Tamingthesru
Trouble with Trachs - Recannulating the Stenosed Trach Site
TracheOTOMY sites can close up rapidly (within hours). Why is this? Essentially, there is (usually) no missing tissue with this procedure. Occasionally the procedure does involve cutting a small section of the tracheal ring out but this is much less common now that percutaneous techniques are more in vogue The percutaneous technique involves, essentially, dilation of the skin, soft tissue, and trachea and, as such, these sites can close up very rapidly.
TracheOSTOMYsites are less of of problem as they do involve the removal of tissue. If they are fresh, however, these sites can also close relatively quickly.
Transvenous Pacemaker Insertion - Part 3
We used Part 1 and Part 2 in this series to give you an in depth understanding of all the critical steps of the procedure. After reading those posts you should have a good grasp of the indications for the procedure, the complications you may encounter, and you will have read, seen, and heard step by step instructions for placing a transvenous pacemaker in the ED. This final installment in the series should bring it all together for you. Here you will see the placement of the transvenous pacemaker from start to finish from the point of view of the operator (Dr. J'Mir Cousar) all filmed in glorious HD.
Transvenous Pacemaker: Part 2 - A Procedural Slide Set
worked to create a video walkthrough of the procedure. The video walkthrough is divided into two separate videos. The first, embedded below is a narrated procedural slide set, designed to be a cognitively unloaded approach to learning the procedure. In a later post we'll see a full, start to finish video of the procedure filmed from the first person viewpoint.
In addition to the video being posted here, Dr. Cousar has constructed a checklist that will be placed on the pacemaker generator which will have a QR code to link to this narrated slide set.