Intravascular Electrocardiography

Marcovitch, S. G., Gold, A., Washington, J., Wasson, C., Krekewich, K., & Handley-Derry, M. (1997).

Getting an infection from improper care during or after insertion of a central line is the last thing you want to get while in the hospital. This paper will discuss Kaiser Permanente’s policy on central venous catheter, also known as a central line, care and dressing change, and whether it follows the current evidence-based practice on preventing bloodstream infection in patients who have them inserted. I will explain about what a central line is, why evidence-based practice is important in the clinical setting, what Kaiser Permanente’s policy about central line care and dressing change is, if Kaiser is currently following evidence-based practice based on current articles about preventing central line associated bloodstream infections (CLABSIs), and what my role in using evidence-based practice is as a future registered nurse.

Until recently it was not uncommon for patients admitted to an acute care facility to have an indwelling catheter anchored for unnecessary reasons. Patients that came in thru the emergency department typically were sent to the units with unnecessary indwelling catheters in place and it was not unusual for a surgery patient to have an indwelling catheter anchored before or during a procedure. Once a patient was admitted and was transported to the units nursing would also anchor indwelling catheters for multiple unnecessary reasons. These Catheters could be

Schmidt, S. W., Shelley, M. C., Bardes, B. A., Maxwell, W. E., Crain, E., & Santos, A. (2010).

The procedure was done emergently because of the patient’s critical condition. His right IJ area was prepped in the usual fashion. It was very difficult to visualize his right IJ vein, even though his habitus should have allowed us to do so, but the patient was, I believe, severely intravascularly volume depleted, and his vein was collapsing. I have attempted to access the right internal jugular vein multiple times, both under real-time ultrasound guidance and even later on blindly. I was able to get blood return and hit the vein; however, I was not able to advance the guidewire. I was able to advance it one time and put the catheter in, and it was nonfunctioning. I had to take the catheter out and tried multiple other times on the right IJ vein without success. That procedure was terminated. Pressure was applied. There was no cervical hematoma whatsoever. The patient was uncomfortable because of the length of the procedure but did well otherwise. Hemodynamically, he was unchanged, and his oxygen saturations remained stable.I prepped the IJ vein area in the usual fashion. One percent lidocaine was used for local anesthesia. Again, the left IJ vein was collapsing. With deep inspiration, the vein could be well visualized on the real-time and ultrasound guidance, after which I could get access to the left IJ vein. A wire was advanced without difficulty while the

Conner, K. O., Copeland, V. C., Grote, N. K., Rosen, D., Albert, S., McMurray, M. L., Koeske, G. (2010).

Central lines and peripherally inserted central catheter are tubes inserted in a patient’s vein. They are required to help the patient get medication and nutrition. There are so many articles about these tubes, what they are, how to put them, and how to care about them. To achieve the aim of these tubes without complications, the people with them should know about them and know how to care for them, what is not normal about them, what to do in case of complications, and when to call their healthcare provider. In this paper the safety, teaching and care about the central and peripherally inserted central catheter will be discussed.

Wilcox, H. C., Arria, A. M., Caldeira, K. M., Vincent, K. B., Pinchevsky, G. M., & O’Grady, K.

On the author 's’ clinical placement day, their co-caring RN received the physician 's order to draw a blood sample from one of her four assigned patients who were diagnosed with myocarditis. She first attempted to draw the blood sample using a winged infusion set (i.e. butterfly needle), but was unsuccessful in accessing the patient’s vein. In order to save time and

Farrell, R. M., Metcalfe, J. S., McGowan, M. L., Weise, K. L., Agatisa, P. K., & Berg, J.

Hoath, B., Wiebe, C., Garcia Fulle De Owen, M. I., Giannelis, G., & Larjava, H. (2016). Current

Easter, A., Bye, A., Taborelli, E., Corfield, F., Schmidt, U., Treasure, J., & Micali, N. (2013).

Figure (6): Methods of determining indices of right ventricular systolic function. (A) Determining right ventricular outflow tract shortening fraction (RVOT-SF) as a ratio between the difference in end-diastolic (RVOTD) and end-systolic

Previously, ECG gating has fundamentally been retrospective gating with which information are gathered over the whole cardiac cycle. This allows review of aortic valve morphologic features on static images at end systole and end diastole, measurement of aortic valve surface area and the review of valve leaflet motion in cine mode. Inadequate coaptation of the valve leaflets relates to regurgitation, and a confined opening relates to stenosis (Gilkeson et al., 2006).

& Gamliel, 2006; Ueno, 2010). Subsequently, Lin, et, al (2010) as well as Souiden, et, al