What sedation is used for angioplasty?

Midazolam is commonly used for premedication and during the procedure. Cardiologist and nursing staff feel comfortable with the use of midazolam and fentanyl for mild to moderate sedation.

Is a central line an invasive procedure?

Central lines are a commonly used method of invasive monitoring to help continuously monitor patients’ circulatory status. There are many different indications for the insertion of a central line (Dougherty, 2000).

How long does it take to put in a central line?

Your child will not feel pain during the procedure but some patients may feel discomfort around the catheter insertion site for a few days following the procedure. How long does the procedure take? The procedure will take approximately one hour.

Where is a central venous catheter placed?

A central venous catheter (CVC) is an indwelling device that is peripherally inserted into a large, central vein (most commonly the internal jugular, subclavian, or femoral), and advanced until the terminal lumen resides within the inferior vena cava, superior vena cava, or right atrium.

What assessments should be done during insertion and immediately after the insertion of a central venous catheter?

After inserting the catheter, a chest X-ray should be performed to check that the central venous device is in the correct position and to rule out pneumothorax, haemothorax and cardiac tamponade.

Can angioplasty be done under general Anaesthetic?

Angioplasty is performed through an artery in your groin, arm or wrist area. General anesthesia isn’t needed. You’ll receive a sedative to help you relax, but you may be awake during the procedure depending on how deeply you are sedated.

Is an angiogram done under general anesthesia?

An angiogram is commonly performed under sedation with the use of local anesthesia. The procedure usually starts with a needle put into the femoral (groin) artery. From one treatment site, areas all over the body can be treated.

Where should you not insert a central line?

Contraindications include distorted local anatomy (such as for trauma), infection overlying the insertion site, or thrombus within the intended vein. Relative contraindications include coagulopathy, hemorrhage from target vessel, suspected proximal vascular injury, or combative patients.

Can nurses insert central lines?

Nurses have been successfully inserting tunnelled central venous catheters (TCVCs) since 1991 and have accepted this expansion of their role in order to improve the quality of the service to patients (Hamilton, 1995).

Why put a central line in a patient?

A central line is a type of catheter that is placed in a large vein that allows multiple IV fluids to be given and blood to be drawn. When compared to a typical IV line, a central line is larger, can stay in place longer, can deliver a greater volume of fluids, and allows blood to be drawn easily.

Who can insert a central venous catheter?

A central line placement is performed in an X-ray room by a radiologist and specially trained nurses and technologists. The radiologist will place a small tube in the vein under your shoulder bone and anchor it by making a small tunnel under your skin.