Ultrasound-guided internal jugular vein oxygen saturation (SjvO 2 ) catheter placement: Before the procedure Indications Severe traumatic brain injury Subarachnoid hemorrhage During neurosurgical and cardiovascular procedures in which cerebral blood flow may be reduced Detection of arteriovenous fistulas To titrate…
Before procedure Indications Suspicion of a central nervous system (CNS) infection Suspicion of a subarachnoid hemorrhage The need to obtain cerebrospinal fluid to diagnose other inflammatory or degenerative CNS diseases Reduction of cerebrospinal fluid (CSF) pressure in pseudotumor cerebri Contraindications…
Before procedure Indications Inability to maintain volitional intake (in the setting of a functional gastrointestinal tract) and : Critical illness expected to require an intensive care unit (ICU) stay of more than 2 days Poor nutritional status Weight loss and…
Before procedure Indications Short-term hemostasis and stabilization of patients until definitive therapy can be arranged Failure to achieve hemostasis after endoscopic treatment of bleeding esophageal varices As a temporizing measure when endoscopic treatment is not immediately available or emergency transcutaneous…
Before the procedure Indications Requirement of a temporary or long-term artificial airway for prolonged mechanical ventilation Management of secretions Nonemergency airway obstruction Contraindications Inability to clearly palpate and identify tracheal landmarks Enlarged thyroid or other neck mass Active infection at…
Before the procedure Indications Diagnosis of pneumonia Viral, bacterial, fungal, pneumonias Quantitative cultures for ventilator-associated pneumonias Infiltrates in an immunocompromised host Evaluation of diffuse lung infiltrates and evaluation of interstitial lung disease Suspected pulmonary hemorrhage Suspected malignancies Both bronchoalveolar lavage…
Specialty and category within specialty Intensive care medicine: Diseases of the respiratory system Airway management CPT codes Bronchoscopy ICD-9 codes 33.2 Diagnostic procedures on lung and bronchus 33.22 Fiber-optic bronchoscopy 33.24 Closed [endoscopic] biopsy of bronchus 33.27 Closed endoscopic biopsy…
Before the procedure Indications Most commonly undertaken to treat one of the following conditions: Pneumothorax Pleural fluid collection Hemothorax Simple effusion Empyema Can be both a diagnostic and a therapeutic maneuver Contraindications In an emergent situation (i.e., tension pneumothorax), there…
Before the procedure Indications Pleural effusion is not explained by the clinical presentation Massive pleural effusion with impending respiratory failure Suspected pleural space infection Suspected complication of pneumonia (empyema) Suspected hemothorax Contraindications Absolute Lack of expertise Severe uncorrectable coagulopathy (platelet…
Paracentesis: Before the procedure Indications Paracentesis is the insertion of a needle or catheter into the peritoneal cavity for the purpose of aspirating peritoneal fluid. It is most often indicated for diagnostic or therapeutic evacuation of ascites. Diagnostic indications New-onset…