procedures

Right Upper Lobe Bronchoscopy

As an intensivist and cardiothoracic anesthesiologist, bronchoscopy is an incredibly common procedure I perform in the ICU (from in front of the patient) and OR (from behind the patient). A small camera on the...

Surgicel

Surgicel is an oxidized cellulose hemostatic agent used to control bleeding. It creates a physical barrier to blood loss while promoting localized vasoconstriction and platelet aggregation within the matrix of fibers. Furthermore, due to...

Bronchoscopy Procedure Note Template

Here's a sample of my bronchoscopy note template in case anyone is interested in creating a "smart phrase" in their electronic health record. The "< >" indicates pre-populated drop down menus with the listed...

Subclavian Central Line Pneumothorax

Compared to internal jugular and femoral central venous catheters (CVCs), I prefer placing subclavian CVCs because they don't tether patients' necks, they're easy to access, they're easy to dress, and they're in a part...

Percutaneous Tracheostomy

Percutaneous tracheostomy ("perc trach") is a procedure that is routinely performed at the bedside on patients who require prolonged mechanical ventilation or airway control due to an upper airway obstruction or for pulmonary hygiene....

MAC, Cordis, Sheath Introducer – What’s The Difference?

As a cardiothoracic anesthesiologist and intensivist, I routinely place large central lines for resuscitation, vasoactive/inotrope administration, and to facilitate additional monitoring (ie, Swan Ganz catheter). Over the years, I've heard "MAC", "sheath introducer", "Cordis",...

Large Volume Paracentesis

Paracentesis is a procedure performed to remove new ascites in the context of fever, abdominal pain, worsening renal function, and acidosis usually in patients with decompensated cirrhosis. I use a standard paracentesis kit and...

Post Dural Puncture Headache (PDPH)

Post dural puncture headache (PDPH) is a potential complication following neuraxial procedures when the dura is punctured and entry into the subarachnoid space permits drainage of cerebrospinal fluid (CSF). In the case of lumbar...

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