Issue

The Mount Sinai Medical Center

admin — Thu, 04 Mar 2010 11:04:14 -0500

Tell us about your cath lab.
There are a total of 6 cath rooms in our cath lab, with one room dedicated to pediatric cardiology. We have 2 separate electrophysiology (EP) rooms, and a total of 10 intake beds and 10 post procedure beds in the cath lab facility.

Also, in our facility, there is a separate large room for patient registration and another area (with 10 beds) for patient preparation prior to procedure on the same floor as the cath lab location.

Our cath lab consists of over 130 employees. We have a clinical nurse manager, a satellite cath lab program manager, and an o

Reduce Bleeding Complications with the Radial Approach

admin — Thu, 04 Mar 2010 13:29:26 -0500

Tell us about bleeding complications and safety with the radial approach.

Non ST-Elevation Myocardial Infarction Patient with Severely Depressed Ejection Fraction Supported by Impella® 2.5

admin — Thu, 04 Mar 2010 14:12:16 -0500

Introduction
Patients with compromised left ventricular (LV) function benefit from LV unloading during high-risk percutaneous coronary intervention (PCI). The Impella 2.5 (Impella, Figure 1) is a minimally invasive, catheter-based cardiac assist device designed to directly unload the LV and thereby reduce myocardial work and oxygen consumption. The device augments cardiac output and improves coronary and systemic end-organ perfusion. We report on a patient with severe LV impairment who underwent a complex PCI while supported with the Impella, and had an uneventful recovery and hospital discharge.

Case presentation

A New IT Role is Needed for the Cath Lab

admin — Thu, 04 Mar 2010 14:34:59 -0500

As more and more hospitals transition from paper medical records to digital medical records, there is a need for a new role within the cath lab service area to support this transition and the accompanying tasks. One might be tempted to call this person something like “database clerk” or “CV information clerk,” but giving this person a minimal role and title would be a mistake. There are sufficient responsibilities to warrant a major role and title. One possible title might be “CVIS coordinator.” In this article, we will discuss how a CVIS (cardiovascular information systems) coordi

The STEMI Box– Shorten D2B and Cath Lab Prep in the Emergency Department

admin — Thu, 04 Mar 2010 15:00:06 -0500

(Note: Please visit http://cathlabdigest.com/articles/Letter-Clinical-Editor to read this month's "Letters to the Clinical Editor." The letters missed the March print edition and will be published in the April edition).

The Mo.Ma® Ultra Proximal Cerebral Protection Device: An Effective New Tool

admin — Thu, 04 Mar 2010 15:14:20 -0500

Reprinted with permission from Vascular Disease Management February 2010.

To read this article, please visit http://vasculardiseasemanagement.com/content/the-moma%C2%AE-ultra-proxim...

Impact of Multislice Computed Tomography to Estimate Difficulty in Wire Crossing in Percutaneous Coronary Intervention for CTO

admin — Thu, 04 Mar 2010 15:18:25 -0500

Reprinted with permission from The Journal of Invasive Cardiology 2009;21:575–582.

Please read the article in full at:
http://invasivecardiology.com/articles/Impact-Multislice-Computed-Tomogr...

CT Angiography: A New Crossroad?

admin — Thu, 04 Mar 2010 15:21:31 -0500

Reprinted with permission from The Journal of Invasive Cardiology 2009;21:583.

Read the article online at http://invasivecardiology.com/articles/CT-Angiography-A-New-Crossroad

Ask the Clinical Instructor: The Frank-Starling Principle

admin — Thu, 04 Mar 2010 15:29:15 -0500

“I am new to the cath lab and have been sitting in on some vendor in-services. I’ve heard ‘Frank Starling’ a few times already, and I think it has something to do with heart failure. Can you explain what that is?”
– Received at http://www.facebook.com/RCISReview

We’ve used that term a few times in previous articles, and you will likely see it in future articles as well.

‘Frank Starling’ comes from 1914 when Otto Frank and Ernest Starling theorized that the length of the sarcomere [cardiac cell] is the driving force behind effective systole.1 Over the years, this

A Project to Improve Efficiency in the Cardiac Catheterization Laboratory: An Operational Excellence Initiative

admin — Thu, 04 Mar 2010 15:35:15 -0500

Hahnemann University Hospital’s cardiac catheterization laboratory, based in an urban teaching hospital, is one of the busiest in the region, performing thousands of procedures each year. The cath lab consists of four laboratories and a 13-bed holding area. It is staffed by six technologists, 10 nurses and three nurse aides with other ancillary assistance for inventory and administrative functions.

Through improving lab efficiencies, we can achieve operational excellence — a goal we all share. In sharing our story, we hope to share how inefficiencies can be minimized.

Problem/Oppo

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