Rad 140 Radiographic Positioning Ii

Total Page:16

File Type:pdf, Size:1020Kb

Rad 140 Radiographic Positioning Ii INSTRUCTION Course Package RAD 140 RADIOGRAPHIC POSITIONING II APPROVED 12/O2/2011 EFFECTIVE SPRING 2012-13 MCC Form EDU 0007 (rev. 09/07/11) INSTRUCTION Course Package Prefix & Number RAD 140 Course Title: Radiographic Positioning II & Lab Purpose of this submission: New Change/Updated Retire If this is a change, what is being changed? Update Prefix Course Description (Check all that apply) Title Course Number Format Change Credits Prerequisite Competencies Textbook/Reviewed Competencies-no changes needed Does this course require additional fees? No Yes If so, please explain. Is there a similar course in the course bank? No Yes (Please identify) Articulation: Is this course or an equivalent offered at other two and four-year universities in Arizona? No Yes (Identify the college, subject, prefix, number and title: This course is offered in radiography programs in the state. Is this course identified as a Writing Across the Curriculum course? No Yes Course Textbook, Materials and Equipment Textbook(s) Title Radiographic Positioning and Related Anatomy Author(s) Bontrager, Kenneth L.; Lampignano, John P. Publisher Mosby Elsevier Barnes & Noble Price New 169.00 Used 126.75 Title Radiographic Positioning and Related Anatomy Workbook Volume One and Two Author(s) Bontrager, Kenneth L.; Lampignano, John P. Publisher Mosby Elsevier Barnes & Noble Price New 49.95 Used 37.45 Title Radiographic Image Analysis Author(s) McQuillen Martensen, Kathy Publisher Saunders Elsevier Barnes & Noble Price New 85.95 Used 64.45 Software / Equipment Course Assessments Description of Possible Course Assessments (Essays, multiple choice, Mid -term and Final exams ; multiple choice, etc.) blanks, Pilot registry exams Exams standardized for this course? Are exams required by the department ? Midterm No Yes MCC Form EDU 0007 (rev. 09/07/11) INSTRUCTION Course Package Final If Yes, please specify: Final exam with multiple Other (Please specify): choice and fill in the blanks; Pilot registry exams Where can faculty members locate or access the required standardized Director of Radiologic Technology Office exams for this course The ability to offer comp assionate and Student Outcomes: Identify the general education goals for student professional care, with confidence, applying the learning that is a component of this course. skills of positioning and technique. Check all that apply: Method of Assessment 1. Communicate effectively. Mid -term and Final exams ; Pilot registry exam ; a. Read and comprehend at a college level. research paper or poster b. Write effectively in a college setting. 2. Demonstrate effective quantitative reasoning and problem Demonstrations, simulations, case studies, solving skills. quizzes, exams, discussions, perform phantom positioning in radiographic procedures, image analysis, corrective actions of images, mid-term and final exams 3. Demonstrate effective qualitative reasoning skills. Demonstrations, simulations, case studies, quizzes, exams, discussions, perform phantom positioning in radiographic procedures, image analysis, corrective actions of images, mid-term and final exams 4. Apply effective methods of inquiry. Research paper or poster; 1500 words a. Generate research paper by gathering information from varied sources, analyzing data and organizing information into a coherent structure. b. Employ the scientific method. 5. Demonstrate sensitivity to diversity The student listens attentively to the patient’s a. Experience the creative products of humanity. concerns; and, professionally explains and helps b. Describe alternate historical, cultural, global the patient through the procedure with an perspectives. understanding of cultural diversity, age-specific care, and a compassionate approach to patients with disabilities. MCC Form EDU 0007 (rev. 09/07/11) INSTRUCTION Course Package COURSE INFORMATION Initiator: Maryann Shepherd Date of proposal to Curriculum Sub-Committee: December 2, 2011 Effective Semester/Year Spring 2013 - 2nd Program Semester Prefix & Number: RAD 140 & 140L Full Title: Radiographic Positioning II and Lab Short Title: Positioning II & Lab Catalog Course Description: The student radiographer will be introduced to the radiographic examinations of the vertebral column, and skull to perform quality radiographs; students will also assist the radiologist, and physicians operating fluoroscopic equipment and the C-arm in gastrointestinal studies and special procedures. Content explores identifying anatomy of radiographic images; ability to critique images for appropriate technical, procedural and pathological factors and correct equipment malfunctions. Credit Hours: 4 Lecture Hours: 3 Lab Hours: 3 Prerequisite: Successful completion of the previous semester. Co -requisite: RAD 140 & 140 L RAD 140 -170 are in the same cohort and must be taken during the same semester. Intended Course Goals By the end of the semester, students will be able to: 1. Prepare the patient by explaining the procedure, explaining the contrast agent, it’s purpose and effect, and obtain a signed informed consent form 2. Demonstrate evidence -based practice principles to prepare and administer the appropriate contrast agent for each procedure 3. Identify ethical, professional and legal frameworks for radiography practice 4. Employ critical thinking skills as the student radiographer responds to adverse reactions that the patient may have 5. Integrate physical, emotional, cultural and spiritual components of caring for the patient, families and medical team 6. Demonstrate clinical competency in assisting the radiologist in procedures while positioning and assisting the patient 7. Document the procedure and contrast agent used 8. Discuss the elements of a radiographic image 9. Apply the process of evaluating images for adequate density. brightness, contrast, recorded detail/spatial resolution and acceptable limits of distortion 10. Produce quality radiographs, problem -solve and analyze radiographs 11. Analyze the radiographic image for structures shown, positioning, collimation, CR, and exposure criteria for views and projections MCC Form EDU 0007 (rev. 09/07/11) INSTRUCTION Course Package 12. Differentiate images produced by various modalities MCC Form EDU 0007 (rev. 09/07/11) INSTRUCTION Course Package Course Competencies and Objectives By the end of thethethe semester, students will be able to: Competency 1 Compet ently and independently perform quality radiographs involving the vertebral column, cervical spine, and thoracic spine. Objective 1.1 State the radiographic anatomy and physiology of the cervical and thoracic spinal column Objective 1.2 Position the patient for the AP, PA, oblique, lateral, axial and tangential views of the cervical and thoracic spinal column Objective 1.3 Analyze the radiographic image for structures shown, positioning, collimation, CR, and exposure criteria for views and projections stated in objective 1.2 Objective 1.4 Position the patient for the trauma views of the cervical spine: positioning the lateral position, horizontal beam for the cervical spine for trauma patients; Twining Method (Swimmer’s) for C2-T3 Objective 1.5 Analyze the radiographic image for structures shown, positioning, collimation, CR, and exposure criteria for views and projections stated in objective 1.3. Compe tency 2 Competently and independently perform quality radiographs involving the lumbar spi ne, sacrum and coccyx Objective 2.1 State the radiographic anatomy and physiology of the lumbar spine, sacrum and coccyx Objective 2.2 Position the patient for the PA, oblique, lateral, axial and tangential views of the lumbar and sacral area spinal column Objective 2.3 Analyze the radiographic image for structures shown, positioning, collimation, CR, and exposure criteria for views and projections stated in objective 2.2 Objective 2.3 Position the patient for special views: scoliosis, AP, Lateral, right and left bending; hyperextension and hyperflexion lumbar. Objective 2.4 Analyze the radiographic image for structures shown, positioning, collimation, CR, and exposure criteria for views and projections stated in objective 2.3 Competency 3 Competently and independently perform s quality radiographs of the skull and cranial bones Objective 3.1 State the radiographic anatomy and physiology of the skull Objective 3.2 Identify the body planes and landmarks, positioning lines, surface landmarks, and orbital landmarks of the skull and cranial bones Objective 3.4 Position the patient for the AP, PA, oblique, axial and lateral views of the skull Objective 3.5 Analyze the radiographic image for structures shown, positioning, collimation, CR, and exposure criteria for views and projections stated in objective 3.4. Objective 3.6 Position the patient for special views: submentovertex projection, Haas Method of the PA axial projection of the skull. Objective 3.7 Analyze the radiographic image for structures shown, positioning, collimation, CR, and exposure criteria for views and projections stated in objective 3.6. Competency 4 Competently and independently perform quality radiographs of the facial bones and paran asal sinuses Objective 4.1 State the radiographic anatomy and physiology of the facial bones and paranasal sinuses Objective 4.2 Position the patient for the AP, PA, oblique, axial and lateral views of the facial bones Objective 4.3 Position the patient for the Waters Method, Caldwell and modified Caldwell Method for facial bones Objective 4.4 Analyze the radiographic image for structures shown, positioning, collimation, CR, and exposure
Recommended publications
  • Research Article Magnetic Resonance Sialography Findings of Submandibular Ducts Imaging
    Hindawi Publishing Corporation BioMed Research International Volume 2013, Article ID 417052, 6 pages http://dx.doi.org/10.1155/2013/417052 Research Article Magnetic Resonance Sialography Findings of Submandibular Ducts Imaging Nezahat Karaca ErdoLan,1 Canan Altay,2 Nesibe Özenler,3 TuLba Bozkurt,1 Engin Uluç,1 Berna Dirim Mete,1 and Esmail Özdemir4 1 Department of Radiology, Izmir Ataturk¨ Research and Training Hospital, Basın Sitesi, Karabaglar,˘ 35360 Izmir, Turkey 2 Department of Radiology, Medical School, Dokuz Eylul University, Inciralti, 35340 Izmir, Turkey 3 Department of Radiology, Balıkesir Ataturk¨ State Hospital, Yıldız Mahallesi Soma Caddesi No. 1, 10100 Balıkesir, Turkey 4 Universal Ege Health Hospital, 35220 Izmir, Turkey Correspondence should be addressed to Canan Altay; [email protected] Received 2 April 2013; Revised 29 May 2013; Accepted 12 June 2013 Academic Editor: Yoshito Tsushima Copyright © 2013 Nezahat Karaca Erdogan˘ 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. Purpose. We aimed to assess the problem solving capability of magnetic resonance sialography (MR sialography), a noninvasive method for imaging submandibular gland ducts and determining duct-related pathologies, by comparing diseased and healthy cases. Materials and Methods. We conducted radiological assessment on a total of 60 submandibular glands (mean age 44.7) in 20 cases and 10 volunteers. MR sialography examinations were conducted with single-shot fast spin-echo sequence by using a surface coil placed on the submandibular gland. Each gland was evaluated in terms of the length, width and stricture of the main duct, as well as the difference between the intraparenchymal duct width, and the main duct width.
    [Show full text]
  • SAGES Clinical Spotlight Review: Intraoperative Cholangiography
    SAGES Clinical Spotlight Review: Intraoperative cholangiography William W. Hope, MD, Robert Fanelli MD, Danielle S. Walsh MD, Ray Price MD, Dimitrios Stefanidis MD, William S. Richardson MD, and the SAGES Guidelines Committee Preamble The following clinical spotlight review regarding the intraoperative cholangiogram is intended for physicians who manage and treat gallbladder/biliary pathology and perform laparoscopic cholecystectomy. It is meant to critically review the technique of intraoperative cholangiography, alternatives for intraoperative biliary imaging, and the available evidence supporting their safety and efficacy. Based on the level of evidence, recommendations may or may not be given for their use in clinical practice. Disclaimer Guidelines for clinical practice and spotlight reviews are intended to indicate preferable approaches to medical problems as established by experts in the field. These recommendations will be based on existing data or a consensus of expert opinion when little or no data are available. Spotlight reviews are applicable to all physicians who address the clinical problem(s) without regard to specialty training or interests, and are intended to convey recommendations based on a focused topic; within the defined scope of review, they indicate the preferable, but not necessarily the only acceptable approaches due to the complexity of the healthcare environment. Guidelines and recommendations are intended to be flexible. Given the wide range of specifics in any health care problem, the surgeon must always choose the course best suited to the individual patient and the variables in existence at the moment of decision. Guidelines, spotlight reviews, and recommendations are developed under the auspices of the Society of American Gastrointestinal Endoscopic Surgeons and its various committees, and approved by the Board of Governors.
    [Show full text]
  • Impact of Preoperative Endoscopic Ultrasound in Surgical Oncology
    REVIEW Impact of preoperative endoscopic ultrasound in surgical oncology Endoscopic ultrasound (EUS) has a strong impact on the imaging and staging of solid tumors within or in close proximity of the upper GI tract. Technological developments during the last two decades have increased the image quality and allowed very detailed visualization of local tumor spread and lymph node affection. Current indications for EUS of the upper GI tract encompass the differentiation between benign and malignant lesions, the staging of esophageal, gastric and pancreatic cancer, and the procurement of a biopsy specimen through fine-needle aspiration. Various technical innovations during the past two decades have increased the diagnostic quality and have simultaneously strengthened the role of EUS in the clinical setting. This article will give a compressed summary on the current state of EUS and possible further technical developments. 1 KEYWORDS: 3D imaging elastosonography endoscopic ultrasound miniprobes Sascha S Chopra & oncologic surgery Michael Hünerbein† 1Department of General & Transplantation Surgery, Charité Campus Virchow-Clinic, Berlin, Conventional endoscopic ultrasound the so-called ‘miniprobes’ into the biliary system Germany Linear versus radial systems or the pancreatic duct in order to obtain high-res- †Author for correspondence: Department of Surgery & Surgical Endoscopic ultrasound (EUS) with flex- olution radial ultrasound images locally. Present Oncology, Helios Hospital Berlin, ible endoscopes is an important diagnostic and mini probes show a diameter of 2–3 mm and oper- 13122 Berlin, Germany Tel.: +49 309 417 1480 therapeutic tool, especially for the local staging ate with frequencies between 12 and 30 MHz. Fax: +49 309 417 1404 of gastrointestinal (GI) cancers, the differen- The main drawbacks of these devices are the lim- michael.huenerbein@ tiation between benign and malignant tumors, ited durability and the decreased depth of penetra- helios-kliniken.de and interventional procedures, such as biopsies tion (~2 cm).
    [Show full text]
  • General User Charges in AIIMS Raipur
    General User Charges in AIIMS Raipur S No. Name of General Charges Paying Ward General Remark Ward/OPD 1 Registration Charges 200 25 2 Bed Charges Per Day (Sami 2000 35 Patients being adm Deluxe) itted in 3 Bed Charges Per Day (Deluxe) 3000 35 Paying/General 4 Diet Charges Per Day 200 Optional Nil ward will pay an advance for 10 days charges at the time of admission. 5 ICU/NICU/PICU/CCU Charges 1000 (Above & 300 Per Day Over to Bed Charge 6 Minor Operation in OT/MOT 250 100 not mentioned in list, under L A 7 Minor Operation in OT/MOT 1000 300 not mentioned in list, under G A 8 Major Operation in OT, Not 2000 1000 mentioned in list under G A 9 Medical Certificate (Sickness) 10 10 10 Medical Certificate (Fitness) 10 10 11 Tubectomy / Laparoscopic 25 20 Sterilization 12 Death file charges 25 25 13 Medico Legal Injury Report 50 50 (MLR) 14 Birth / Death Certificate 1st 0 0 Copy 15 Birth / Death Certificate 5 5 Subsequent Copy 16 Additional correction in Birth 10 10 / Death / certificate 17 Completion of LIC / Insurance 50 50 claim file 18 Subsequent Pass if on special 50 50 condition 19 Supply of blood (One Unit) 250 75 1 20 Medical Board Certificate 500 500 On Special Case User Charges for Investigations in AIIMS Raipur S No. Name of Investigations Paying General Remark Ward Ward/OPD Anaesthsia 1 ABG 75 50 2 ABG ALONGWITH 150 100 ELECTROLYTES(NA+,K+)(Na,K) 3 ONLY ELECTROLYTES(Na+,K+,Cl,Ca+) 75 50 4 ONLY CALCIUM 50 25 5 GLUCOSE 25 20 6 LACTATE 25 20 7 UREA.
    [Show full text]
  • ACR Manual on Contrast Media
    ACR Manual On Contrast Media 2021 ACR Committee on Drugs and Contrast Media Preface 2 ACR Manual on Contrast Media 2021 ACR Committee on Drugs and Contrast Media © Copyright 2021 American College of Radiology ISBN: 978-1-55903-012-0 TABLE OF CONTENTS Topic Page 1. Preface 1 2. Version History 2 3. Introduction 4 4. Patient Selection and Preparation Strategies Before Contrast 5 Medium Administration 5. Fasting Prior to Intravascular Contrast Media Administration 14 6. Safe Injection of Contrast Media 15 7. Extravasation of Contrast Media 18 8. Allergic-Like And Physiologic Reactions to Intravascular 22 Iodinated Contrast Media 9. Contrast Media Warming 29 10. Contrast-Associated Acute Kidney Injury and Contrast 33 Induced Acute Kidney Injury in Adults 11. Metformin 45 12. Contrast Media in Children 48 13. Gastrointestinal (GI) Contrast Media in Adults: Indications and 57 Guidelines 14. ACR–ASNR Position Statement On the Use of Gadolinium 78 Contrast Agents 15. Adverse Reactions To Gadolinium-Based Contrast Media 79 16. Nephrogenic Systemic Fibrosis (NSF) 83 17. Ultrasound Contrast Media 92 18. Treatment of Contrast Reactions 95 19. Administration of Contrast Media to Pregnant or Potentially 97 Pregnant Patients 20. Administration of Contrast Media to Women Who are Breast- 101 Feeding Table 1 – Categories Of Acute Reactions 103 Table 2 – Treatment Of Acute Reactions To Contrast Media In 105 Children Table 3 – Management Of Acute Reactions To Contrast Media In 114 Adults Table 4 – Equipment For Contrast Reaction Kits In Radiology 122 Appendix A – Contrast Media Specifications 124 PREFACE This edition of the ACR Manual on Contrast Media replaces all earlier editions.
    [Show full text]
  • Procedure Codes for Physician: Radiology
    NEW YORK STATE MEDICAID PROGRAM PHYSICIAN - PROCEDURE CODES SECTION 4 - RADIOLOGY Physician – Procedure Codes, Section 4 - Radiology Table of Contents GENERAL INSTRUCTIONS ............................................................................................................ 4 GENERAL RULES AND INFORMATION ......................................................................................... 6 MMIS RADIOLOGY MODIFIERS .................................................................................................... 8 DIAGNOSTIC RADIOLOGY (DIAGNOSTIC IMAGING)................................................................. 9 HEAD AND NECK.................................................................................................................... 9 CHEST .................................................................................................................................. 10 SPINE AND PELVIS .............................................................................................................. 11 UPPER EXTREMITIES .......................................................................................................... 12 LOWER EXTREMITIES ......................................................................................................... 13 ABDOMEN ............................................................................................................................ 14 GASTROINTESTINAL TRACT ............................................................................................... 15 URINARY
    [Show full text]
  • MRCP Vs. ERCP
    MRCPMRCP vs.vs. ERCPERCP SteveSteve Harrell,Harrell, MD,MD, MSPHMSPH AdvancedAdvanced TherapeuticTherapeutic EndoscopyEndoscopy DecemberDecember 6,6, 20072007 University of Louisville InitialInitial ThoughtsThoughts ““So,So, itit isis mymy predictionprediction thatthat MRCPMRCP willwill havehave aa hugehuge effecteffect onon ERCPERCP practicepractice inin thethe UnitedUnited States.States.”” ““IfIf II hadhad aa pancreaticpancreatic oror biliarybiliary problemproblem II wouldwould searchsearch outout …… aa centercenter withwith thethe mostmost sophisticatedsophisticated noninvasivenoninvasive techniquestechniques…… veryvery quickly.quickly.”” ““WeWe allall wantwant thethe bestbest forfor ourour patients;patients; shouldshould wewe treattreat themthem differentlydifferently thanthan wewe wouldwould ourselves?ourselves?”” 5/15/985/15/98 Peter B. Cotton, MD, FRCP Medical University of South Carolina Charleston, South Carolina Universityhttp://www.ddc.musc.edu/ddc_pro/pro_development of Louisville /hot_topics/impact_MRCP-cotton.htm LearningLearning GoalsGoals KnowKnow whatwhat ERCPERCP andand MRCPMRCP standstand forfor AdvantagesAdvantages andand disadvantagesdisadvantages ofof MRCPMRCP IndicationsIndications forfor ERCPERCP PoorPoor IndicationsIndications forfor ERCPERCP ClinicalClinical UseUse inin commoncommon disordersdisorders forfor MRCPMRCP EffectsEffects ofof MRCPMRCP onon ERCPERCP inin trainingtraining CasesCases University of Louisville ERCPERCP EndoscopicEndoscopic retrograderetrograde cholangiopancreatographycholangiopancreatography
    [Show full text]
  • Ography C Virtual Colonoscopy for Screening
    466 Gut 2004;53:466 Gut: first published as on 11 February 2004. Downloaded from Please visit the Gut website (www.gutjnl.com) for links possible to generate three dimensional ultrasound cholangiograms. to these articles – many to full text. The authors prospectively evaluated the ability of this technique, compared with direct cholangiography (endoscopic retrograde cholangiopancreatography (ERCP)/percutaneous transhepatic cho- langiogram (PTC)) and MRCP, to detect and characterise biliary ....................................................................... obstruction in 40 patients. Experienced operators, who were blinded to the results of the other tests, evaluated images for Pseudo-pseudomembranous collagenous technical adequacy, presence and level of obstruction, and c suspected cause of any stricture. Compared with two dimensional colitis ultrasound, three dimensional analysis improved the assessment of m Yuan S, Reyes V, Bronner MP. Pseudomembranous collagenous colitis. Am J biliary anatomy in seven of 40 patients. Three dimensional Surg Pathol 2003;27:1375–9. ultrasound however visualised the peripapillary region less well Microscopic colitis has been divided into three types (Warren BF, et (80%) than MRCP (95%) and direct cholangiography (100%) but al. Histopathology 2002;40:374–6), all characterised by watery was superior at demonstrating the gall bladder and biliary tree diarrhoea and minimal mucosal changes at colonoscopy, asso- proximal to a stricture. All techniques were highly sensitive for ciated with an increase in lamina propria lymphocytes and minimal detection of biliary obstruction (100%) and each diagnosed the crypt architectural distortion. Of the three types, lymphocytic colitis likely cause in 90–95% of cases. Three dimensional ultrasound also has an increase in intraepithelial lymphocytes, collagenous detected the correct level of obstruction in 92% of cases compared colitis has a subepithelial collagen band, and microscopic colitis not with 95% for MRCP and 90% for ERCP/PTC.
    [Show full text]
  • Diagnosis and Management of Primary Sclerosing Cholangitis
    AASLD PRACTICE GUIDELINES Diagnosis and Management of Primary Sclerosing Cholangitis Roger Chapman,1 Johan Fevery,2 Anthony Kalloo,3 David M. Nagorney,4 Kirsten Muri Boberg,5 Benjamin Shneider,6 and Gregory J. Gores7 Preamble classification used by the Grading of Recommendation This guideline has been approved by the American Asso- Assessment, Development, and Evaluation (GRADE) ciation for the Study of Liver Diseases and represents the workgroup with minor modifications (Table 1).3 The position of the Association. These recommendations pro- strength of recommendations in the GRADE system are vide a data-supported approach. They are based on the classified as strong (class 1) or weak (class 2). The quality following: (1) formal review and analysis of the recently- of evidence supporting strong or weak recommendations published world literature on the topic (Medline search); is designated by one of three levels: high (level A), mod- (2) American College of Physicians Manual for Assessing erate (level B), or low-quality (level C). Health Practices and Designing Practice Guidelines1; (3) guideline policies, including the AASLD Policy on the Definition and Diagnosis Development and Use of Practice Guidelines and the Definitions. Primary sclerosing cholangitis (PSC) is a American Gastroenterological Association Policy State- chronic, cholestatic liver disease characterized by inflam- ment on Guidelines2; and (4) the experience of the au- mation and fibrosis of both intrahepatic and extrahepatic thors in the specified topic. bile ducts,4 leading to the formation of multifocal bile Intended for use by physicians, these recommenda- duct strictures. PSC is likely an immune mediated, pro- tions suggest preferred approaches to the diagnostic, ther- gressive disorder that eventually develops into cirrhosis, apeutic and preventative aspects of care.
    [Show full text]
  • Icd-9-Cm (2010)
    ICD-9-CM (2010) PROCEDURE CODE LONG DESCRIPTION SHORT DESCRIPTION 0001 Therapeutic ultrasound of vessels of head and neck Ther ult head & neck ves 0002 Therapeutic ultrasound of heart Ther ultrasound of heart 0003 Therapeutic ultrasound of peripheral vascular vessels Ther ult peripheral ves 0009 Other therapeutic ultrasound Other therapeutic ultsnd 0010 Implantation of chemotherapeutic agent Implant chemothera agent 0011 Infusion of drotrecogin alfa (activated) Infus drotrecogin alfa 0012 Administration of inhaled nitric oxide Adm inhal nitric oxide 0013 Injection or infusion of nesiritide Inject/infus nesiritide 0014 Injection or infusion of oxazolidinone class of antibiotics Injection oxazolidinone 0015 High-dose infusion interleukin-2 [IL-2] High-dose infusion IL-2 0016 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance Pressurized treat graft 0017 Infusion of vasopressor agent Infusion of vasopressor 0018 Infusion of immunosuppressive antibody therapy Infus immunosup antibody 0019 Disruption of blood brain barrier via infusion [BBBD] BBBD via infusion 0021 Intravascular imaging of extracranial cerebral vessels IVUS extracran cereb ves 0022 Intravascular imaging of intrathoracic vessels IVUS intrathoracic ves 0023 Intravascular imaging of peripheral vessels IVUS peripheral vessels 0024 Intravascular imaging of coronary vessels IVUS coronary vessels 0025 Intravascular imaging of renal vessels IVUS renal vessels 0028 Intravascular imaging, other specified vessel(s) Intravascul imaging NEC 0029 Intravascular
    [Show full text]
  • Is Intravenous Cholangiography an Alternative to the Routine Per-Operative Cholangiogram? Simon P.J
    Postgraduate Medical Journal (1989) 65, 896 - 899 Postgrad Med J: first published as 10.1136/pgmj.65.770.896 on 1 December 1989. Downloaded from Is intravenous cholangiography an alternative to the routine per-operative cholangiogram? Simon P.J. Huddy and John A. Southam Epsom District Hospital, Dorking Road, Epsom, Surrey, UK Summary: Ultrasonography, although an accurate method ofdetecting stones within the gall bladder, is unreliable for the detection of bile duct stones for which per-operative cholangiography remains the standard investigation. Fifty seven patients undergoing elective cholecystectomy had both a pre-operative intravenous cholangiogram and per-operative cholangiography. The pre-operative investigation is shown to be at least as effective in the detection of common bile duct stones and only missed a duct stone in one patient. The substitution of pre-operative intravenous cholangiography for routine per-operative cholangiography would result in a significant reduction in operating time, may provide advance knowledge on the biliary anatomy and would allow advance planning of the likely procedure. It is suggested that pre-operative intravenous cholangiography, carried out on the day of admission, should be considered as a preferred alternative investigation to per-operative cholangiography. Introduction Protected by copyright. Per-operative cholangiography, first introduced by An intravenous cholangiogram was performed as Mirizzi in 1932,' is now a commonly performed an outpatient procedure before admission for procedure. It is considered by many authorities to be cholecystectomy. A control film was taken prior to an investigation which should be routinely performed infusion of 100 ml of meglumine iodoxamate at the time of cholecystectomy in order to identify (Endobil, E.
    [Show full text]
  • Fatal Venous Air Embolism During Upper Endoscopy in a Patient with Percutaneous Transhepatic Cholangiography (PTC) Catheter
    UCTN – Unusual cases and technical notes E111 Fatal venous air embolism during upper endoscopy in a patient with percutaneous transhepatic cholangiography (PTC) catheter Venous air embolism is a rare complica- created a vasculobiliary fistula. The pres- tion of endoscopic procedures reported ence of a widely patent hepaticojejunos- with colonoscopy, esophagogastroduode- tomy, blind intestinal limb, and air insuf- noscopy, endoscopic ultrasound with fine flation created a pressure gradient allow- needle aspiration and endoscopic retro- ing air flow into the venous circulation. grade cholangiography with sphincterot- The fluoroscopic images confirmed air – omy [1 5]. We report a case of a fatal within the hepatic veins and inferior Fig. 1 Endoscope advanced through the venous air embolism during upper endos- vena cava (●" Fig. 2). General endotracheal afferent limb to the hepaticojejunostomy. copy in a patient with prior pancreatico- anesthesia and close monitoring of endo- duodenectomy and recent percutaneous tracheal carbon dioxide in patients with transhepatic cholangiography (PTC) cath- known risk factors may improve clinical eter placement. outcomes. A 52-year-old man underwent pancreati- coduodenectomy for pancreatic adeno- Endoscopy_UCTN_Code_CPL_1AH_2AB carcinoma and PTC catheter placement Endoscopy_UCTN_Code_CPL_1AK_2AH for ascending cholangitis. An upper en- doscopy under fluoroscopy was per- C. B. Meier1, A. J. Moser2, M. K. Sanders3 formed after the patient developed mele- 1 University of Colorado Health Sciences na. The endoscope was advanced to the Center – Gastroenterology, Hepatology, hepaticojejunostomy (●" Fig. 1), when the Aurora, Colorado, USA patient suddenly became hypoxic, brady- 2 Department of Surgery, University of cardic, and developed pulseless electrical Pittsburgh Medical Center, Pittsburgh, activity. Despite prolonged cardiopul- Pennsylvania, USA monary resuscitation, the patient expired.
    [Show full text]