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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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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...
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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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Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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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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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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Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

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Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
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Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

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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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Updated: Jul 18, 2025

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Indwelling pleural catheter insertion technique.

George-Bucur Delaca1, Ioana-Medeea Titu1, Florin Teterea2

  • 1Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Leon Daniello Clinical Hospital of Pneumology, Thoracic Surgery Department, Cluj-Napoca, Romania.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|August 24, 2023
PubMed
Summary
This summary is machine-generated.

This video demonstrates inserting an indwelling pleural catheter for malignant pleural effusions. This minimally invasive technique offers a well-tolerated treatment option for chronic effusions, especially in specific patient groups.

Keywords:
Chronic pleural effusionsIndwelling pleural catheterMalignanciesMalignant pleural effusionPleural effusion

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Area of Science:

  • Medical procedures
  • Oncology
  • Pulmonology

Background:

  • Malignant pleural effusions (MPE) are common in advanced cancers.
  • Traditional treatments like thoracentesis have limitations for chronic MPE.
  • Indwelling pleural catheters (IPCs) offer a palliative option for symptom management.

Discussion:

  • IPCs provide continuous drainage of pleural fluid, improving quality of life.
  • This technique is suitable for patients with trapped lung or limited life expectancy.
  • IPCs are generally well-tolerated with a low complication rate.

Key Insights:

  • Video tutorial details the step-by-step insertion of an indwelling pleural catheter.
  • Demonstrates a novel and effective method for managing malignant pleural effusions.
  • Highlights the benefits of IPCs in palliative care for cancer patients.

Outlook:

  • Further research can explore long-term outcomes and patient-reported benefits.
  • Potential for wider adoption in managing chronic, refractory pleural effusions.
  • Integration of IPC insertion into standard oncological and thoracic care pathways.