TAVR Report: Cardiac Catheterization Lab

In a normal human being the heart correctly functions by the blood first entering through the right atrium from the superior and inferior vena cava. This blood flow continues through the right atrioventricular valve into the right ventricle. The right ventricle contracts forcing the pulmonary valve to open leading blood flow through the pulmonary valve and into the pulmonary trunk. Blood is then distributed from the right and left pulmonary arteries to the lungs, where carbon dioxide is unloaded and oxygen is loaded into the blood. The blood is returned from the lungs to the left

A Foley catheter is a thin, sterile tube inserted into the bladder to drain urine ( ). There are many types of catheters such as a straight, indwelling, and condom catheters. A straight catheter is one that does not stay inside the person. It is removed immediately after urine is drained. An indwelling catheter is one that stays inside of the bladder for a period of time. And last, a condom catheter is one that has an attachment that fits onto the penis. This catheter is changed daily or as needed. For the purpose of this document, the care that is going to be performed will need to be performed on a patient/resident with an indwelling catheter.

Tricuspid atresia is treated from birth and involve a combination of operations within the first two years of life. Initially a cardia catheterization procedure is done to evaluate the defects. Then generally 3 operations are done, including a Blalock-Taussig shunt, Glenn Shunt (done at 4-6 months of age) which replaces the initial shunt, and finally a Fontan procedure (done at 2-3 years of age) which forms a second that directs blood from the inferior vena cava to the right pulmonary artery. The Glenn shunt is left in place. Aortic Valve Stenosis is a heart defect that is either congenital or acquired. The disease itself can be described basically as the inability of the valve to open completely. Atrial Septal defect is caused by an opening the atrial septum, there are 2 ways it can be caused, including a congenital cause, or the hole that is present in the heart of every fetus is not properly closed at the postnatal stage. Coarctation of the aorta is the narrowing of the aorta and is a congenital disease. It can occur anywhere in the aorta however most often is found in the segment just after the aortic arch. Patent Ductus Arteriosus is usually found a

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.

Seth Kahn’s (2011), article entitled, “Putting Ethnographic Writing in Context,” identifies ethnography as the study of “relationships, rituals, values, and habits that make people understand themselves as members of a group.” Ethnographers adopt a stance of observation, as well as participation to better understand the discourse among members within a particular group, or discourse community (Khan, 2011). This ethnographic research will “connect what community members know and do, with what they say and how they say it” (Devitt, Bawarshi, & Reiff, 2003). The purpose of this study is to explore how nurses, working in a cardiac catheterization laboratory, learn the ‘local knowledge’ necessary to communicate with a multidisciplinary discourse community successfully. To protect the identity of participants in this study, the name of the laboratory included in the study will be identified as the XYZ Cardiac Catheterization Laboratory.

Catheter angiography can accurately evaluate aortic pararenal patency. This is especially important when placing engrafts at the iliac bifurcation site. CTA is more sensitive to assessing endoleaks occurring after EVAR procedures, but digit subtraction angiography (DSA) is more accurate in classifying endoleaks. This is possible because the direction of flow in or out of the aneurysm site can be evaluated via DSA. Catheter angiography plays a role in imaging intraoperative EVAR patients for endoleak classification and for post-operative re-intervention (Francois et al., 2012). Figure 5 illustrates an arteriogram taken in preparation for an EVAR procedure, while Figure 6 was taken after the EVAR procedure was

There were no early or late postoperative deaths and we achieved 100% follow-up for included patients. No patient had aortic valve replacement after one year. Preoperatively the mean ejection fraction in group S was 62.33±4.39% while in group R was 59.53±6.10%, the width of the regurgitant jet in group S was 34.67±2.72 % and in the group, R was 35.73±1.87 % ( p-value non-significant). Postoperatively after 1 year follow up the width of the regurgitant jet in group S increased significantly to 37.27±4.67% ( p > 0.5) while in group S almost remained unchanged 34.73±4.13% ( p <

Cardiac Tamponade is a life-threatening medical complication in which blood or fluids fill the area between the sac that encases the heart and the heart muscle, placing tremendous pressure on the heart. The extreme pressure restrains the heart’s ventricles from extending fully and keeps the heart from functioning normally. The heart is not able to pump enough blood to the rest of your body, which could lead to organ failure, hypotension, shock, and in the worst case possible even death. According to (NCBI) 2 out of 10,000 people can end up getting the condition. (Barwell, 2012) This pressure is enough to back up blood returning to the heart as well. There are many different things that can cause the onset of cardiac tamponade.

My clinical observation took place at Christus Trinity Mother Frances Hospital in Tyler, Texas involving a mini mitral valve replacement procedure. This location is not a teaching institution, therefore there are no clinical instructors nor students. The acting perfusionist in the procedure was Darell Miller under the direction of cardiothoracic surgeon Neeland Doolabh M.D.

Heart and lung bypass, CPB ( cardiopulmonary bypass ) , used in cardiac surgery where cardioplegia required to perform a surgical procedure. CPB is itself linked to coagulopathy with activation of the haemostatic system in several different ways . Blood direct contact with the CPB circuit / hoses start the coagulation cascade through the activation of faktorer.1,2 same time there is an activation of the fibrinolytic system , platelet activation 3 / adhesion4 and inflammation and the activation of

As a respiratory therapist depending on the facility you may be required to insert an arterial catheter and manage its hemodynamic. It is important for the respiratory therapist or any clinician at the bedside to know how manage arterial catheters and be competent with blood pressure monitoring as well as troubleshooting. Arterial cannulating with continuous pressure waveform display remains the primary choice for monitoring blood pressure of hemodynamically unstable patients (Pittman, Ping, & Mark, 1998). If the therapist notice the arterial waveform is dampen first assess the patient than the respiratory therapist should check arterial tubing for possible obstruction due to air bubbles, blood clots, or blood in the system. If the problem

I am currently working on two different research projects going on in Florida Hospital, Tampa. One is on the utilization of ultrasound guided EKOS Catheter System for the treatment of massive/submassive Pulmonary Emboli. The second one is on the percutaneous removal of venous clots using AngioVac Cannula System. I have access to Electronic Medical Records for data compilation and for that I have learnt the use of CERNER system. Although it is a retrospective study, I still go regularly to the catheterization lab to see the new cases as it increases my understanding of these novel techniques.

To perform a cardiac catheterization the cardiologist will insert a sheath, or a short tube usually into the femoral artery. A long very thin catheter will then be fed through the sheath and guided through the arteries until it is in the heart and coronary arteries. The physician uses fluoroscopy equipment to guide the catheter into the coronary arteries. To allow for clear viewing of the coronary arteries, contrast material is injected into the catheter. As the contrast material flows through the heart chambers and coronary arteries x-rays are taken. The

A two-dimensional transthoracic echocardiogram is a primary diagnostic procedure used to identify cases of restrictive cardiomyopathy. Bi-atrial enlargement is most commonly seen during a transthoracic echocardiogram. The left ventricle is often normal in size, but wall and septal thickness may be increased if infiltrative diseases are present. Ventricular walls are seen to be inflexible or stiff causing diastolic dysfunction. Valvar thickness may also be seen along with mitral and tricuspid regurgitation. The walls of the heart will have a ground glass appearance, better seen in the parasternal long axis during a transthoracic echocardiogram. Systolic function is generally well persevered while diastolic function is decreased. Ejection fraction

This past Friday at the Cardiac Catheterization Lab my mentor was not there but I still got to do everything that I enjoy doing, like watching procedures and talking to the doctors, nurses, and staff. When I arrived I knew my mentor would not be there so I had asked another one of the ladies in the office if there were any surgeries that were going on for me to watch. After I was given scrubs to change into I was able to go into where the surgeries are happening. I went into the control room that I was told to go and the nurses and other staff were preparing the patient and setting up the computers and everything they needed before the doctor arrived. The surgery overall was one I have seen before and not as exciting as some of the more unique and different ones that I have seen previously.