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CircumBlator Catheter for More Effective Ablation of Atrial Tissue |

One method for the treatment of atrial fibrillation (AF) is pulmonary vein isolation (PVI) ablation, where tissue around the connections between the left a  
medgadget.com
about 4 years ago
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Empowering Nurses to Remove Catheters May Reduce CAUTIs

A hospital-based medical directive that enables nurses to remove urinary catheters early reduced catheter-associated urinary tract infections and number of days spent with a urinary catheter.  
medscape.com
about 4 years ago
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Treatment for superficial infusion thrombophlebitis of the upper extremity | Cochrane

Superficial thrombophlebitis is an inflammatory condition of the veins just below the surface of the skin. The development of superficial thrombophlebitis frequently complicates the insertion of needles into the veins for catheters to give medication or fluids in hospitalised patients. The best treatment for these blood clots in the hands and arms remains unclear. While local treatment has the potential to improve the painful symptoms and patient discomfort, it may not prevent complications, including infection or the extension or transit of the clot into the deep vein system.  
cochrane.org
about 4 years ago
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Replacing heparin with saline to prevent complications in long term central venous catheters in children | Cochrane

A central venous catheter (CVC) is a long, thin, flexible tube which is inserted into a large central vein. This enables access to the blood stream for people with serious medical conditions to receive medications and fluids, as well as the collection of blood specimens. Long term central venous catheters are used to access the blood system in children with complex medical conditions like cancer. To stop the catheter from becoming blocked it is usual to use heparin, a drug that prevents clots forming, to flush the catheter. However, some studies have shown that heparin is not necessary, and that normal saline (a sterile salt water solution) can be safely used instead. Heparin may be associated with complications, such as bleeding and infection, along with higher costs for health care providers. While the complications such as infections and occlusions are uncommon, practices vary around the world and there are many inconsistencies regarding the best flush solution to use to prevent complications in long term catheters.  
cochrane.org
about 4 years ago
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FDA Warns Intravascular Device Coatings May Peel

The FDA has warned that coatings on intravascular medical devices, such as guidewires, catheters, and introducers, may separate, potentially causing serious injuries to patients.  
medscape.com
about 4 years ago
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FDA: Guidewires for Rotablator Atherectomy Catheter Recalled

After receiving three serious adverse-event reports, including one patient death, from the wires fracturing and separating from the system, the company has recalled 600 units in the US.  
medscape.com
about 4 years ago
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Covalon SilverCoat Silicone Foley Catheter Reduces Infections, Cleared by FDA |

Covalon Technologies, a firm based in Mississauga, Ontario, Canada, landed FDA clearance for its SilverCoat Silicone Foley Catheter. The catheter is made e  
medgadget.com
about 4 years ago
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PA Catheter Use Is Increasing in HF Inpatients, Says Study

Further research is needed to understand why use increased "in a patient population where current clinical-trial evidence and current guidelines do not suggest benefit," say investigators.  
medscape.com
about 4 years ago
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Boston Sci's Powerful AngioJet ZelanteDVT Catheter for Deep Vein Thrombosis FDA Approved |

Boston Scientific won FDA approval for its AngioJet ZelanteDVT thrombectomy catheter designed for treatment of deep vein thrombosis in large peripheral vei  
medgadget.com
about 4 years ago
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Novel, Fast-Onset Antiplatelet Promising in First-in-Human Study

The reversible PZ-128 is envisioned for use during catheter procedures. "We feel that it will be a third drug added onto aspirin and a P2Y12 inhibitor," say researchers.  
medscape.com
almost 4 years ago
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Catheter-Based Antibiotic Irrigation After Breast Surgery

This novel technique delivers continuous antibiotic irrigation to help prevent postoperative infections after breast reconstructive surgery.  
medscape.com
almost 4 years ago
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Shock post MI - INTENSIVE

A 45 year old gentleman presents after 2 days of “indigestion” with a STEMI. He is admitted to ICU due to hypotension and an arterial line and pulmonary artery catheter are inserted. There are ongoing broad complex arrhythmias and urine output is poor. The first cardiac index is 1.5 l/min/m2 and the treating intensivist requests an echo….  
intensiveblog.com
almost 4 years ago
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Efficacy of Nasal Cannula Oxygen as a Preoxygenation Adjunct in Emergency Airway Management

Greater Sydney area HEMS team in training action, preoxygenating for RSI  Efficacy+of+Nasal+Cannula+Oxygen+as+a+Preoxygenation+Adjunct+in+Emergency+Airway+Management https://t.co/LQ1XQgiqZ7.— brian burns (@HawkmoonHEMS) January 4, 2016 //platform.twitter.com/widgets.js NC as adjunct to pre-ox in BVM/NRB. Collaborative research @SydneyHEMS and St.George Hospital Dept. of Anaesthesia. pic.twitter.com/O0ZyL0K3Ce— brian burns (@HawkmoonHEMS) January 4, 2016 //platform.twitter.com/widgets.js  
prehospitalmed.com
almost 4 years ago
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Medgadget @ CES 2016: Omron Project Zero Wearable Blood Pressure Monitor |

The technology used to measure blood pressure has changed little over the years. One can either have an inter-arterial catheter inserted to measure the pre  
medgadget.com
almost 4 years ago
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IO, IO – It’s off to work we go! – Don't Forget the Bubbles

Intraosseous access is one of those skills that is rarely used but can be a lifesaver. In the critically ill child IV access can be challenging. It is easy to get tunnel vision and try and try again to insert a cannula whilst losing focus on the reason for access – circulatory support. In order to achieve mastery in any skill one must undertake deliberate practice, using both mental and physical simulation.  
dontforgetthebubbles.com
almost 4 years ago
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Skin Glue Reduces IV Failure Rate in the Emergency Department

Securing peripheral intravenous catheters with skin glue in the emergency department leads to lower failure rates, according to a new randomized trial.  
medscape.com
almost 4 years ago
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Twelve Tips to placing a well secured Peripheral IV Cannula – Don't Forget the Bubbles

Placing peripheral IV cannulas (PIVC) is THE paediatric procedure. Rather than including every single step towards being a 100% sharpshooting cannula guru (I’m not!), the emphasis for this post is securing a cannula. That is, making it last long enough to investigate & treat the child, and hopefully for several days of an admission if required. The need for repeated cannula placement isn’t just “annoying” for ward staff – they’re genuinely traumatising experiences for children and their families. A good reason to aspire to keep that first PIVC as secure as possible. Bear in mind, this is not a post about access in a resus situation; there are IOs for that. This post emphasises some key tips for securing a PIVC that will last the distance.  
dontforgetthebubbles.com
almost 4 years ago
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Normal arterial line waveforms

The arterial pressure wave (which is what you see there) is a shockwave; it travels much faster than the actual blood which is ejected. It represents the impulse of left ventricular contraction, conducted though the aortic valve and vessels along a fluid column (of blood), then up a catheter, then up another fluid column (of hard tubing) and finally into your Wheatstone bridge transducer.  
derangedphysiology.com
almost 4 years ago
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For Labor Induction, Two Methods Better Than One

A combination of methods to induce labor is better than either misoprostol alone or cervical Foley catheter alone, results from the FOR MOMI trial show.  
medscape.com
almost 4 years ago
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Life and Times of Leading Cardiologists: John Simpson

Interviewee Dr John Simpson failed as a bank teller after losing Jack Nicklaus's US Open winnings but went on to invent the first over-the-balloon catheter and other interventional cardiology devices.  
medscape.com
almost 4 years ago