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Related Concept Videos

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...
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 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...
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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Updated: May 22, 2026

Surgical Placement of Catheters for Long-term Cardiovascular Exercise Testing in Swine
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Published on: February 9, 2016

Intercostal catheter insertion: are we really doing well?

Rashid Alrahbi1, Ruth Easton, Cino Bendinelli

  • 1Department of Traumatology, Division of Surgery, John Hunter Hospital and University of Newcastle, Newcastle, NSW, Australia.

ANZ Journal of Surgery
|May 11, 2012
PubMed
Summary

Many preventable errors occur during intercostal catheter (ICC) insertion in trauma patients. Improving training programs and implementing standardized credentialing can enhance patient safety and reduce ICC complications.

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Published on: July 13, 2019

Area of Science:

  • Trauma Surgery
  • Thoracic Medicine
  • Medical Education

Background:

  • Intercostal catheters (ICCs) are standard for chest trauma but have up to 30% complication rates.
  • This study aimed to identify technique errors in ICC insertion to improve training.

Purpose of the Study:

  • To evaluate errors in intercostal catheter insertion technique in trauma patients.
  • To identify factors contributing to these errors and inform training program improvements.

Main Methods:

  • Prospective audit of 94 ICC insertions in trauma patients over 12 months.
  • Errors defined as insertional, positional, incorrect size, or lack of antibiotic prophylaxis.
  • Exclusions: pigtail catheters and ICCs inserted during thoracic surgery.

Main Results:

  • 38% of ICC insertions had technique errors.
  • Most common errors: lack of prophylactic antibiotics (13%), malpositioning (9%), kinking (6%), wrong size (5%).
  • Higher error rates in emergency departments and by registrars compared to fellows/consultants.

Conclusions:

  • Significant number of preventable errors in ICC insertion identified in trauma patients.
  • Standardized institutional credentialing systems are needed to ensure trainee proficiency.