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Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Cardiac Catheterization IV: Nursing Management01:26

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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...
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Cardiac Catheterization III: Left Heart Catheterization01:24

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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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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Cardiac Catheterization II: Right Heart Catheterization01:21

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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...
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Tracheostomy Suctioning II: Procedure01:23

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Should a Double-Lumen Catheter be withdrawn?

Samad Shams Vahdati1

  • 1Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Journal of Cardiovascular and Thoracic Research
|November 20, 2013
PubMed
Summary

A rare but serious complication of central venous catheter removal, a right internal jugular and subclavian vein junction rupture, required emergency surgery. Prompt intervention successfully managed the bleeding, leading to patient recovery.

Keywords:
Central Vein CatheterizationDouble Lumen CatheterHaemodialysis

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Area of Science:

  • Nephrology
  • Vascular Surgery
  • Critical Care Medicine

Background:

  • Hemodialysis requires reliable central venous access, often achieved via central venous catheterization.
  • Complications associated with central venous catheterization, though infrequent, can be life-threatening.
  • This case highlights a severe bleeding complication post-catheter removal.

Observation:

  • A 36-year-old female with end-stage renal disease experienced a rupture at the right internal jugular and right subclavian vein junction after double lumen catheter removal.
  • The patient developed agitation and confusion post-catheter withdrawal, necessitating emergent thoracotomy.
  • Bleeding was controlled intraoperatively via direct pressure and surgical repair.

Findings:

  • Successful surgical repair of the internal jugular and subclavian vein junction rupture.
  • Hemodynamic stabilization achieved following fluid and blood resuscitation.
  • The patient recovered well, with alertness restored within six hours and discharge after one week.

Implications:

  • Emphasizes the critical need for vigilance during and after central venous catheter removal, even in non-emergent situations.
  • Highlights the importance of prompt diagnosis and multidisciplinary intervention (nephrology, emergency medicine, surgery) for managing vascular injuries.
  • Underscores the potential for severe complications from central venous access procedures and the necessity for preparedness in managing such events.