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LITTLE MORE ABOUT
      CATHETERS…………

All our Cliny catheters are made from medical
grade silicone which is well known for its
biocompatible properties. 
Silicone is "gentle on the body" and less likely
to cause irritation,

OTHER MATERIALS ARE ALSO USED:
LATEX
POLYMERS
METALS(early catheters)
WHY CATHETER ARE REQUIRED?




   ?
For a patient who is suffering from a disease of the kidney
or bladder

For a patient who is suffering from a neurological disorder

For diagnosis where high precision level is desired

In surgical process in order to decrease the level of
invasiveness degree

Anesthetic control and infusion

IV line




Catheters are widely used in fields of
cardiology,urology,nephrology ,ENT
indwelling catheter: An
indwelling, or Foley catheter is
a thin, flexible drainage tube
that drains body fluid or urine
Permcath: A Permcath is a flexible
plastic tube that can be put into a vein
or in required body part for a long
time period.
Location           Advantage                      Disadvantage

Internal Jugular   • Bleeding can be recognized   • Risk of carotid artery puncture
                     and controlled               • PTX possible
                   • Malposition is rare
                   • Less risk of pneumothorax



                   • Easy to find vein            • Highest risk of infection
Femoral
                   • No risk of pneumothorax      • Risk of DVT
                   • Preferred site for           • Not good for ambulatory
                     emergencies and CPR            patients
                   • Fewer bad complications



                   • Most comfortable for         • Highest risk of PTX, should not
Subclavian                                        do on intubated pts
                     conscious patients
                                                  • Should not be done if < 2 years
                                                  • Vein is non-compressible
NOW CATHETERIZATION
TECHNIQUES…….
TYPE OF CATHETERIZATION:
CARDIAC CATHETERIZATION
Central Venous Catheterization
Pulmonary Artery
Catheterization
Urinary catheterization
Coronary catheterization
Hemodailysis catheterization
Pulmonary Artery Catheterization
Also known as a “Right Heart Catheter”. The position
from distal end to proximal end is: Pulmonary Artery,
Right ventricle, right atrium, vena cava, subclavian vein.




                                              Subclavian


                                                  Tip in
                                                  Pulmonar
                                                  yArtery
Parts:
1. Balloon
2. Openings:
    a. Distal (tip)
    b. Proximal
    c. Injectate
3. Thermister probe
4. Ports
    a. Balloon
    b. Distal Port
    c. Proximal port
    d. Injectate
5. Electronics
   connection
6. Oximeter
Measurements recorded in “mmHg”
These values are a measurement of the fluid
pressure in the Pulmonary Artery, and Vena Cava
respectively. These values are useful in
quantifying and diagnosing cardiopulmonary
disease.
SvO2
Saturation of Venous Oxygen
Measured in the Pulmonary Artery
This reading is the Only TRUE mixed
venous.
Careful! These calculations
are subject to error!
~5 mmHg
~8 mmHg

      ~6 l/min
Question ?
Catheters

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Catheters

  • 1.
  • 2.
  • 3.
  • 4.
  • 5. LITTLE MORE ABOUT CATHETERS………… All our Cliny catheters are made from medical grade silicone which is well known for its biocompatible properties.  Silicone is "gentle on the body" and less likely to cause irritation, OTHER MATERIALS ARE ALSO USED: LATEX POLYMERS METALS(early catheters)
  • 6. WHY CATHETER ARE REQUIRED? ?
  • 7. For a patient who is suffering from a disease of the kidney or bladder For a patient who is suffering from a neurological disorder For diagnosis where high precision level is desired In surgical process in order to decrease the level of invasiveness degree Anesthetic control and infusion IV line Catheters are widely used in fields of cardiology,urology,nephrology ,ENT
  • 8.
  • 9. indwelling catheter: An indwelling, or Foley catheter is a thin, flexible drainage tube that drains body fluid or urine
  • 10.
  • 11. Permcath: A Permcath is a flexible plastic tube that can be put into a vein or in required body part for a long time period.
  • 12.
  • 13. Location Advantage Disadvantage Internal Jugular • Bleeding can be recognized • Risk of carotid artery puncture and controlled • PTX possible • Malposition is rare • Less risk of pneumothorax • Easy to find vein • Highest risk of infection Femoral • No risk of pneumothorax • Risk of DVT • Preferred site for • Not good for ambulatory emergencies and CPR patients • Fewer bad complications • Most comfortable for • Highest risk of PTX, should not Subclavian do on intubated pts conscious patients • Should not be done if < 2 years • Vein is non-compressible
  • 15. TYPE OF CATHETERIZATION: CARDIAC CATHETERIZATION Central Venous Catheterization Pulmonary Artery Catheterization Urinary catheterization Coronary catheterization Hemodailysis catheterization
  • 16.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25. Also known as a “Right Heart Catheter”. The position from distal end to proximal end is: Pulmonary Artery, Right ventricle, right atrium, vena cava, subclavian vein. Subclavian Tip in Pulmonar yArtery
  • 26.
  • 27. Parts: 1. Balloon 2. Openings: a. Distal (tip) b. Proximal c. Injectate 3. Thermister probe 4. Ports a. Balloon b. Distal Port c. Proximal port d. Injectate 5. Electronics connection 6. Oximeter
  • 28.
  • 29.
  • 30. Measurements recorded in “mmHg” These values are a measurement of the fluid pressure in the Pulmonary Artery, and Vena Cava respectively. These values are useful in quantifying and diagnosing cardiopulmonary disease.
  • 31.
  • 32. SvO2 Saturation of Venous Oxygen Measured in the Pulmonary Artery This reading is the Only TRUE mixed venous.
  • 33.
  • 34. Careful! These calculations are subject to error!
  • 35.
  • 37. ~8 mmHg ~6 l/min
  • 38.

Editor's Notes

  1. UNC preferred site – in the hospital manual
  2. Seldinger originally described this technique in 1953 for percutaneous arteriography.