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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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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

Updated: Dec 13, 2025

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
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Indocyanine green does not decrease the need for bail-out operation in an acute care surgery population.

Justin Turcotte1, S Daniel Leydorf1, Moneim Ali1

  • 1Department of Surgery, Anne Arundel Medical Center, Annapolis, MD.

Surgery
|July 29, 2020
PubMed
Summary
This summary is machine-generated.

Indocyanine green did not reduce bail-out operations in acute cholecystitis patients undergoing laparoscopic cholecystectomy. Further research is needed to confirm its utility in this specific surgical population.

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Area of Science:

  • Laparoscopic surgery
  • Surgical innovation
  • Gastrointestinal surgery

Background:

  • Indocyanine green (ICG) is used in laparoscopic cholecystectomy to define anatomy.
  • Limited data exists on ICG use in acute cholecystitis patients.
  • Acute cholecystitis is a frequent presentation in acute care surgery.

Purpose of the Study:

  • To evaluate if indocyanine green decreases bail-out operations in acute cholecystitis.
  • To assess ICG's impact on surgical outcomes in an acute care surgery setting.

Main Methods:

  • Retrospective cohort study of inpatient cholecystectomies.
  • Inclusion criteria: urgent/semiurgent cases from July 2018 to June 2019.
  • Surgeons used indocyanine green at their discretion.

Main Results:

  • 198 patients analyzed; 48.5% had acute cholecystitis.
  • ICG did not significantly alter bail-out operation rates (6.7% vs 4.3%, P=.468).
  • Acute cholecystitis increased bail-out likelihood (9.4% vs 2.0%, OR=5.172, P=.039).
  • ICG did not impact bail-out rates in acute cholecystitis patients (12.7% vs 4.9%, P=.293).

Conclusions:

  • This is the first study on ICG in acute care surgery for acute cholecystitis.
  • ICG did not reduce operative time or bail-out operations in this cohort.
  • Further investigation is required to determine the justification for ICG use in acute cholecystitis.