GI BLEEDING

PREOP:

  • Check CBC coags
  • make sure patient is type and crossed and there is blood ordered 
  • Room 2-3 - preferred
  • No heparin

ESTIMATED TIME: 60MIN

 

Mesenteric vessels-01.png

Equipment Always Necessary:

  • 19G needle
  • J-wire
  • 6Fr Pigtail
  • Wire: Glidewire
  • Diagnostic cahteter
  • Embolization particle and/or Gelfoam
  • 2 x three-way stop cocks
  • 1cc medallion syringes
  • 3cc medallion syringes
    • Blue - Saline
    • Red - Contrast
    • Yellow or white
Screen Shot 2013-12-28 at 3.27.02 PM.png

PREP:

  • POSITION: Supine. 
  • DRAPE: standard groin prep
  • LOAD THE INJECTOR - 100cc
  • Separate Mayo Stand for embolizations equipment
  • Scout image
  • Be prepared to do Spin / 3D 
  • Make sure the Leonardo is turned on !!!
  • Get embolization car in the room

Stand by Equipment

  • Microcatheter
  • 0.018 Glide GT wires
  • Different catheters (cobra, sim 1, sim 2, sos omni)

 

 

Screen Shot 2013-12-28 at 3.32.02 PM.png

Dressing:

  • No dressing - just Dermobond.

PEARLS:

  • Patients may be unstable, so preparation needs to be fast.