Arterial Catheter...Yikes!!!
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on 1/24/08 9:04 pm - Raleigh, NC
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If they are putting a filter in ... it's called a Vena Cava filter. It is a device inserted into a major vein to prevent a blood clot from entering the lungs.
Here's some information about Vena Cava filters ...
I hope that this puts your mind at ease.
Barb
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Purpose
The purpose of a vena cava filter is to prevent a blood clot from potentially traveling to the lungs. A thrombus clot traveling to the lungs is called a pulmonary embolism (PE). A thrombus in the deep venous system (the part of the circulation that brings blood back to the heart) represents a disorder of normal hemostasis (the normal clotting of blood).
Insertion of a vena cava filter is indicated for patients who:
- cannot receive medications that can dissolve the clot (anticoagulation therapy)
- have a thrombus in a deeply situated vein
- experiance complication of anticoagulation therapy such as bleeding
- experiance failure of anticoagulation therapy to prevent pulmonary embolism
- have an embolus in the lungs (pulmonary embolectomy) removed
- have a recurrent embolism while receiving adequate medications
- have significant bleeding complications during anticoagulation
Precautions
There are no significant precautions concerning insertion of a vena cava filter. The devices are usually effective and short-term complications are unusual
Description
Vena cava filters are usually inserted in to prevent PE caused by a thrombosis in a deep vein (DVT). Approximately 60% of patients who die in a hospital have evidence of PE during autopsy. The incidence (number of new cases) of DVT is highest for patients undergoing surgical repair of a fractured hip. However, DVT is common in both surgical and medical patients. DVT is found in 29-33% of patients in medical intensive care units (MICU) and in 27-40% of patients with a heart attack (myocardial infarction). Vena cava filters are placed to prevent thrombi from entering the lungs. There is currently a new type of filter called the Kim-Ray-Greenfield filter.
Preparation
Insertion of a vena cava filter is an invasive procedure. The patient is prepared for this procedure using standard surgical protocols. The VCF is commonly implanted in the jugular vein in the neck or the femoral vein in the groin. The procedure is generally well tolerated.
Aftercare
This depends on the patient's health status and recommendation's for continued care.
Risks
Many patients have died from PE even with a vena cava implantation. Use of a VCF is primarily indicated if there are contraindications for anticoagulation therapy. VCF can increase a patient's susceptibility for developing recurrent DVT.
Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145
While I know that some programs, like UNC do use Vena Cava filters routinely, honestly most do not. I had my surgery at Duke and they said that they only use a Vena Cava filter when they feel it's medically warranted; in my case it wasn't. That said, AnnieP had one and it caught a huge embolism and in doing so, probably saved her life.
If you are having an Arterial or A-Line Catheter, it's probably this ...
An intra-arterial catheter (A-line) is a very small plastic tube (called catheter) placed in one of your blood vessels (an artery) by highly trained personnel. This is usually done during or before certain types of surgery or in the Intensive Care Unit.
Reasons for Placing A-Line
- To watch your blood pressure very closely
- To draw frequent blood samples for lab tests
- To test for the oxygen saturation in the blood (check how much oxygen is in your blood)
Method of Placement of A-Line
This is usually placed on the inner side of the wrist. It could also be placed in the artery on the inner side of the elbow, the groin or the foot.
The area is decided mainly upon how well your pulse is felt. That area of the skin cleaned well with a disinfecting solution and alcohol.
Then, the pulse is felt. With a small needle the skin is numbed with local anesthesia. Then, using a needle with a plastic catheter the skin is entered
Once inside the artery, the plastic catheter is advanced further in and the needle is removed.
The catheter is then connected to some tubing.
Possible Complication Of The Procedure
This is a very safe procedure, performed by highly trained professionals. The rare complications of this procedure are local infection, bleeding damage to surrounding tissues and blockage of the artery in which the catheter was placed.
Things To Watch For While You Have This Line
Let your physician know when any of the following occurs:
- Redness around the catheter insertion site.
- Disconnection of the catheter from the tubing which may result in bleeding.
- In the extremity in which the catheter is placed watch for numbness or pain in the fingers.
Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145