Perc Trach Step-by-Step Tutorial

2016-10-13T18:16:24-05:00February 12th, 2015|Airway, Procedures|

For patients that require prolonged mechanical ventilation, a tracheostomy can be placed either in the operating room as an open surgery, or more preferably at the bedside with a minimally invasive procedure in the intensive care unit by a percutaneous dilational technique under bronchoscopic guidance. This is a step-by-step tutorial for patient selection and procedure techniques.

Perc Trach Procedure Documentation

2016-10-13T18:16:24-05:00February 12th, 2015|Procedures|

Part of performing a bedside percutaneous tracheostomy is the procedural documentation. Given that this is a surgical procedure, the documentation should be more thorough than you may be accustomed to doing for an arterial line or central line. Here is a sample procedure note that can be adapted to your local practice.

Therapeutic Hypothermia: The History of General Refrigeration (Podcast 02)

2018-04-03T23:54:40-05:00November 28th, 2013|Cardiology, Podcast, Procedures|

The Targeted temperature management Trial compared outcomes for therapeutic hypothermia at 33°C versus 36°C for cardiac arrest patients with persistent coma. It may very well be practice changing. Or maybe not. Before we can figure out what “truth” this research study may have uncovered, we will look at the development of therapeutic hypothermia and what the literature has already told us.

Removing Central Lines

2016-10-13T18:16:33-05:00August 14th, 2013|Procedures|

The placement and maintenance of central venous catheters (CVC), have received a great deal attention with the goal of minimizing iatrogenic injury to the patient and reduction in the occurrence of catheter related infections. Once the need for the catheter is done, careful attention

tPA Mixing Tutorial

2016-10-13T18:16:36-05:00May 20th, 2013|Pharmacology, Procedures|

Alteplase (tPA) is used infrequently and often only in emergent situations. Nurses and physicians unfamiliar with preparing the medication may need to high pressure situations. This tutorial includes step-by-step instructions for preparing and mixing tPA.