Symptoms And Treatment Of Vascular Closure

Unfortunately, “VTE comprised of DVT and/or PE represent a serious public health challenge, affecting up to 600,000 Americans annually. The consequences can be deadly; VTE has been identified as the most common cause of preventable mortality in hospitalized patients, accounting for up to 10% of hospital deaths” (Shermock et al., 2013, p. 1) It is imperative that all patients admitted to the ICU should be assessed for VTE. The assessment should be done frequently. It is important to assess both subjective and objective data. Past medical history is very important. It is essential to find out if the patient has any predisposition to a VTE including any trauma to veins, any varicosities, obesity, COPD, HF. Certain medications can also put a patient at risk for VTE such as oral contraceptives, hormone therapy, tamoxifen, or raloxifene. Also, any recent surgeries such as orthopedic, gynecologic, gastric, or urologic and past surgeries involving veins or a central venous catheter can put a patient at risk. Objective data includes fear, anxiety, and pain. Monitor vital signs frequently. Check the integumentary system for symmetry; taut, shiny, warm skin, erythematous, tender to palpation. Not every patient

an artery in the neck. Once the catheter is in place, the needle is removed and a

This was a retrospective, descriptive, and correlational study. Data from the records of patients who had undergone a heart catheterization or PCI over the span of two years was retrieved from the Clinical Automated Office Solutions database. (Dumont, Keeling, Bourguignon,

PICCs lines have become well recognized as reliable central venous access devices (VADs), with lower potential for complications than short-term central venous catheters. PICCs first gained popularity in the 1980s, and their use has grown steadily since then. They were initially popular in many parts of the United States due to the need for venous access in home care patients. They have grown in popularity because of their reduction in potential complications and costs compared with short-term central venous catheters, and because PICCs can be inserted by registered nurses who have been trained in the procedure.

The obstruction in Room 40’s leg was discovered using a diagnostic arteriogram. An arteriogram is an image of the interior of blood vessels, such as arteries, by the use of electromagnetic waves. During this procedure, a dye is injected into the artery revealing any bulges, weakness, lesions or occlusions of the blood vessel. The ability to see any evidence of a a plaque formation or obstruction within a vessel makes an arteriogram an effective method for detecting atherosclerosis (Johns Hopkins Medicine, 2015).

In 2006, $200 million and an estimated 2,000 lives were saved by using a comprehensive safety program called the Keystone Project, which presented a checklist of five crucial steps for central-line catheter placement; as a result, a dramatic reduction in central-line associated bloodstream infections (CLABSIs) was observed. The agency also developed 19 simulation grants to establish a safe environment in which clinicians can obtain proficiency in various clinical settings and procedures such as treating acute myocardial infarction, ultrasound-guided central venous catheter placement, and the disclosure of medical errors (AHRQ, 2012, pp. 7 – 8).

This past Friday in the cardiac catheterization lab I began my day with continuing the work that I was previously assigned to do last week where I collected the data of patient's Cardiothoracic surgery. I continued to familiarize myself with the different types of Cardiothoracic surgery procedures, however, the specific reports I was working with, they are called TAVR report (Transcatheter Aortic Valve Replacement). I later learned and was explained to, the TAVR multiple procedures and its causes, which is aortic stenosis. As for the procedures, a valve needs to be placed in the heart and each procedure delivers it a different way. The three ways the valve can be placed in the heart is through the heart's femoral artery (the transfemoral approach),

Peripheral IV catheterization is a painful and potentially anxiety-provoking procedure for the patients. The interventions to reduce the pain caused by venipuncture were explored in the past decades (Oman, 2014). The majority of the studies reviewed in this summary included one level 1 evidence of meta-analyses (Oman, 2014), three level 2 evidences of randomized controlled trials (Beck, 2011; Deguzman, 2012; Kahre, 2011) and one level 3 evidence of controlled trials without randomization (Levitt , 2013). Many studies have demonstrated that 1% lidocaine intradermal injection before IV insertion can reduce the pain significantly (Oman, 2014). Kahre and his colleagues’ study indicated bacteriostatic normal saline (BNS) group had lower pain score

Here, we first look at how catheters are used and then discuss the problems that may appear when they are not used in the proper manner.

All TAVI procedures were performed in a hybrid catheterization laboratory by the team comprised of interventional cardiologist, cardiac surgeon or vascular surgeon, anesthesiologist, echocardiographer, nurses and technicians as previously described [15]. The general or local anaesthesia and sedation, without the use of cardiopulmonary bypass was applied. Procedures were performed under angiographic and echocardiographic guidance. Before the procedure, a temporary pacing lead was inserted into the right ventricle through a jugular or femoral vein. Arterial access was obtained by cannulation of the right or left common femoral artery, with postprocedural haemostatasis achieved by using vascular closure systems (StarClose or Proglide), or by direct

It was around 7 o’ clock in the afternoon on a Tuesday afternoon when my 7 year old patient almost bled out in a hallway at Nicklaus Children’s Hospital. This little girl had come back from a cardiac catheterization at 12 pm on March 29, 2016. This patient had a history of Patent Ductus Arteriosus, a heart condition in which the ductus arteriosus vessel fails to close after birth compromising the blood circulation by mixing oxygenated blood with the deoxygenated one (Tetsuya, et al., 2015).

Since the time that I had the Norwood procedure, a variation of this surgery has been created. Instead of using a connection

One of the scariest medical diagnoses a patient can receive from a physician is, their heart is not functioning properly. A malfunctioning heart will eventually lead to death if correction of the issue is not attempted. The heart supplies the entire body with oxygenated blood but also needs its own supply of oxygen rich blood. This is why coronary arteries are vital to the hearts ability to pump. A final option to correcting malfunctioning coronary arteries is a surgical procedure, coronary artery bypass grafting (CABG). Every year approximately 450,000 patients have CABG surgery in the United States (Mullen-Fortino & O 'Brien, 2008). Based on continuing healthcare trends, more and more people each year are having coronary artery issues, causing the need for CABG surgery to rise. Also patient demographics are changing, they are older, sicker, have more extensive coronary artery blockage / damage, and likely have poorer functioning ventricles of the heart (Sidebotham, McKee, Gillham & Levy, 2007). The nursing profession has a critical role in caring for the patients but also teaching and educating them before and after any procedure. Education and teaching has been implemented into evidence-based practice for years to facilitate better patient

The IAB was installed in the operating room, respecting the standard catheter numbering, conditioned by the individual anthropometric data of each research participant. In all patients, the percutaneous puncture of the femoral artery was performed by the surgeon responsible for the surgery. The counterpulsation equipment used was the DATASCOPE CS100

Arterial catheterization is a commonly performed invasive procedure in the ICU and anesthetized patients, facilitating accurate hemodynamic monitoring and frequent blood sampling. The insertion of arterial catheter especially in patients with hypotension, edema, and obesity, is often difficult and may require multiple attempts. Repeated attempts may lead to more difficult catheterization due to arterial spasm and may increase the incidence of thrombosis and hematoma formation [1]. The radial artery is the commonest site for catheterization owing to its superficial course and its dual arterial supply to the hand [2].