Phlebotomy Venipuncture Procedure
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Blood Collection
Blood Collection (Note: Navigation around this large pdf document is best accomplished using the bookmarks function.) 355.1 Preface Blood collection (venipuncture, phlebotomy) is a common and important specimen collection procedure in the conduct of research. In many protocols, multiple blood draws are an important part of collecting and analyzing data. The Emory University Institutional Animal Care and Use Committee (IACUC) developed a policy to best enable blood collection while minimizing the potential for pain, unnecessary stress, distress or untoward effect in research animals. These are articulated by way of this general overview supplemented by companion documents appropriate to certain species. The species-specific sections differentiate from the general standards in being more precise, and sometimes more adaptable, in considering the frequency and total number of blood collection events; maximum collectable volumes allowed based upon specific physiology; detailing allowable routes particular to each species; differentiating between terminal and survival circumstances; disclosing requirements for anesthesia or restraint; scientific qualifiers and addressing conditionally permissible methods or settings germane to a species. This list is not exhaustive and persons requiring information regarding the supplies and equipment needed, specifics of restraint or anesthesia, requirements for ancillary care, habituation requirements, application to study in the field and other information are encouraged to contact the Training Coordinators for their specific site. o DAR Training Request: http://www.dar.emory.edu/forms/training_wrkshp.php o Yerkes National Primate Research Center Training: Jennifer McMillan, [email protected], 404-712-9217 While it only takes about 24 hours for the lost fluid volume of blood to be restored, it takes longer to regeneratively replenish erythrocytes, platelets and other circulating factors. -
The Incidence of Microemboli to the Brain Is Less with Endarterectomy Than with Percutaneous Revascularization with Distal filters Or flow Reversal
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector From the Southern Association for Vascular Surgery The incidence of microemboli to the brain is less with endarterectomy than with percutaneous revascularization with distal filters or flow reversal Naren Gupta, MD, PhD,a Matthew A. Corriere, MD, MS,a,c Thomas F. Dodson, MD,a Elliot L. Chaikof, MD, PhD,a Robert J. Beaulieu, BS,b James G. Reeves, MD,a Atef A. Salam, MD,a and Karthikeshwar Kasirajan, MD,a Atlanta, Ga Background: Current data suggest microembolization to the brain may result in long-term cognitive dysfunction despite the absence of immediate clinically obvious cerebrovascular events. We reviewed a series of patients treated electively with carotid endarterectomy (CEA), carotid artery stenting (CAS) with distal filters, and carotid stenting with flow reversal (FRS) monitored continuously with transcranial Doppler scan (TCD) during the procedure to detect microembolization rates. Methods: TCD insonation of the M1 segment of the middle cerebral artery was conducted during 42 procedures (15 CEA, 20 CAS, and 7 FRS) in 41 patients seen at an academic center. One patient had staged bilateral CEA. Ipsilateral microembolic signals (MESs) were divided into three phases: preprotection phase (until internal carotid artery [ICA] cross-shunted or clamped if no shunt was used, filter deployed, or flow reversal established), protection phase (until clamp/shunt was removed, filter removed, or antegrade flow re-established), and postprotection phase (after clamp/ shunt was removed, filter removed, or antegrade flow re-established). Descriptive statistics are reported as mean ؎ SE for continuous variables and N (%) for categorical variables. -
Digital Vein Mapping Guiding Laser and Injection Sclerotherapy to Treat Telangiectasias and Feeder Veins: Report of 140 Cases
ARTÍCULO ORIGINAL Digital Vein Mapping Guiding Laser and Injection sclerotherapy to treat telangiectasias and Feeder Veins: Report of 140 Cases. Authors: Roberto Kasuo Miyake, MD, PhD / Rodrigo Kikuchi, MD / Flavio Henrique Duarte, MD / John Davidson, MD / Hiroshi Miyake, MD, PhD Institution: Clinica Miyake, Sao Paulo, Brazil E-Mail autor: [email protected] Fecha recepción artículo: 23/11/2008 - Fecha aceptación artículo: Marzo 2009 Abstract Resumen Background and Objective: Telangiectasias Antecedentes y Objetivo: la ineficiencia en el treatment inefficiency may occur due to tratamiento de las telangiectasias puede deber- invisible feeder veins. These veins can be made se a las venas nutricias no visibles. Estas venas discernible by use of a digital vein detection pueden hacerse perceptibles mediante el uso de device (V-V). This study evaluates a method un dispositivo digital de detección (VV). Este to treat vascular lesions by combining 1064nm estudio evalúa un método para el tratamiento laser, injection sclerotherapy, a skin cooling de lesiones vasculares mediante la combinación device (CLaCS) and the V-V. de láser de 1064nm, la escleroterapia por inyec- Materials and Methods: Patients were treated ción y un dispositivo de enfriamiento de la piel with laser and sclerotherapy, both applied (CLACS, Cryo-Laser y Cryo-Sclerotherapy)) y under cooling. V-V was used to visualize hidden el VV (The VeinViewer™). feeder veins. Material y Métodos: Los pacientes fueron trata- Results: A total of 140 patients underwent dos con láser y la escleroterapia, ambos aplicados CLaCS. In 121 patients (86%) satisfactory bajo enfriamiento con (CLaCS). El dispositivo cosmetic results were obtained avoiding digital V-V se utiliza para visualizar las venas phlebectomy. -
Research Article Endothelial Dysfunction of Patients with Peripheral Arterial Disease Measured by Peripheral Arterial Tonometry
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Crossref Hindawi Publishing Corporation International Journal of Vascular Medicine Volume 2016, Article ID 3805380, 6 pages http://dx.doi.org/10.1155/2016/3805380 Research Article Endothelial Dysfunction of Patients with Peripheral Arterial Disease Measured by Peripheral Arterial Tonometry Kimihiro Igari, Toshifumi Kudo, Takahiro Toyofuku, and Yoshinori Inoue Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan Correspondence should be addressed to Kimihiro Igari; [email protected] Received 16 July 2016; Revised 17 September 2016; Accepted 27 September 2016 Academic Editor: Thomas Schmitz-Rixen Copyright © 2016 Kimihiro Igari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective. Endothelial dysfunction plays a key role in atherosclerotic disease. Several methods have been reported to be useful for evaluating the endothelial dysfunction, and we investigated the endothelial dysfunction in patients with peripheral arterial disease (PAD) using peripheral arterial tonometry (PAT) test in this study. Furthermore, we examined the factors significantly correlated with PAT test. Methods. We performed PAT tests in 67 patients with PAD. In addition, we recorded the patients’ demographics, including comorbidities, and hemodynamical status, such as ankle brachial pressure index (ABI). Results. In a univariate analysis, the ABI value ( = 0.271, = 0.029) and a history of cerebrovascular disease ( = 0.208, = 0.143) were found to significantly correlatewithPATtest,whichcalculatedthereactivehyperemiaindex(RHI).Inamultivariateanalysis,onlytheABIvalue significantly and independently correlated with RHI ( = 0.254, = 0.041). -
Diagnostic Blood Loss from Phlebotomy and Hospital-Acquired Anemia During Acute Myocardial Infarction
ORIGINAL INVESTIGATION ONLINE FIRST |LESS IS MORE Diagnostic Blood Loss From Phlebotomy and Hospital-Acquired Anemia During Acute Myocardial Infarction Adam C. Salisbury, MD, MSc; Kimberly J. Reid, MS; Karen P. Alexander, MD; Frederick A. Masoudi, MD, MSPH; Sue-Min Lai, PhD, MS, MBA; Paul S. Chan, MD, MSc; Richard G. Bach, MD; Tracy Y. Wang, MD, MHS, MSc; John A. Spertus, MD, MPH; Mikhail Kosiborod, MD Background: Hospital-acquired anemia (HAA) during Results: Moderate to severe HAA developed in 3551 pa- acute myocardial infarction (AMI) is associated with tients(20%).Themean(SD)phlebotomyvolumewashigher higher mortality and worse health status and often de- in patients with HAA (173.8 [139.3] mL) vs those without velops in the absence of recognized bleeding. The ex- HAA (83.5 [52.0 mL]; PϽ.001). There was significant varia- tent to which diagnostic phlebotomy, a modifiable pro- tion in the mean diagnostic blood loss across hospitals (mod- cess of care, contributes to HAA is unknown. erate to severe HAA: range, 119.1-246.0 mL; mild HAA or no HAA: 53.0-110.1 mL). For every 50 mL of blood drawn, the risk of moderate to severe HAA increased by 18% (rela- Methods: We studied 17 676 patients with AMI from tiverisk[RR],1.18;95%confidenceinterval[CI],1.13-1.22), 57 US hospitals included in a contemporary AMI data- which was only modestly attenuated after multivariable ad- base from January 1, 2000, through December 31, 2008, justment (RR, 1.15; 95% CI, 1.12-1.18). who were not anemic at admission but developed mod- erate to severe HAA (in which the hemoglobin level de- Conclusions: Blood loss from greater use of phle- Ͻ clined from normal to 11 g/dL), a degree of HAA that botomy is independently associated with the develop- has been shown to be prognostically important. -
New York State Surgical and Invasive Procedure Protocol (NYSSIPP)
State of New York Department of Health Office of Health Systems Management Division of Primary and Acute Care Services New York State Surgical and Invasive Procedure Protocol for Hospitals ~ Diagnostic and Treatment Centers Ambulatory Surgery Centers ~ Individual Practitioners Antonia C. Novello, M.D., M.P.H., Dr.P.H. Commissioner of Health Hon. George E. Pataki Governor – State of New York September 2006 Surgical and Invasive Procedure Protocol September 2006 NEW YORK STATE SURGICAL AND INVASIVE PROCEDURE PROTOCOL (FOR THE PREVENTION OF WRONG PATIENT, WRONG SITE, WRONG SIDE & WRONG INVASIVE PROCEDURE EVENTS) I. STATEMENT OF PURPOSE The State of New York is committed to providing its residents access to quality health care. Hon. George E. Pataki, Governor and Antonia C. Novello M.D., M.P.H., Dr.P.H., Commissioner of Health, continue to work toward a system that reduces medical and surgical errors by commitment to a safe and protected patient care environment. Key to achieving this goal is promoting a culture of safety and strengthening open communication among health care providers, individual practitioners and the patients they serve. One of the goals of Governor Pataki and Commissioner Novello, is the elimination of wrong patient, wrong site, wrong side and wrong invasive procedures, through the development of comprehensive systems that ensure the correct procedure is done on the correct patient on the correct site. Increased practitioner awareness combined with strong provider protocols and standardization will enhance the patient safety measures currently in place. The New York State Surgical and Invasive Procedure Protocol (NYSSIPP) developed by the Procedural and Surgical Site Verification Panel (PSSVP) is intended for all patient care settings and for all individual practitioners. -
Fluorescein Angiography: Preventing and Responding to Complications
Fluorescein Angiography: Preventing and Responding to Complications Jacqueline G. Jaffee, J.D. OMIC Risk Management Specialist PURPOSE OF RISK MANAGEMENT RECOMMENDATIONS OMIC regularly analyzes its claims experience to determine loss prevention measures that our insured ophthalmologists can take to reduce the likelihood of professional liability lawsuits. OMIC policyholders are not required to implement these risk management recommendations. Use your professional judgment in determining the applicability of a given recommendation to their particular patients and practice situation. These loss prevention documents may refer to clinical care guidelines such as the American Academy of Ophthalmology’s Preferred Practice Patterns, peer-reviewed articles, or to federal or state laws and regulations. However, our risk management recommendations do not constitute the standard of care nor do they provide legal advice. If legal advice is desired or needed, consult an attorney. Information contained here is not intended to be a modification of the terms and conditions of the OMIC professional and limited office premises liability insurance policy. Please refer to the OMIC policy for these terms and conditions. Version 1/24/08 Fluorescein angiography (FA) is a diagnostic procedure in which a rapid sequence of photographs is taken to document the blood circulation of the retina/choroid. The dye is usually injected into a vein in the arm, forearm, or hand. While generally well tolerated, angiography is an invasive procedure with associated risks, very rarely but notably of a life-threatening allergic reaction. The following risk management recommendations have been compiled to assist you and your staff so that you may both prevent and better respond to the risks of the procedure. -
Is Polidocanol Foam Sclerotherapy Effective in Treating Varicose Veins
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Student Dissertations, Theses and Papers Scholarship 2016 Is Polidocanol Foam Sclerotherapy Effective in Treating Varicose Veins as Compared to Conventional Treatments? Sachi Patel Philadelphia College of Osteopathic Medicine, [email protected] Follow this and additional works at: http://digitalcommons.pcom.edu/pa_systematic_reviews Part of the Cardiovascular Diseases Commons Recommended Citation Patel, Sachi, "Is Polidocanol Foam Sclerotherapy Effective in Treating Varicose Veins as Compared to Conventional Treatments?" (2016). PCOM Physician Assistant Studies Student Scholarship. 291. http://digitalcommons.pcom.edu/pa_systematic_reviews/291 This Selective Evidence-Based Medicine Review is brought to you for free and open access by the Student Dissertations, Theses and Papers at DigitalCommons@PCOM. It has been accepted for inclusion in PCOM Physician Assistant Studies Student Scholarship by an authorized administrator of DigitalCommons@PCOM. For more information, please contact [email protected]. Is Polidocanol foam sclerotherapy effective in treating varicose veins as compared to conventional treatments? Sachi Patel, PA-S A SELECTIVE EVIDENCE BASED MEDICINE REVIEW In Partial Fulfillment of the Requirement for The Degree of Master of Science In Health Sciences- Physician Assistant Department of Physician Assistant Studies Philadelphia College of Osteopathic Medicine Philadelphia, Pennsylvania December 18, 2015 ABSTRACT OBJECTIVE: The objective of this selective EBM review is to determine whether or not Polidocanol foam sclerotherapy is effective in treating varicose veins as compared to conventional treatments. STUDY DESIGN: Review of three randomized controlled trials. All three studies are published in English between 2008 – 2012. DATA SOURCES: Three randomized control trials were found using PubMED and Medline. -
APG Regulations
FINAL as of 8/22/08 Pursuant to the authority vested in the Commissioner of Health by Section 2807(2-a) of the Public Health Law, Part 86 of Title 10 of the Official Compilation of Codes, Rules and Regulations of the State of New York, is amended by adding a new Subpart 86-8, to be effective upon filing with the Secretary of State, to read as follows: SUBPART 86-8 OUTPATIENT SERVICES: AMBULATORY PATIENT GROUP (Statutory authority: Public Health Law § 2807(2-a)(e)) Sec. 86-8.1 Scope 86-8.2 Definitions 86-8.3 Record keeping, reports and audits 86-8.4 Capital reimbursement 86-8.5 Administrative rate appeals 86-8.6 Rates for new facilities during the transition period 86-8.7 APGs and relative weights 86-8.8 Base rates 86-8.9 Diagnostic coding and rate computation 86-8.10 Exclusions from payment 86-8.11 System updating 86-8.12 Payments for extended hours of operation § 86-8.1 Scope (a) This Subpart shall govern Medicaid rates of payments for ambulatory care services provided in the following categories of facilities for the following periods: (1) outpatient services provided by general hospitals on and after December 1, 2008; (2) emergency department services provided by general hospitals on and after January 1, 2009; (3) ambulatory surgery services provided by general hospitals on and after December 1, 2008; (4) ambulatory services provided by diagnostic and treatment centers on and after March 1, 2009; and (5) ambulatory surgery services provided by free-standing ambulatory surgery centers on and after March 1, 2009. -
Anti-Apolipoprotein A-1 Igg Influences Neutrophil Extracellular Trap
International Journal of Molecular Sciences Article Anti-Apolipoprotein A-1 IgG Influences Neutrophil Extracellular Trap Content at Distinct Regions of Human Carotid Plaques Rafaela F. da Silva 1,2 , Daniela Baptista 1, Aline Roth 1, Kapka Miteva 1 , Fabienne Burger 1, Nicolas Vuilleumier 3,4, Federico Carbone 5,6 , Fabrizio Montecucco 5,6 , François Mach 1 and Karim J. Brandt 1,* 1 Division of Cardiology, Foundation for Medical Researches, Department of Medicine Specialties, Faculty of Medicine, University of Geneva, Av. de la Roseraie 64, 1211 Geneva, Switzerland; [email protected] (R.F.d.S.); [email protected] (D.B.); [email protected] (A.R.); [email protected] (K.M.); [email protected] (F.B.); [email protected] (F.M.) 2 Department of Physiology and Biophysics, Institute of Biological Sciences, Federal University of Minas Gerais, 31270-901 Belo Horizonte, Brazil 3 Department of Diagnostics, Division of Laboratory Medicine, Geneva University Hospitals, 1211 Geneva, Switzerland; [email protected] 4 Department of Medical Specialities, Division of Laboratory Medicine, Faculty of Medicine, 1211 Geneva, Switzerland 5 First Clinic of Internal Medicine, Department of Internal Medicine, University of Genoa, viale Benedetto XV n6, 16132 Genoa, Italy; [email protected] (F.C.); [email protected] (F.M.) 6 IRCCS Ospedale Policlinico San Martino Genoa-Italian Cardiovascular Network, Largo Rosanna Benzi n10, 16132 Genoa, Italy * Correspondence: [email protected]; Tel.: +41-2237-94-647 Received: 9 September 2020; Accepted: 13 October 2020; Published: 19 October 2020 Abstract: Background: Neutrophils accumulate in atherosclerotic plaques. Neutrophil extracellular traps (NET) were recently identified in experimental atherosclerosis and in complex human lesions. -
Phlebotomy Student Handbook
LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PHLEBOTOMY PROGRAM PHBT STUDENT HANDBOOK 2019-2020 SCHOOL YEAR CHERYL SELVAGE, MS MT(ASCP) Program Director June 2019 PHBT Student Handbook i LORAIN COUNTY COMMUNITY COLLEGE DIVISION OF HEALTH AND WELLNESS SCIENCES PHLEBOTOMY STUDENT HANDBOOK 2019-2020 School Year This handbook does not constitute a contract. The Program faculty reserve the right to revise this handbook at any time. Students will be given information regarding these changes either verbally or in a printed addendum. Prepared by: Cheryl Selvage, MS MT(ASCP) Clinical Laboratory Science Technology / Phlebotomy Program Director August 2019 PHBT Student Handbook ii TABLE OF CONTENTS TOPIC PAGE I. WELCOME ........................................................................................................... 1 II. INTRODUCTION................................................................................................... 1 A. History and Program Approval ....................................................................... 1 III. PURPOSE OF THE PHLEBOTOMY PROGRAM STUDENT HANDBOOK ........... 2 IV. PHILOSOPHY OF THE PHLEBOTOMY PROGRAM ............................................ 2 A. College Mission ............................................................................................... 2 B. Division of Health and Wellness ....................................................................... 3 C. PHBT Program Mission Statement ................................................................. -
The Cardiopulmonary Bypass, Hemolysis, and End Organ Function: an Integration of Political Science, Chemistry, and Zoology
The Cardiopulmonary Bypass, Hemolysis, and end organ function: an Integration of Political Science, Chemistry, and Zoology By Nathan V. Luce A capstone project submitted to the faculty of Weber State University in fulfillment of the requirements of the degree of Bachelor of Integrated Studies in the Department of Integrated Studies. Ogden, Utah (Date Approved) Approved by: Department Director Dr. Michael Cena Ph.D. Committee Members: Political Science Dr. Gary Johnson Ph.D. Clinical and Clinical Research: Chemistry and Zoology Dr. Peter C. Minneci M.D. Marie Hart Clayton MSN, RN TABLE OF CONTENTS PREFACE......................................................................................................................................... v INTRODUCTION............................................................................................................................... 1 HISTORY AND BASICS: CARDIAC SURGERY AND THE CPB.................................................... 3 Evolution of Cardiac Surgery............................................................................................ 3 Intraoperative........................................................................................................... 5 Effects of Cardiopulmonary Bypass................................................................................. 6 Mechanical............................................................................................................... 6 Physiological: Whole Body Inflammatory Response...............................................