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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...

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Related Experiment Video

Updated: Jun 30, 2026

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
06:23

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

[Tunneled catheters. Complications during insertion].

P Royo1, A García-Testal, A Soldevila

  • 1Servicio de Nefrología del Hospital La Fe, Valencia, España.

Nefrologia : Publicacion Oficial De La Sociedad Espanola Nefrologia
|September 26, 2008
PubMed
Summary
This summary is machine-generated.

Nephrologists can safely implant Tesio tunnelled catheters for hemodialysis, minimizing complications. This procedure offers a viable alternative to traditional arteriovenous fistulas, improving vascular access for kidney failure patients.

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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Internal Medicine

Context:

  • Vascular access is crucial for hemodialysis patients with end-stage kidney disease.
  • Arteriovenous fistulas are the preferred access, but alternatives are needed.
  • Tesio tunnelled catheters are a widely used alternative, often requiring specialized surgical or radiological intervention.

Purpose:

  • To analyze immediate complications during Tesio tunnelled central catheter insertion for hemodialysis.
  • To evaluate the feasibility of nephrologists performing this procedure.
  • To assess the safety and efficacy of nephrologist-led catheter implantation.

Summary:

  • A descriptive study of 175 Tesio catheter implantations performed by nephrologists and dialysis specialists.
  • Immediate complications, including hemodynamic instability, were monitored.
  • Only 2% of patients experienced minor hemodynamic instability; no hemorrhages or other significant complications occurred.

Impact:

  • Nephrologist-performed tunnelled catheter insertion under local anesthesia has minimal complications.
  • This procedure reduces dependence on surgical specialists, potentially speeding up treatment initiation.
  • It demonstrates the capability of nephrology services to manage vascular access creation.