the needle through the skin at 45 degrees. Ensure good communication to inform the patient what you are doing, that they may feel pain and request staying still!
16 Positioning (non sterile!)
17 Seldinger technique Upon arterial puncture, flatten the needle towards the patients arm If good flow remains (pulsatile jet), insert the flexible tip of the guidewire into the needle hub and progress the guidewire
18 Seldinger technique With the guidewire passed easily, hold the proximal tip of the guidewire and remove the needle, then hold the distal end of the guidewire and remove the needle completely Pass the catheter over the guidewire,until wire is out the proximal end of the catheter Grasp the proximal end of the guidewire and insert the catheter through the skin and into the artery.
19 Troubleshooting If the guidewire does not easily pass You are in the vessel wall or You have gone out the back of the vessel Remove the guidewire Microadjust the needle in or out until good flow is obtained and pass the guidewire again If you have trouble inserting the catheter Vasospasm Wire has been removed from vessel Wire never placed correctly Severe atherosclerotic disease
20 Insertion using the ARROW TM radial kit This kit contains a needle, guidewire and cannula as an all in one Set up is unchanged Approach the artery in the same way, when flash back is achieved, flatten the cannula towards the skin Use the black tab to progress the guidewire When the guidewire is easily passed, push the cannula along the guidewire Remove the needle and guidewire Disadvantage of this kit: once flashback is achieved you have no further feedback that the needle is still in the lumen.
21 Femoral arterial line insertion The seldinger principle is identical Remember femoral triangle anatomy: Nerve Artery Vein Y-fronts! Ultrasound guidance is recommended Shave the groin to allow dressings to stick Always insert the needle below the inguinal crease to ensure compressibility of the artery if required
22 Securing the line Remove the guidewire or needle with firm pressure over the artery to prevent mess Plug in the primed line and loop it around the patients thumb Place 2 steristrips over the catheter hub and one over the line Suture in place Large tegaderm x1 or x2 Flush line Apply arm board Connect to monitor and zero
23 Arterial wave form interpretation Pressure transmitted in a closed circuit is converted into an electrical signal by a transducer MAP is derived from area under pressure curve It is important to understand the changes in ABP waveforms
24 ABP waveform Anacrotic rise, LV contraction Aortic valve closes
25 Damped trace Confirm damping: no dicrotic notch, no systolic peak Check: Pressure bag is in the green zone Flush line; a non-damped line should rebound to normal trace very quickly. Flush using the blue squeezer first and then the syringe. Unable to flush line = clotted/kinked Check: For kinks: commonly at the skin. For clots. Change: Undo the velcro straps on the splint. Pull back on the hub, and re-secure. Ensure dorsiflexed in splint and re-velcro
26 Transducer dropped Sudden hypertension should raise suspicion that the transducer is below the heart level. Sudden hypotension may be from the transducer being too high. Check the transducer Confirm with NIBP Check: clinical condition, adequate sedation
27 Hypovolaemia Pulse pressure variation with respiration Only valid in a paralysed intubated sedated patient
28 Evaluation 1. The preferred site for arterial line insertion is A. Dominant radial artery B. Non dominant brachial artery C. Non dominant radial artery D. Dominant brachial artery
29 2. The position of the wrist for radial artery cannulation is A. Volar -flexed and pronated B. Dorsi-flexed and supinated C. Volar-flexed and supinated D. Dorsi-flexed and pronated
30 3. The preferred line for difficult and/or long term use is A. 20 G cannula B. Radial seldinger kit C. All in one Arrow radial kit D. 22G cannula
31 4. Which of the following is incorrect: If you have trouble inserting the catheter; A. Vasospasm B. Venous placement C. Wire never placed correctly D. Severe atherosclerotic disease
32 5.The femoral artery should be punctured A. Above the inguinal crease B. Below the inguinal crease
33 6. Appropriate response to the following ABP tracing is A. Increase the vasopressor dose B. Give a fluid bolus C. Start CPR D. Flush the line, check the pressure in the bag, check the cannula position.
Central Venous Line Insertion
Central Venous Line Insertion Understand the indications and risks of CVC insertion Understand and troubleshoot the seldinger technique Understand available sites and select the appropriate site for clinical
More information2. Need for serial arterial blood gas determinations. 2. Anticipation of the initiation of thrombolytic therapy
I. Subject: Arterial Cannulation II. Policy: Arterial cannulation will be performed upon a physician's order by Cardiopulmonary and Respiratory Therapy personnel certified in the arterial catheterization
More informationCompetency Title: Caring for a patient with an arterial line
Appendix 2 Competency Title: Caring for a patient with an arterial line Aims and objectives Following completion of this competency document the practitioner will be able to: Discuss the indications for
More informationTechnique. Technique. Technique. Monitoring 1. Local anesthetic? Aseptic technique Hyper-extend (if radial)
Critical Care Monitoring Hemodynamic Monitoring Arterial Blood Pressure Cannulate artery Uses 2 Technique Sites Locate artery, prep 3 1 Technique Local anesthetic? Aseptic technique Hyper-extend (if radial)
More informationAfter the radial artery, the femoral artery is the second most common site for arterial cannulation. One advantage of femoral artery cannulation is
Arterial Line An arterial line is a thin catheter inserted into an artery. Arterial line placement is a common procedure in various critical care settings. It is most commonly used in intensive care medicine
More informationSterile Technique & IJ/Femoral Return Demonstration
Sterile Technique & IJ/Femoral Return Demonstration Sterile Technique Description: This is a return demonstration checklist used to evaluate participants in the simulated hands on skills portions for certification
More informationHome Health Foundation, Inc. To create more permanent IV access for patients undergoing long term IV therapy.
PROCEDURE ORIGINAL DATE: 06/99 Revised Date: 09/02 Home Health Foundation, Inc. SUBJECT: PURPOSE: MIDLINE CATHETER INSERTION To create more permanent IV access for patients undergoing long term IV therapy.
More informationDr. prakruthi Dept. of anaesthesiology, Rrmch, bangalore
CENTRAL VENOUS CATHETERIZATION Dr. prakruthi Dept. of anaesthesiology, Rrmch, bangalore OBJECTIVES Introduction Indications and Contraindications Complications Technique Basic principles Specifics by Site
More informationVenepuncture and Cannulation. Louise Smith Clinical Nurse Specialist
Venepuncture and Cannulation Louise Smith Clinical Nurse Specialist Outcomes By the end of this session you will be aware of: Basic anatomy Preparation procedures including patient identification Equipment
More informationCATCH A WAVE.. INTRODUCTION NONINVASIVE HEMODYNAMIC MONITORING 4/12/2018
WAVES CATCH A WAVE.. W I S C O N S I N P A R A M E D I C S E M I N A R A P R I L 2 0 1 8 K E R I W Y D N E R K R A U S E R N, C C R N, E M T - P Have you considered that if you don't make waves, nobody
More informationUltrasound Guided Vascular Access. 7/25/2016
Ultrasound Guided Vascular Access 7/25/2016 www.ezono.com 1 Objectives Indications for insertion of central and peripheral lines Complications associated with procedures Role of ultrasound in vascular
More informationMODULE 9 ARTERIAL AND VENOUS CATHETERIZATION. Robert B. McLafferty M.D. Southern Illinois University
MODULE 9 ARTERIAL AND VENOUS CATHETERIZATION Robert B. McLafferty M.D. Southern Illinois University I. OBJECTIVES By the end of this laboratory session the residents should be able to A. Identify the anatomic
More informationKristin Wise, MD, FHM Division of General Internal Medicine and Geriatrics Hospital Medicine 2013
Kristin Wise, MD, FHM Division of General Internal Medicine and Geriatrics Hospital Medicine 2013 Objectives for CVC Placement Understand the indications and contraindications Determine appropriate CVC
More informationE S C C R I A L T E A R. One great catheter + maximum barrier insertion. c k. p a. h e. a t. a l. r i t e. A r
T E A R r i t e R I A L a l A c a t C C h e E S t e r S p a c k s One great catheter + maximum barrier insertion A r Difficult Arterial Access The problem Direct insertion technique Arterial cannulation
More informationSOUTHERN HEALTH & SOCIAL CARE TRUST. Children & Young People s Directorate Procedure/Guidelines/Protocol Checklist & Version Control Sheet
Children & Young People s Directorate Procedure/Guidelines/Protocol Checklist & Version Control Sheet 1 Name of Procedure/Guidelines/ Protocol: PROCEDURE FOR PERIPHERAL ARTERIAL CANNULATION 2 Purpose of
More informationARROW ENDURANCE. Extended Dwell Peripheral Catheter System. Rx only.
ARROW ENDURANCE Extended Dwell Peripheral Catheter System Rx only. Product Description: The ARROW Endurance catheter system is a sterile, single use peripheral intravascular device designed to permit access
More informationSection 6 Intra Aortic Balloon Pump
Section 6 Intra Aortic Balloon Pump The Intra Aortic Balloon Pump (IABP) The balloon is synthetic and is made for single use only. It is threaded into the aorta, usually via a femoral approach. The balloon
More informationChildren s Acute Transport Service
Children s Acute Transport Service Vascular Access Document Control Information Author Ramnarayan Author Position Consultant, CATS Document Owner Polke Document Owner Position CATS Co-ordinator Document
More informationCurraheen, Co. Cork. Guidelines on the Management and Care of Central Venous Access Devices
Curraheen, Co. Cork. Guidelines on the Management and Care of Central Venous Access Devices Date re-approved: 27 th Jan 2015. Version No: 2 Revision Due: 2018 Index code: CLIN028 Disclaimer: The information
More information1 Description. 2 Indications. 3 Warnings ASPIRATION CATHETER
Page 1 of 5 ASPIRATION CATHETER Carefully read all instructions prior to use, observe all warnings and precautions noted throughout these instructions. Failure to do so may result in complications. STERILE.
More informationATI Skills Modules Checklist for Central Venous Access Devices
For faculty use only Educator s name Score Date ATI Skills Modules Checklist for Central Venous Access Devices Student s name Date Verify order Patient record Assess for procedure need Identify, gather,
More informationSELF-ASSESSMENT- RSPT 2350 Module B: ABG Technique 1. What % of the population will have ABG results that fall outside of the normal range?
1. What % of the population will have ABG results that fall outside of the normal range? 5% 2. Name four factors that affect oxygenation A. Age B. Barometric Pressure/Altitude C. FiO 2 D. Body Position
More informationCertificate in Clinician Performed Ultrasound (CCPU) Syllabus. Vascular Access (venous (peripheral and central) and arterial)
Certificate in Clinician Performed Ultrasound (CCPU) Syllabus Vascular Access (venous (peripheral and central) and arterial) Page 1 of 8 04/16 Vascular Access (venous (peripheral and central) and arterial)
More informationBackground & Indications Probe Selection
Teresa S. Wu, MD, FACEP Director, EM Ultrasound Program & Fellowship Co-Director, Simulation Based Training Program & Fellowship Associate Program Director, EM Residency Program Maricopa Medical Center
More informationCritical Care Nursing Program August to November, 2015 Full-time Lesson A13 Pumping and Perfusion III Basic Hemodynamic Monitoring
Critical Care Nursing Program August to November, 2015 Full-time Lesson A13 Pumping and Perfusion III Basic Hemodynamic Monitoring August 2015 RN Professional Development Centre Page 1 Lesson Thirteen
More informationAll about your anaesthetic
Patient information leaflet All about your anaesthetic Regional anaesthesia 4 and associated risks For patients having a surgical procedure at a Care UK independent diagnostic and treatment entre This
More informationBASINGSTOKE AND NORTH HAMPSHIRE NHS FOUNDATION TRUST. Clinical Policy for Peripheral Venous Cannula Insertion and Management (Adults)
BASINGSTOKE AND NORTH HAMPSHIRE NHS FOUNDATION TRUST Clinical Policy for Peripheral Venous Cannula Insertion and Management (Adults) Reviewed in accordance with The Health and Social Care Act 2008: Code
More informationMARY PACX ARTHRITIS PROGRAM hpdrl of Ihr Va~ocowtr (oaslal Utalth Authority
- 2 MARY PACX ARTHRITIS PROGRAM hpdrl of Ihr Va~ocowtr (oaslal Utalth Authority OCCUPATIONAL THERAPY METHOD OF MAKING THE POLYETHYLENE WORKING SPLINT FOR THE WRIST Equipment / Supplies Required: plaster
More informationSolving Today s Pain and Injury Puzzle with Erik Dalton An Online Workshop for ABMP Members Session 4 Handout
Solving Today s Pain and Injury Puzzle with Erik Dalton An Online Workshop for ABMP Members Session 4 Handout Please Note: Erik Dalton teaches his Myoskeletal Alignment Techniques with the expectation
More informationPeripheral Vascular Examination. Dr. Gary Mumaugh Western Physical Assessment
Peripheral Vascular Examination Dr. Gary Mumaugh Western Physical Assessment Competencies 1. Inspection of upper extremity for: size symmetry swelling venous pattern color Texture nail beds Competencies
More informationSt George Hospital Renal Department Internal Only
RENAL VASCULAR ACCESS CANNULATION POLICY AND PROCEDURE SUMMARY: A functioning arteriovenous fistula (AVF) or arteriovenous graft (AVG) is paramount in the maintenance of regular and optimal haemodialysis
More informationUniversity of Colorado Hospital Policy and Procedure Arterial Line Placement, Management, and Arterial Blood Gas Sampling
University of Colorado Hospital Policy and Procedure Arterial Line Placement, Management, and Arterial Blood Gas Sampling Related Policies and Procedures: Central Venous Lines Pain Management Pressure
More informationIf viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Code: D: PC-5575 Entity: Fairview Pharmacy Services
More informationSuccessful IV Starts Revised February 2014
Successful IV Starts Revised February 2014 Why Intravenous Therapy? Used for access to the body s circulation Indications: Administer fluids, blood, medications, and nutrition Obtain laboratory specimens
More informationTitle: EZ-IO. Effective Date: January SOG Number: EMS Rescinds:
S O G Title: EZ-IO Effective Date: January 2010 SOG Number: EMS - 25 Rescinds: Scope: Providers Authorized are AIC s in the following certifications EMT-I and EMT-P who have been trained and cleared by
More informationBLEEDING EMERGENCY. Always apply pressure directly over the bleeding site with your thumb or use an inverted bottle top to localise the pressure
Bleeding between dialysis sessions is very rare and there are almost always warning signs before this happens. Warning signs include:- Infection of the fistula Bulging area, usually with shiny skin and
More information2. Indications Infusion of hyperosmolar medication, e.g. TPN. Administration of vasoactive/irritant drugs.
Policy and Procedure for Insertion and care of Peripherally Inserted Central Catheters by Neonatal Staff (see Ch 8 TPN) 1. Introduction The peripherally inserted central catheter (PICC) is an intravenous
More informationAdvocate Christ Medical Center CVC Placement Certification Course
Advocate Christ Medical Center CVC Placement Certification Course July 12th, 2012 Hannah Watts, MD Medical Simulation Director Modified August 10, 2017 Taajwar Khan, MD Chief Resident of Internal Medicine
More informationCurtiss T. Stinis, M.D., F.A.C.C., F.S.C.A.I. SCRIPPS CLINIC
Avoiding and Managing Femoral Access Site Complications Curtiss T. Stinis, M.D., F.A.C.C., F.S.C.A.I. Director, Peripheral Interventions Program Director, Interventional Cardiology Fellowship Division
More informationArterial Puncture Wrist
Arterial Puncture Wrist Part No: KKM99 Radial artery puncture is a common approach for blood collection and artery catheterization, and this simulator provides realistic training in this skill. Palpation
More informationUltrasound (US) assistance for Central Venous Catheterization (CVC) and Peripherally Inserted Central Catheters (PICC)
Ultrasound (US) assistance for Central Venous Catheterization (CVC) and Peripherally Inserted Central Catheters (PICC) Education - Training plan for Critical Care Nurses Pre-reading Objectives Comprehensive
More informationIntravascular Ultrasound
Scan for mobile link. Intravascular Ultrasound Intravascular ultrasound (IVUS) uses a transducer or probe to generate sound waves and produce pictures of the coronary arteries. IVUS can show the entire
More informationResearch Article Comparison of Ultrasound Guided Radial Artery Cannulation with Conventional Palpation Technique
Cronicon OPEN ACCESS ANAESTHESIA Research Article Comparison of Ultrasound Guided Radial Artery Cannulation with Conventional Palpation Technique Amna 1 *, Saira Mehboob 2, Waqas Alam 3, Amna Gulraze 4
More informationEffective Date: Approved by: Laboratory Executive Director, Ed Hughes (electronic signature)
1 Policy #: 407 (PLH-407-02) Effective Date: NA Reviewed Date: 2/1/2008 Subject: ARTERIAL PUNCTURE PROCEDURE Approved by: Laboratory Executive Director, Ed Hughes (electronic signature) Approved by: Laboratory
More informationPeripheral Arterial Lines: Insertion and Care
1 MCN for Neonatology West of Scotland Neonatal Guideline Peripheral Arterial Lines: Insertion and Care This Guideline is applicable to all Medical and nursing staff working in neonatal units in the West
More informationPort Design. Page 1. Port Placement, Removal, and Management. Selecting a Vascular Access Device. Thomas M. Vesely, MD
Non-Dialysis Procedures Port Placement, Removal, and Management Thomas M. Vesely, MD Saint Louis, Missouri Selecting a Vascular Access Device Duration of use Number of lumens Frequency used Blood flow
More informationCARE OF YOUR FISTULA
CARE OF YOUR FISTULA 1 . What is a fistula? An arteriovenous fistula, or AVF, is a vessel that is formed by joining a vein to an artery in your arm during an operation to form an accessible blood vessel
More informationParkland Health & Hospital System Women & Infant Specialty Health
Parkland Health & Hospital System Women & Infant Specialty Health NS 1700.04 Nursery Services Procedure Manual Arterial Puncture Practice Statement Upon the written order of the provider, the credentialled
More informationPeripherally Inserted Central Catheter & Midline Placement with ECG Confirmation of Tip Placement
Title/Description: Peripherally Inserted Central Catheter & Midline Placement with ECG Confirmation of Tip Placement Department: Patient Care Services Personnel: Nursing Services Effective Date: April
More informationCLARIVEIN INFUSION CATHETER
CLARIVEIN INFUSION CATHETER General Product Description Overview The ClariVein Infusion Catheter (ClariVein -IC) is an infusion catheter system designed to introduce physician-specified medicaments into
More informationlimbsandthings.com Advanced Catheterisation Trainer User Guide For more skills training products visit Limbs & Things Ltd.
Advanced Catheterisation Trainer Product No: 60150 User Guide For more skills training products visit limbsandthings.com Limbs & Things Ltd. Sussex Street, St Philips Bristol, BS2 0RA, UK sales@limbsandthings.com
More informationSARASOTA MEMORIAL HOSPITAL. NURSING PROCEDURE INTRAOSSEOUS NEEDLE: INSERTION, CARE, AND REMOVAL (inv08) 12/18 12/18 1 of 7 RESPONSIBILITY:
SARASOTA MEMORIAL HOSPITAL TITLE: ISSUED FOR: NURSING PROCEDURE INTRAOSSEOUS NEEDLE: INSERTION, CARE, AND REMOVAL (inv08) Nursing DATE: REVIEWED: PAGES: 12/18 12/18 1 of 7 RESPONSIBILITY: PS1094 Insertion-
More informationVeins that are firm to
Intravenous cannulation is a technique in which a cannula is placed inside a vein to provide venous access. Venous access allows sampling of blood as well as administration of fluids, medications, parenteral
More informationOver the Wire Technique vs. Modified Seldinger Technique in Insertion of PICC
Over the Wire Technique vs. Modified Seldinger Technique in Insertion of PICC Deniz Kasikci Department of Radiology, Jena University Hospital Friedrich-Schiller-University, Jena, Germany Disclosure Speaker
More informationStandard Operating Procedure for cannulation
Standard Operating Procedure for cannulation Effective date: 26.07.2017 Review due date: 31.03.2019 Original Author Name: Richard Metcalfe Position: PhD Student Date: 05.12.2012 Reviewer Name: Pippa Heath
More informationlimbsandthings.com Advanced Female Catheterisation Trainer User Guide For more skills training products visit Limbs & Things Ltd.
Advanced Female Catheterisation Trainer Product No: 60155 User Guide For more skills training products visit limbsandthings.com Limbs & Things Ltd. Sussex Street, St Philips Bristol, BS2 0RA, UK sales@limbsandthings.com
More informationPresentation Menu. Walk-in Slide. Full Presentation. Access. Site. Needle. Flush. Comfort. Monitor. Removing the EZ-IO catheter.
Presentation Menu Walk-in Slide Full Presentation Access Site Needle Flush Comfort Monitor Removing the EZ-IO catheter Clinical Support Explore. Discover. Examine. Vidacare Workshop Programmes www.vidacare.com
More informationVascular access device selection & placement. Alisa Seangleulur, MD Anesthesiology Department, Faculty of Medicine, Thammasat University
Vascular access device selection & placement Alisa Seangleulur, MD Anesthesiology Department, Faculty of Medicine, Thammasat University How to make the right choice of vascular access device.. Peripheral
More informationTranscatheter Aortic Valve Implantation Procedure (TAVI)
Page 1 of 5 Procedure (TAVI) Introduction Aortic stenosis (AS) is a common heart valve problem associated with heart failure and death. Surgical valve repair or replacement is recommended if AS patients
More informationAngiogram, angioplasty and stenting
Angiogram, angioplasty and stenting Who is this leaflet for? This leaflet is for people who are having: an angiogram angioplasty (with or without a stent) An angiogram (also called an arteriogram or angiography)
More informationUltrasound Guided Peripheral Intravenous Access
Ultrasound Guided Peripheral Intravenous Access J. Christian Fox, MD, RDMS, FACEP, FAAEM, FAIUM Professor and Interim Chair of Emergency Medicine Director of Instructional Ultrasound University of California,
More informationHemodynamic Monitoring and Circulatory Assist Devices
Hemodynamic Monitoring and Circulatory Assist Devices Speaker: Jana Ogden Learning Unit 2: Hemodynamic Monitoring and Circulatory Assist Devices Hemodynamic monitoring refers to the measurement of pressure,
More informationArterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS
Arterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS Assistant Professor of Surgery Vascular Endovascular Surgery Louisiana State University Health - Shreveport Disclosures None Objective
More informationCHEST DRAIN PROTOCOL
CHEST DRAIN PROTOCOL Rationale The pleural membranes have an important role in effective lung expansion. The visceral pleura is a thin, smooth, serous membrane covering the surface of the lungs and is
More informationCentral Venous Catheter Insertion: Assisting
Approved by: Central Venous Catheter Insertion: Assisting Gail Cameron Senior Director, Operations, Maternal, Neonatal & Child Health Programs Dr. Santiago Ensenat Medical Director, Neonatology Neonatal
More informationSplit-Stream LONG-TERM HEMODIALYSIS INSTRUCTIONS FOR USE
Split-Stream LONG-TERM HEMODIALYSIS INSTRUCTIONS FOR USE INDICATIONS FOR USE: INSTRUCTIONS FOR USE The Medcomp Split-Stream is indicated for use in attaining Long-Term vascular access for Hemodialysis
More informationProcedures/Risks:central venous catheter
Procedures/Risks:central venous catheter Central Venous Catheter Placement Procedure: Placement of the central venous catheter will take place in the Interventional Radiology Department (IRD) at The Ohio
More informationChest Tube Thoracostomy
Chest Tube Thoracostomy INTRODUCTION A chest tube thoracostomy is commonly done in the ED to evacuate an abnormal accumulation of fluid (blood, empyema) or air from the pleural space under an elective,
More informationCARPAL TUNNEL RELEASE BLOCK Author John Hyndman
Questions CARPAL TUNNEL RELEASE BLOCK Author John Hyndman Web Editor Kirsten Fehrmann - kirstenfehrmann@hotmail.com 1) Why does a LA solution containing Epinephrine cause pain on injection and what can
More informationTransradial Complications How to predict/prevent and treat
Transradial Complications How to predict/prevent and treat David Kettles St Dominic s Private and Frere hospitals East London, South Africa Are all complications preventable? NO! Distal embolisation Vessel
More informationCLINICAL GUIDELINES ID TAG Percutaneous Insertion of a Central Catheter in the Neonate
Title: CLINICAL GUIDELINES ID TAG Percutaneous Insertion of a Central Catheter in the Neonate Author: Speciality / Division: Directorate: Maire Cullen ANNP, Una Toland Lead Nurse, Denise Quinn ANNP Neonatology
More informationThe NBX Non-Bridging External Fixator A Non-Bridging External Fixator/Locking Plate capturing a series of.062mm K-wires and 3mm half-pins that are
The NBX Non-Bridging External Fixator A Non-Bridging External Fixator/Locking Plate capturing a series of.062mm K-wires and 3mm half-pins that are inserted in a multiplanar and multi-directional fashion
More informationInsertion of a totally implantable vascular access device (TIVAD)
Insertion of a totally implantable vascular access device (TIVAD) What is a TIVAD? A TIVAD is a long hollow tube that is inserted into one of the large veins in your body. One end of the tube sits in a
More informationVascu-PICC WITH CUFF PERIPHERALLY INSERTED CENTRAL VEIN ACCESS CATHETER INSTRUCTIONS FOR USE
Vascu-PICC WITH CUFF PERIPHERALLY INSERTED CENTRAL VEIN ACCESS CATHETER INSTRUCTIONS FOR USE INDICATIONS FOR USE: The Vascu-PICC with cuff Peripherally Inserted Central Vein Catheters are designed for
More informationCARE OF A TUNNELED CATHETER (HICKMAN & BROVIAC ) with a Needleless Connector (MicroClave Clear)
CARE OF A TUNNELED CATHETER (HICKMAN & BROVIAC ) with a Needleless Connector (MicroClave Clear) Table of Contents Part 1 Learning about the Catheter...2 Part 2 Caring for Your Child s Catheter...3 A. Preventing
More informationCore procedures assessment form
1. Venepuncture guidance choose appropriate needle or cannula have appropriate vials to hand choose a suitable, palpable vein after applying tourniquet insert needle with bevel upwards and advance 2-3mm
More informationIntra-Arterial Blood Pressure Monitoring
Intra-Arterial Blood Pressure Monitoring Verghese Cherian Associate Professor of Anesthesiology Hershey Medical Center Intra-Arterial Blood Pressure (IABP) measurement has several advantages over a non-invasive
More informationArterial Puncture Wrist
U.S. Toll Free 866-GOLIMBS Venipuncture Arterial Puncture Wrist Part No: KKM99 Radial artery puncture is a common approach for blood collection and artery catheterization, and this simulator provides realistic
More informationAdvanced Catheterisation Trainer User Guide
Advanced Catheterisation Trainer User Guide Also for Advanced Male Catheterisation Trainer Part No: 605 Advanced Female Catheterisation Trainer Part No: 6055 Designed and manufactured by Limbs & Things
More informationASSESSMENT AND CARE Monitor for the following and remove catheter if there is: redness, pain, swelling, firm tissue, exudates, bleeding or leakage.
POLICY An Indwelling subcutaneous catheter may be inserted when an infant requires regular subcutaneous injections (At least one subcutaneous injection per day). SUPPORTIVE DATA In the NICU medications
More informationArterial Line Waveform Interpretation
Arterial Line Waveform Interpretation PICU CPM October 2014 1. Introduction The document is primarily aimed at education to provide some basic understanding of arterial line wave form 2. Scope The interpretation
More informationCardiac Catheterization
Cardiac Catheterization What is cardiac catheterization? Cardiac catheterization is a procedure used to diagnose and treat cardiovascular conditions. During cardiac catheterization, a long thin tube called
More information2018 CANNULAE CATALOGUE
CANNULAE CATALOGUE 2018 Process The RHEOPAX synthetic albumin coating is a surface refinement which is carried out as a final manufacturing step before the sterilization and can not only improve the surface
More informationHemorrhage Control. Chapter 6
Chapter 6 The hemorrhage that take[s] place when a main artery is divided is usually so rapid and so copious that the wounded man dies before help can reach him. Colonel H. M. Gray, 1919 Stop the Bleeding!
More informationTroubleshooting Technique for Hemodialysis Catheter Insertion
Troubleshooting Technique for Hemodialysis Catheter Insertion Withoon Ungkitphaiboon Assistant Professor, Department of Surgery, Maha Chakri Sirindhorn Medical Center Srinakharinwirot University Present
More informationMODULE 2 THE LABORATORY RAT
University Animal Care Committee LABORATORY ANIMAL BIOMETHODOLOGY WORKSHOP MODULE 2 THE LABORATORY RAT SUBSTANCE ADMINISTRATION AND BLOOD COLLECTION Substance Administration: Subcutaneous injection Intramuscular
More informationRadial Basics. Samir B. Pancholy, MD, FACP, FACC, FSCAI. Program Director, Cardiology Fellowship, The Wright Center for Graduate Medical Center
Radial Basics Samir B. Pancholy, MD, FACP, FACC, FSCAI Program Director, Cardiology Fellowship, The Wright Center for Graduate Medical Center Associate Professor of Medicine, The Commonwealth Medical College,
More informationTrust Guidelines. Title: Guidelines for chest drain insertion
Trust Guidelines Title: Guidelines for chest drain insertion Authors: Dr JCT Pepperell; Dr J Tipping; J Hansford Ratified by: Planned Care and Emergency & Urgent Care Divisional Governance Committees Active
More informationOverview of CVADs. Type of device commonly used. Dwell time Flushing requirement Associated complications. lumens
Source: Clinical Skills Management of Vascular Access Devices Pre-course handbook. Adapted with permission from NHS Lothian Employee and Education Development Team. Overview of CVADs Type of device Veins
More informationUniversity of Colorado Hospital Policy and Procedure Arterial Line Placement, Management, and Arterial Blood Gas Sampling
University of Colorado Hospital Policy and Procedure Arterial Line Placement, Management, and Arterial Blood Gas Sampling Related Policies and Procedures: Central Venous Lines Pain Management Pressure
More informationA Patient's Guide to Ganglions of the Wrist
Introduction A ganglion is a small, harmless cyst, or sac of fluid, that sometimes develops in the wrist. Doctors don't know exactly what causes ganglions, but a ganglion that isn't painful and doesn't
More informationChildren's (Pediatric) PICC Line Placement
Scan for mobile link. Children's (Pediatric) PICC Line Placement A peripherally inserted central catheter (PICC line) is most often used to deliver medication over a long period. The doctor or nurse inserts
More informationJefferson Tower Task Trainer List
Jefferson Tower Task Trainer List Table of Contents Blue Phantom Ultrasound Central Line Training Model 2 Blue Phantom Femoral Vascular Access Training Model 3 Blue Phantom Thoracentesis Ultrasound Training
More informationDISCOVER NEW HORIZONS IN FLUID DRAINAGE. Bringing Safety and Convenience to Fluid Drainage Management
DISCOVER NEW HORIZONS IN FLUID DRAINAGE Bringing Safety and Convenience to Fluid Drainage Management DRAIN ASEPT Pleural and Peritoneal Drainage Catheter System 600mL or 1,000mL Evacuated Drainage Bottle
More informationChapter 14: Arterial Puncture Procedures
Objectives Chapter 14: Arterial Puncture Procedures 1. Define the key terms and abbreviations listed at the beginning of this chapter. 2. State the primary reason for performing arterial punctures and
More informationUnderstanding your HICKMAN CATHETER
Understanding your HICKMAN CATHETER Patient Information What is the purpose of this information sheet? This information sheet has been written by patients, members of the public and health professionals.
More information10 Proposals for implementation With immediate effect
SOUTHERN HEALTH & SOCIAL CARE TRUST 1 2 Name of Procedure/Guidelines/ Protocol Purpose of Procedure/ Guidelines/ Protocol Guideline for Insertion and management of peripheral arterial cannulas in adult
More informationCardiovascular Physiology
Cardiovascular Physiology The mammalian heart is a pump that pushes blood around the body and is made of four chambers: right and left atria and right and left ventricles. The two atria act as collecting
More informationUSE OF INTRAVENOUS ACCESS IN RESUSCITATION SITES, TECHNIQUES, POTENTIAL COMPLICATIONS
USE OF INTRAVENOUS ACCESS IN RESUSCITATION SITES, TECHNIQUES, POTENTIAL COMPLICATIONS OBJECTIVES Overview Peripheral Venous Access Sites Techniques Potential Complications Central Lines Sites Seldinger
More informationIV Catheter Placement
Year Group: BVSc3 + Document number: CSL_A06 Equipment for this station: Equipment list: IV catheter model, with giving set and red fluid bag IV catheter Bung or T-port Tape two strips cut to size before
More information