Related Experiment Video
Updated: May 4, 2026
07:47
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
19.2K
Appropriateness guidelines for inferior vena cava filter utilization: A contemporary review
C Adam Banks1, Marc A Passman1
1Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, AL.
Seminars in Vascular Surgery
|August 16, 2024
Summary
Inferior vena cava filters (IVCFs) are increasingly used, but retrieval rates remain low. This review summarizes evidence-based and appropriateness guidelines for IVCF placement to ensure optimal clinical decision-making and patient care.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cardiology
Background:
- Inferior vena cava filters (IVCFs) saw increased use in the early 2000s, with persistently low retrieval rates leading to scrutiny.
- IVCFs are employed for thromboembolic protection in deep venous thrombosis patients with anticoagulation contraindications and prophylactically in trauma and critically ill patients.
Purpose of the Study:
- To review current evidence-based guidelines for IVCF use.
- To summarize appropriateness criteria for IVCF placement decisions.
Main Methods:
- Literature review of evidence-based guidelines.
- Analysis of appropriateness criteria for IVCF clinical scenarios.
Main Results:
- Established evidence supports IVCFs for mechanical thromboembolic protection in specific clinical situations.
- Appropriateness criteria have been developed to guide clinical decision-making for IVCF placement.
Conclusions:
- Guidelines and criteria are essential for appropriate IVCF utilization.
- This review synthesizes current recommendations for IVCF use, aiming to improve clinical practice.
Related Concept Videos
01:26Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy
414
Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
414
01:26Cardiac Catheterization IV: Nursing Management
1.2K
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...
1.2K
01:29Endocarditis IV: Nursing Management
630
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...
630
01:29Venous Thrombosis III: Interprofessional Care
482
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
482
01:25Hemodialysis I: Introduction
4.0K
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
4.0K
01:24Hemodialysis II: Procedure and Complications
2.2K
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,...
2.2K