Difference between revisions of "Quick Reference"

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|Duraflow ([http://www.angiodynamics.com/uploads/pdf/063016-105107_MLC%20456%20US%20Rev%20E.pdf brochure], [http://www.angiodynamics.com/uploads/pdf/03-05-10-04-24-32-DuraFlow%20IFU.pdf IFU])
 
|Duraflow ([http://www.angiodynamics.com/uploads/pdf/063016-105107_MLC%20456%20US%20Rev%20E.pdf brochure], [http://www.angiodynamics.com/uploads/pdf/03-05-10-04-24-32-DuraFlow%20IFU.pdf IFU])
 
|}
 
|}
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 +
== Commonly available drainage catheter types ==
 +
{| class="wikitable"
 +
|+
 +
!
 +
!8 Fr
 +
!10.2 Fr
 +
!12 Fr
 +
!14 Fr
 +
!16 Fr
 +
!18 Fr
 +
!20 Fr
 +
!24 Fr
 +
!28 Fr
 +
!Practical considerations
 +
|-
 +
|Dawson-Mueller Multipurpose Drainage (DM)
 +
|25 cm
 +
|25 cm
 +
|25 cm
 +
|25 cm
 +
| -
 +
| -
 +
| -
 +
| -
 +
| -
 +
|5 side ports
 +
10mm loop diameter
 +
|-
 +
|Mac-Loc Multipurpose Drainage (aka Cope Loop, CL)
 +
|25 cm
 +
|25,45 cm
 +
|25,45 cm
 +
|25,45 cm
 +
|25 cm
 +
| -
 +
| -
 +
| -
 +
| -
 +
|6 side ports
 +
25mm loop diameter
 +
|-
 +
|Ring biliary drain
 +
| -
 +
|50cm
 +
|50cm
 +
| -
 +
| -
 +
| -
 +
| -
 +
| -
 +
| -
 +
|Multiple side ports along 25 cm
 +
|-
 +
|Amplatz Universal Drain (AUD)
 +
| -
 +
|45 cm
 +
|45 cm
 +
| -
 +
|45 cm
 +
| -
 +
| -
 +
| -
 +
| -
 +
|6 side ports
 +
Non-locking pigtail
 +
|-
 +
|Gordon Large-bore
 +
| -
 +
| -
 +
| -
 +
| -
 +
|40 cm
 +
| -
 +
| -
 +
| -
 +
| -
 +
|
 +
|-
 +
|Thal-quick abscess drainage
 +
| -
 +
| -
 +
| -
 +
| -
 +
|41 cm
 +
| -
 +
|41 cm
 +
|41 cm
 +
| -
 +
|3 oval Sideports
 +
|-
 +
|Uresil
 +
| -
 +
| -
 +
| -
 +
| -
 +
| -
 +
| -
 +
|41 cm
 +
|41 cm
 +
|41 cm
 +
|
 +
|-
 +
|
 +
|
 +
|
 +
|
 +
|
 +
|
 +
|
 +
|
 +
|
 +
|
 +
|
 +
|}
 +
 
== Periprocedural management of coagulation status==
 
== Periprocedural management of coagulation status==
 
{| class="wikitable"
 
{| class="wikitable"

Revision as of 07:23, 13 February 2019

Non-per-oral

NPO Time:[1]
Minimum fasting period
Clear liquids 2h
Breast milk 4h
Infant formula, nonhuman milk, light meal 6h
Fried foods, fatty foods, or meat Potentially 8+hours needed

Central venous catheter types

Central venous catheter types:
Non-Tunneled Tunneled
General access Hohn +/- power injectable (brochure, IFU) Hickman (brochure, IFU)
Pheresis Hemocath ST (brochure, IFU) Trifusion (brochure, IFU)
Dialysis Trialysis (brochure, IFU) Duraflow (brochure, IFU)

Commonly available drainage catheter types

8 Fr 10.2 Fr 12 Fr 14 Fr 16 Fr 18 Fr 20 Fr 24 Fr 28 Fr Practical considerations
Dawson-Mueller Multipurpose Drainage (DM) 25 cm 25 cm 25 cm 25 cm - - - - - 5 side ports

10mm loop diameter

Mac-Loc Multipurpose Drainage (aka Cope Loop, CL) 25 cm 25,45 cm 25,45 cm 25,45 cm 25 cm - - - - 6 side ports

25mm loop diameter

Ring biliary drain - 50cm 50cm - - - - - - Multiple side ports along 25 cm
Amplatz Universal Drain (AUD) - 45 cm 45 cm - 45 cm - - - - 6 side ports

Non-locking pigtail

Gordon Large-bore - - - - 40 cm - - - -
Thal-quick abscess drainage - - - - 41 cm - 41 cm 41 cm - 3 oval Sideports
Uresil - - - - - - 41 cm 41 cm 41 cm

Periprocedural management of coagulation status

Periprocedural management of coagulation status[2][3]
Category 1:

Low risk of bleeding, easily detected and controlled

Category 2:

Moderate risk of bleeding

Category 3:

Significant bleeding risk, difficult to detect or control

PT-INR >2.0 threshold for treatment Correct to <1.5 Correct to <1.5
PTT No consensus No consensus, but consider correcting for PTT > 1.5x control Stop or reverse heparin for PTT > 1.5x control
Platelets <50k/uL: transfuse <50k/uL: transfuse <50k/uL: transfuse
Clopidogrel and Prasugrel

Ticlodipine

Hold 5 days

Hold 5 days

Hold 5 days

Hold 7 days

Hold 5 days

Hold 7 days

Aspirin Do not hold Do not hold Hold 5 days
LMWH Hold 1 dose before procedure Hold 1 dose before procedure Hold 24h or up to 2 doses
Short-acting (ibuprofen, indomethacin)

Intermediate-acting (Naproxen, celecoxib)

Long acting (meloxicam)

Do not hold

Do not hold

Do not hold

Do not hold

Do not hold

Do not hold

Hold 1d

Hold 2-3d

Hold 10d

NOACs Do not hold 5 half lives? 5 half lives?

Cat 1 procedures include:

  • Vascular: Dialysis access interventions Venography, Central line removal, IVC filter placement, PICC placement
  • Nonvascular: Drainage catheter exchange (biliary, nephrostomy, abscess catheter) Thoracentesis Paracentesis Superficial aspiration and biopsy (excludes intrathoracic or intraabdominal sites): thyroid, superficial lymph node Superficial abscess drainage

Cat 2 procedures include:

  • Vascular - Angiography, arterial intervention with access size up to 7 F Venous interventions, Chemoembolization, Uterine fibroid embolization, Transjugular liver biopsy, Tunneled central venous catheter Subcutaneous port device
  • Nonvascular- Intraabdominal, chest wall, or retroperitoneal abscess drainage or biopsy, Lung biopsy, Transabdominal liver biopsy (core needle), Percutaneous cholecystostomy, Gastrostomy tube: initial placement, Radiofrequency ablation: straightforward Spine procedures (vertebroplasty, kyphoplasty, lumbar puncture, epidural injection, facet block)

Cat 3 procedures include:

  • Vascular - TIPS
  • Nonvascular - Renal biopsy, Biliary interventions (new tract), Nephrostomy tube placement, Radiofrequency ablation: complex
  1. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017;126(3):376-393.http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2596245
  2. Patel IJ, Davidson JC, Nikolic B, et al. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 2012;23(6):727-36. https://www.jvir.org/article/S1051-0443(12)00297-7/pdf
  3. Patel IJ, Davidson JC, Nikolic B, et al. Addendum of newer anticoagulants to the SIR consensus guideline. J Vasc Interv Radiol. 2013;24(5):641-5. https://www.jvir.org/article/S1051-0443(12)01238-9/pdf

Contributing Authors

BGG, Kevin Liu