Benign Bile duct stricture treatment
Day #1 PTC with 8 fr or 10 fr PBD Admit Day #2-3 Biliary tube upsize to 12 fr discharge home if stable Week #3-4 biliary tube upsize to 14 fr Bentec 1-2 weeks w/possible…
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Procedural antibiotics protocol
Procedure First choice Alternate Allergic Alternate Biliary Drainage Zosyn 4.5 gm IVPB Unasyn 3 gm IVP PCN allergy: Clinamycin 600mg IVPB Aztreonam 1gm IVPB Percutaneous cholangiogram Zosyn 4.5 gm IVPB Liver Biopsy in transplant Zosyn…
Read More →Benign ureteral stricture treatment protocol
Treatment of a benign ureteral stricture can be performed through the following protocol.
Read More →Acute Sepsis protocol
ACUTE ONSET SEPSIS PROTOCOL Patients who undergo certain procedures are at an increased risk for sepsis. Some interventional procedures such as biliary tube (PTC) and nephrostomy tube (PCN) procedures have a higher propensity to experience…
Read More →GI bleed treatment imaging and embolization protocol
KEY: Acute GIB = Acute GastroIntestinal Bleed UGIB = Upper GastroIntestinal Bleed NG Lavage = Nasogastric tube lavage (Injecting fluid and aspirating it back from a nasogastric tube will return blood if the bleeding is…
Read More →Billiary Whitaker Pressure test to assess for bile duct or ureteral obstruction
Assess a bile duct stricture or ureteral stricture Whitaker test allows for an objective measurement of ureteral or bile duct obstruction. The procedure is performed by injecting the bile ducts (Biliary drain) or nephrostomy tube…
Read More →PICC line & Midline Catheter
What is a PICC line? – A safe alternative to traditional intravenous vascular access A peripherally inserted central venous catheter ( PICC or PIC line), less commonly referred to as a percutaneous indwelling central catheter,…
Read More →Biliary stent placement and biliary drain replacement Technique and Dictation
Procedures: Cholangiogram through existing catheter Biliary covered metallic stent placement Biliary catheter replacement Indication: Pancreatic cancer and biliary obstruction Date: Operators: Medications: mg IV Versed, mcg IV fentanyl and 3.375…
Read More →Triple lumen catheter placement Technique and Dictation
Procedure: Ultrasound & fluoro guided central venous catheter Indication: . Date: Operators: Drs. Medications: Local, Fluoro time: Catheter: 7 French x cm arrow triple lumen catheter Access site: Right internal jugular vein…
Read More →Trifusion catheter placement Technique and Dictation
Procedure: Ultrasound & fluoro guided tunneled Trifusion catheter Indication: Date: Operators: Drs. Access Site: name side and vein with ultrasound Medications: mg IV Versed, mcg IV fentanyl, & 1 gram IV…
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