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Central Line - Subclavian infraclavicular approach
Central Line - Subclavian infraclavicular approach samer kareem 12,731 Views • 3 years ago

First described by Aubaniac in 1952, central venous catheterization, or central line placement, is a time-honored and tested technique of quickly accessing the major venous system. Benefits over peripheral access include greater longevity without infection, line security in situ, avoidance of phlebitis, larger lumens, multiple lumens for rapid administration of combinations of drugs, a route for nutritional support, fluid administration, and central venous pressure (CVP) monitoring. Central vein catheterization is also referred to as central line placement. Overall complication rates are as high as 15%, [1, 2, 3, 4] with mechanical complications reported in 5-19% of patients, [5, 6, 7] infectious complications in 5-26%, [1, 2, 4] and thrombotic complications in 2-26%. [1, 8] These complications are all potentially life-threatening and invariably consume significant resources to treat. Placement of a central vein catheter is a common procedure, and house staff require substantial training and supervision to become facile with this technique. A physician should have a thorough foreknowledge of the procedure and its complications before placing a central vein catheter. The supraclavicular approach was first put into clinical practice in 1965 and is an underused method for gaining central access. It offers several advantages over the infraclavicular approach to the subclavian vein. At the insertion site, the subclavian vein is closer to the skin, and the right-side approach offers a straighter path into the subclavian vein. In addition, this site is often more accessible during cardiopulmonary resuscitation (CPR) and during active surgical cases. Finally, in patients who are obese, this anatomic area is less distorted.

Care for Your Knee After Knee Replacement Surgery
Care for Your Knee After Knee Replacement Surgery Surgeon 131 Views • 3 years ago

Care for Your Knee After Knee Replacement Surgery
In this video, Dr. Mark Hammerberg, provides details on two important activities to help during recovery from knee replacement surgery.

Denver Health's Orthopedics department offers many different types of treatments to help you, including surgical and non-surgical options. To find out if surgery is right for you, visit DenverHealth.org/Orthopedics or call 303-602-1590 to make an appointment.

Gastric Bypass Surgery | Duke Health
Gastric Bypass Surgery | Duke Health Surgeon 92 Views • 3 years ago

Gastric bypass, also called Roux-en-Y gastric bypass surgery, is considered a “metabolic” procedure because it changes how your body absorbs fat, calories and nutrients. This metabolic change occurs because your gastrointestinal tract is altered when your gastric bypass surgeon attaches the smaller section of your stomach directly to your small intestine. As a result, your appetite changes and you feel full faster.

Cat scratch management
Cat scratch management samer kareem 5,449 Views • 3 years ago

Controlled studies on treatment of catscratch disease (CSD) are lacking. Thus, treatment recommendations are based on case reports, reviews, a single controlled trial, and anecdotal data. Practice guidelines for the diagnosis and management of skin and soft-tissue infections, including CSD, have been established.Oct 19, 2016

Two Hands Tie
Two Hands Tie DrPhil 12,230 Views • 3 years ago

Demonstration of a two-hand tie for wound closure

Marfan Syndrome
Marfan Syndrome Scott 9,355 Views • 3 years ago

Marfan syndrome is a disorder of connective tissue, the tissue that strengthens the body's structures. Disorders of connective tissue affect the skeletal system, cardiovascular system, eyes, and skin.

ingrown toenail surgical procedure
ingrown toenail surgical procedure samer kareem 31,695 Views • 3 years ago

irregular, curved toenails. footwear that places a lot of pressure on the big toes, such as socks and stockings that are too tight or shoes that are too tight, narrow, or flat for your feet. toenail injury, including stubbing your toe, dropping something heavy on your foot, or kicking a ball repeatedly. poor posture.

Laparoscopic Right Adrenalectomy
Laparoscopic Right Adrenalectomy Mohamed Ibrahim 11,637 Views • 3 years ago

removal of a "toxic" phaeochromocytoma

Male Reproductive System
Male Reproductive System samer kareem 7,938 Views • 3 years ago

The male reproductive system includes the scrotum, testes, spermatic ducts, sex glands, and penis. These organs work together to produce sperm, the male gamete, and the other components of semen.

Ingrown Toenail Removal
Ingrown Toenail Removal Mohamed Ibrahim 32,183 Views • 3 years ago

Ingrown Toenail Removal

Longest Ingrown Hair Removal
Longest Ingrown Hair Removal Scott 71,123 Views • 3 years ago

Longest Ingrown Hair Removal

Anatomy of the eye
Anatomy of the eye samer kareem 6,558 Views • 3 years ago

The cornea occupies the front center part of the outer wall of the eye. It is made of collagen fibers in a very special arrangement so that the cornea is clear. One looks through the cornea to see the iris and pupil. The cornea bends light coming into the eye so that it is focused on the retina.

Amiodarone
Amiodarone samer kareem 1,165 Views • 3 years ago

Why is this medication prescribed? Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Amiodarone is in a class of medications called antiarrhythmics. It works by relaxing overactive heart muscles. How should this medicine be used? Amiodarone comes as a tablet to take by mouth. It is usually taken once or twice a day. You may take amiodarone either with or without food, but be sure to take it the same way each time.Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take amiodarone exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Lasik Eye Surgery Videos
Lasik Eye Surgery Videos Emery King 16,982 Views • 3 years ago

Lasik eye surgery at the Detroit Medical Center's Advanced Laser and Clear Vision Center offer patients pain-free, life-changing procedures that correct nearsightedness, farsightedness, and astigmatism. ~ Detroit Medical Center

Syndrome of inappropriate antidiuretic Hormone
Syndrome of inappropriate antidiuretic Hormone samer kareem 1,339 Views • 3 years ago

What is syndrome of inappropriate antidiuretic hormone (SIADH)? Well, SIADH is a condition where too much ADH hormone is released, which causes an increase in blood volume and ultimately leads to a series of complications related to the blood osmolality and osmolarity

Emergency C Section for a Bleeding Placenta
Emergency C Section for a Bleeding Placenta samer kareem 3,177 Views • 3 years ago

Emergency C Section for a Bleeding Placenta

Bacterial Vaginosis
Bacterial Vaginosis samer kareem 14,825 Views • 3 years ago

Bacterial vaginosis is a type of vaginal inflammation caused by the overgrowth of bacteria naturally found in the vagina, which upsets the natural balance. Women in their reproductive years are most likely to get bacterial vaginosis, but it can affect women of any age. The cause isn't completely understood, but certain activities, such as unprotected sex or frequent douching, increase your risk.

Cardiac Electrophysiology
Cardiac Electrophysiology samer kareem 2,116 Views • 3 years ago

Electrophysiology studies test the electrical activity of your heart to find where an arrhythmia (abnormal heartbeat) is coming from. These results can help you and your doctor decide whether you need medicine, a pacemaker, an implantable cardioverter defibrillator (ICD), cardiac ablation or surgery.

Hip Resurfacing Surgery Videos
Hip Resurfacing Surgery Videos Dr.Vijay C Bose 7,871 Views • 3 years ago

Hip Resurfacing Surgery Videos Welcome to the website of the Asian Regional Center for Hip Resurfacing (ARCH) is a specialized surgical center in Apollo Speciality Hospital Chennai. More than 1350 Hip Resurfacing Surgeries have been performed so far. Asian Regional Center for Hip Resurfacing is the first specialized resurfacing center in Asia. Patients with arthritis and hip pain travel from all over the world travel to ARCH for hip surgery. Hip Resurfacing Surgery has revolutionized hip arthroplasty especially for younger and active patients. Unlike conventional Total Hip Replacement (THR) the hip resurfacing conserves the bone in the hip which would be crucial in younger patients. No restrictions are imposed on the resurfaced hip and the patient can participate in any professional or recreational activity after the surgery.

Root Canal
Root Canal samer kareem 7,523 Views • 3 years ago

Root canals are common procedures and can help save your tooth from extraction. Dentists at Aspen Dental practices have been safely and expertly performing root canal procedures for over two decades.

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