#guide catheters

[bommagoni]

Micro Guide Catheters Market Size, Share, Growth, Forecast

[soumyafwr]

Micro Guide Catheters Market Size, Analysis and Forecast 2031

[jack-abbot]

"He sees Samira as somebody that is capable and is the smartest person in the room. So that moment where he's guiding her through the procedure with the pigtail catheter… He knows she's capable, so he doesn't coddle her. He throws her deep into the deep end because he knows she can swim. And that scene, he's telling her: 'You've got this.' And more than that: 'You're the future.'" — SHAWN HATOSY

[market-insider]

Elevating Healthcare: Guide Extension Catheter Market Overview

The global guide extension catheter market is anticipated to reach USD 376.58 million by 2030. Increase in patients with cardiac disorders such as angina pectoris and myocardial infarction, as well as rise in inclination toward minimally invasive procedures are the key factors anticipated to drive the guide extension catheter market growth. 

Gain deeper insights on the market and receive your free copy with TOC now @: Guide Extension Catheter Market Report                                                                                                                      

The COVID-19 outbreak in the year 2020 was expected to have a negative impact on the guide extension catheter market. This is due to the decrease in the number of coronary surgical procedures. Both coronary angiography and PCI volumes decreased by 64.0% in April 2020 as compared to April 2019 according to NCBI in 2021. However, due to the ease of restriction, countries have resumed elective procedures, suggesting that the market will keep growing during the forecasted period. These qualities are anticipated to create lucrative market growth opportunities.

CVDs have become one of the major causes of mortality and morbidity worldwide during the last three decades. As per the CDC in 2021, heart disease is a leading cause of death in both sexes and members of the majority of the racial & ethnic groups in the U.S. Moreover, CVD claims 1 life every 34 seconds in the U.S. Guide extension catheters increase guide back-up support and are crucial in complex PCI procedures. Thus, increasing cases of CVDs globally are anticipated to drive the number of cardiac catheterizations, angioplasty, and Percutaneous Coronary Intervention (PCI), thereby contributing to the market growth.

Moreover, technological advancements in guide extension catheters can support professionals in identifying patients with a high risk of disease which is anticipated to stimulate market growth. For instance, in May 2019, Medtronic announced the launch of Telescope (TM) Guide Extension Catheter, a newly designed catheter to provide additional backup support and access to distal lesions. As a result, the market is expected to grow during the forecast period. 

[one-chicago-writer]

Holding On

After a severe allergic reaction, you crash in the ED, Will and the team fight to save you, reviving you after CPR and intubation. When you come around, you realize that home is wherever Will Halstead is.

The emergency department at Gaffney Chicago Medical Center was alive with its usual chaos. Machines beeped in rapid succession, the sound of rolling stretchers filled the air, and the scent of antiseptic clung to every surface. You had been working for over ten hours straight, your energy waning, but the rush of the ERkept you upright.

“You still with us, Y/N?” Maggie’s voice broke through your focus as you adjusted an IV drip in Bed 4. “You’ve been running around like you’re on autopilot.”

You managed a tired smile. “Just another day in the ED.”

She shook her head, handing you a new set of patient orders. “At least grab some water.”

You nodded, but before you could follow through, Dr. Halstead’s voice cut through the department. “Y/N, I need 0.5mg of epi for Bed 6!”

You grabbed the medication, handing it over without a second thought. As you moved back toward the nurses’ station, your stomach growled. Without thinking, you grabbed a donut from the break room counter, taking a quick bite. The moment the taste of peanuts hit your tongue, your heart stopped.

You knew you were allergic. You have always been extremely careful. But exhaustion clouded your judgment, and now the mistake was irreversible. Panic set in as the familiar tightness gripped your throat. Your breath came in short, gasping bursts as your airway swelled shut. You started to stumble towards the nurses station and Maggie, but before you could, dizziness hit like a freight train, and before you could steady yourself, your vision swam. A sharp pain erupted as your head struck the desk as you went down, a sickening crack echoing in your ears, followed by Maggie yelling “Y/N!” before the world went black.

Will’s POV

The moment he heard Maggie yell your name, Will’s heart nearly stopped. He turned, spotting your crumpled form on the floor, blood pooling from a deep gash on your forehead. The pallor of your skin sent a jolt of fear through him.

“Somebody get a crash cart!” he barked, pushing past nurses as he fell to his knees beside you. “Y/N! Can you hear me?” He did a sternal rub with no response. He checked your pulse—rapid and thready. Your breathing was shallow, barely existent.

“Severe anaphylaxis,” Natalie assessed quickly as she joined Will. “We need airway support now.”

Will’s hands trembled as he tilted your chin back to open your airway. “Epi, now! 0.5mg IM, and start an IV for a second dose if needed.”

Maggie was already ahead of him, pushing the medication into your thigh. Ethan secured an ambu bag over your face, but your chest barely rose.

“She’s going into respiratory failure,” Ethan warned. “We need to intubate.”

Will’s throat tightened. “No—wait, she’s coding!”

The monitor wailed as your heartbeat flatlined.

“Starting compressions!” Will’s voice cracked as he pressed his hands to your sternum, counting aloud. “One, two, three—come on, Y/N—five, six, seven…”

“IV access is impossible,” Natalie said, voice urgent. “We need a neck IV.”

“Ethan, get an external jugular line in, now!” Will barked.

Ethan worked fast, inserting the large-bore catheter into your neck. The moment it was in place, Ehtan secured it with practiced ease

“Pushing another round of epi,” Natalie confirmed.

“Charging to 200 joules!” Natalie called, placing the defibrillator pads against your chest. “Clear!”

Will pulled back as your body arched from the shock, but the monitor remained still.

“360,” Will ordered desperately. “One more time.”

“Charging—clear!”

A beat.

Then another.

A weak, erratic rhythm flickered across the screen.

“She’s back,” Ethan confirmed, releasing a breath. “Let’s get her tubed before she arrests again.”

Will reached for the laryngoscope, carefully guiding the ET tube past your vocal cords with some difficulty due to the swelling. “Tube’s in. Confirm breath sounds.”

Ethan listened with his stethoscope. “Equal breath sounds bilaterally. Secure it.”

Will clenched his jaw as he secured the tube, watching the ventilator deliver each breath for you. The worst was over—for now.

Your POV

You surfaced from the darkness slowly, awareness returning in fragments. A deep ache pulsed through your skull, and your throat burned. Something was in your mouth—blocking, suffocating.

Panic surged through you. Your body fought against the intrusion, hands weakly moving toward the tube. Before you could pull, strong hands caught your wrists.

“Y/N, stop.”

Will’s voice.

You tried again, your body instinctively rejecting the tube. The alarms blared.

“Lets get some soft restraints in here,” Ethan instructed, securing your wrists to prevent another attempt. “She’s too agitated.”

“She needs some sedation,” Natalie said. “Pushing 2mg Ativan.”

A haze settled over you as the medication took hold, your body sinking into slumber. Will’s fingers brushed against your wrist, grounding you.

“You’re okay,” he murmured, his voice softer now. “Just rest.”

When you awoke again, the panic was gone. The tube was still in place, but the fear had dulled. Your hands remained bound, though the restraints were loose enough to provide comfort rather than restriction.

Will sat at your bedside, dark circles under his eyes. When he saw you awake, relief softened his expression.

“Hey,” he whispered. “You scared the hell out of me.”

You blinked sluggishly, your muscles too weak to respond.

He squeezed your hand. “We’re gonna take the tube out soon, okay? Just a little longer.”

You nodded faintly, exhaustion pulling at you again.

Hours later, Natalie and Ethan returned. Will was still at your side.

“Alright, Y/N,” Natalie said gently. “Time to get this tube out.”

You swallowed, eager but anxious.

“Deflating the cuff—when I count to three, I want you to cough, okay?” Natalie instructed.

You braced yourself.

“One… two… three.”

A sharp pull. Burning. A choking gasp as the tube slid free, leaving your throat raw. You coughed hard, body shuddering as Will steadied you, his hand warm against your back.

“Easy,” he murmured, his voice low and soothing. “Just breathe.”

Your throat ached fiercely, every swallow a raw, stinging reminder of the ordeal. Will noticed the discomfort immediately. He reached for a cup of ice chips from the bedside table, scooping a few with a spoon.

“Here,” he said softly, bringing the spoon to your lips. “Small bites.”

You parted your lips, the cool ice melting instantly on your tongue, soothing the burning rawness. Relief was immediate, and you sighed quietly, your heavy eyelids fluttering shut for a moment.

Will gave you another spoonful, watching you carefully. “Better?”

You nodded weakly, voice barely above a whisper. “Yeah… thanks.”

He offered a small smile, brushing a damp strand of hair from your forehead. “Anytime.”

By morning, you were cleared for discharge. Will wheeled you toward the exit, his hand resting lightly on your shoulder.

“Ready to go home?”

You turned your head, exhaustion weighing on you and evident in your features from the ordeal, but you mustered a small smile. “As long as you’re coming with me.”

His chuckle was soft, affectionate. “Yeah, I think I can manage that.”

For the first time in days, you felt safe. Because home wasn’t just a place—it was him.

TAGLIST:

@knbubbles @zoeykaytesmom

[sammy-bryant]

He sees Samira as somebody that is capable and is the smartest person in the room. So that moment when he's guiding her through the procedure with the pigtail catheter it's pure Abbot. He's improvising in crisis, he's trusting his insticts, but he's also using it as a teaching moment. He knows she’s capable so he doesn’t coddle her, he throws her to the deep end because he knows she can swim. In that scene he’s telling her, "You got this," and more than that, "You’re the future."

Shawn Hatosy bringing up SAMIRA unprompted during his Awards Radar interview

[burstingsblog]

Disclosure, I copied this post from Piggy_Trainer on Fetlife:

"

I have an interesting idea for a sort of medical play setup, and I wonder if it appeals to anyone, or if anyone has any other comments or safety-related observations. (This is coss-posted from the Bathroom use control group, but it's a very small group!)

The subject is catheterised and restrained in such a way that removing the catheter is impossible for them. The catheter is then connected to a long tube with a reservoir (which could just be a catheter bag) at the end. The reservoir is then elevated to a suitable height to maintain an uncomfortable amount of pressure in the subject's bladder. The dominant can control the amount of discomfort by raising or lowering the reservoir.

There's a handy guide as to how much pressure can typically be applied, and it doesn't actually need to be that much. (Half a metre of head should be more than enough to safely cause discomfort). https://www.ncbi.nlm.nih.gov/books/NBK562310/

Urine can be drained from the reservoir as required, but because the bladder pressure is governed by the height of the bag, it provides no relief to the subject.

If the subject is particularly in need of reminding who's in control, then the dominant can always give the bag an extra little squeeze! "

-end of post-

I saw this again and feel like it could be used even more deviously. I love the idea of filling a sub's bladder to a certain pressure level, not knowing or caring what the actual volume in their bladder is. I think it would be even more fun to fill the bladder, then remove the catheter and have the sub hold for a predetermined (or not) amount of time. That time could just be set on a timer, or to be able to hold through some task. The dom could say "we're going to the store and running some errands, and should be back home in 2 hours, so I'm filling your bladder to a 6/10 (% of available head height/pressure) before we go" Or "we're going for a 30 minutes walk, so I'm filling your bladder to 9/10 and you have to hold it until we're back."

[raelemond]

Your sex toy tierlist got me thinking, I scored on 17 items but only because I genuinely have no idea where you even FIND the kinds of sex "toys" I want to try, let alone body safe ones, so as a humble small town kinkster I ask: where on EARTH do you find things like catheters and shock devices and how do you use them safely?

continued from here

the thing is, with shock devices it depends on what you're looking for. an incomplete list:

E-Stims

TENS units

violet wands

cattle prods

stun guns

Tasers

you can buy these from various places; animal/cow supply stores, dsm supply for TENS, various self defense places for stun guns and tasers, the E-Stim shop which ships, and the violet wand store (though you can get weak ones marketed for hair regrowth from other places)

E-Stims are basically a sex brand of TENS unit that often come with electrified sex toys, like dildos and anal plugs. that website actually has a pretty great set of guides on safety and how-to, so here's the link.

in short, the big concern with electroplay is avoiding running a current through your heart. it's actually for that reason that even though stun guns and tasers are supposed to be safe to use on people, they're a pretty big fuck no for me (here's a video by Adam Savage explaining why)

obviously, you also don't want to shock your eyes, and you generally want to keep things away from your head. the simple way to avoid running a current through the heart is NOT crossing the midline. with a TENS unit, what basically happens is that an electrical current will run between wherever you put the red and black patches on the same line, so make sure the current won't run through the midline in the thoracic region and you're good.

I don't know much about cattle prod usage, but my partner says you start at half strength by taking out two out of four of the batteries, then taking two wooden dowels of the same battery size, covering them with aluminum foil, and putting them in so they conduct, but aren't sending as much strength. that gives a lot of the terror aspect, but not the extreme voltage. if your partner still wants more feeling, you can add batteries in slowly. I'd probably aim for fleshy parts of the body (thighs and butt especially) and avoid joints and the other places that aren't good for impact

violet wands are probably the safest. they're essentially static electricity, so you can't run a current deeper than the surface of the skin. you can use it like a wand and zap your bottom, but you can also use a connector that you either put on the sub or on your skin and zap them with your hands or other implements. (this changes nothing, it just changes who's grounded. if you're concerned about medical equipment like pacemakers, ground the person who doesn't have any or use it like a wand and you're set.) grounding also lets you "turn it off" by just grabbing your sub securely so you two are connected, and restart sensation by pulling away

I hope these answers helped, and feel free to ask other questions

[whomst-art-thou-whomst-whomst]

Ghost Doctor’s Guide to Hospital Procedure (for newbies)

1.) If you see something strange, say nothing. Particularly if that something is Go Seung Tak.

2.) It’s still not clear if Kang Sejin works here, but it’s not worth your pay grade to ask. Nurse Jang will come for your head.

3.) Recent addendum: DO NOT let Go Seung Tak steal any more patients from the ICU.

4.) The roof garden forever belongs to Professor Cha and his relationship issues.

5.) Re: Professor Cha, *looks around furtively* now that he’s awake, if he starts reminiscing about surgeries that happened while he was comatose, just nod along with it. No pissing off the surgeon in a designer suit.

6.) It’s fine and normal for interns to hit residents.

7.) Don’t question whatever the hell is going on between Professor Cha and Go Seungtak. Seungtak will get heart eyes and ramble enthusiastically about how they’re so close they practically share the same body, and Professor Cha will level his Medusa stare at you and start accusing you of conspiring against them.

8.) Sometimes, residents with a history of performing advanced surgeries aren’t qualified to change a catheter. Pretend the cognitive dissonance doesn’t exist.

9.) When in doubt, page Crystal. She’s literally the only reliable one.

10.) If you suddenly find yourself missing a few hours and you’re on a different floor of the hospital doing something unexpected, just start doing multiplication tables.

[jtl-fics]

TBD please!!!! I’m dying to have the next but after the Oops all TBD finale.

10/23/24 WIP Wednesday (Closed) | TBD AU

“Put your ass back in that chair Josten.” Aaron Minyard points at him as he rises up to leave from Andrew’s bedside and Neil, stubbornly, remains standing. “I’m serious Josten, you are going to put your ass in that uncomfortable plastic piece of shit and you are not leaving it.”

“Gotta piss.” Neil says blandly.

“I’ll get a nurse to put a catheter in you.” Aaron snarls.

The two of them enter into a stare off that’s only broken when Katelyn comes. “Hi Neil, it’s good to see you again.” She greets with a smile and it always throws Neil off how happy she is to see him most of the time.

“Hi Katelyn, how’s the pregnancy?” he asks awkwardly.

“I want these two little girls to come out and meet us already,” Katelyn says hands on her stomach. “We picked out names, I know it’s kind of embarrassing but I’ve always liked twin names that have at least a little bit of a connection.” She bumps her shoulder against Aaron.

Neil can’t help but laugh a bit, “What did you guys decide on?” Andrew had made some noises about it but hadn’t elaborated during the many hours that he’d tried not to seem like the overly doting uncle he was absolutely going to be.

“Elizabeth and Isabelle.” She claps her hands together as Aaron guides her to a chair.

“What’s the connection?” Neil asks and doesn’t even realize he’s settled back into the chair he’d been in before.

“Lizzy and Izzy.” Katelyn giggles.

[callistoscollection]

Sounding

This guide delves into the world of sounding, also known as urethral sounding or urethral play.

What is Sounding?

Sounding is a form of BDSM that involves inserting a thin, smooth object, often a metal rod, into the urethra.

The appeal of sounding, is multifaceted and highly personal. However, some common themes emerge:

- Intense Sensations: The urethra is highly sensitive, and the act of inserting a rod can produce intense sensations of pleasure, pain, or a combination of both.

- Prostate Stimulation: The urethra passes through the prostate gland, and stimulating this area can lead to intense orgasms.

- Power Dynamics: Sounding can be a powerful expression of dominance and submission within a BDSM relationship.

- Taboo and Forbiddenness: The act of inserting objects into the urethra is generally considered taboo, which can add to the excitement and arousal for some individuals.

Types

- Sounding: Involves inserting a rod into the urethra for stimulation.

- Plunging: The rod is inserted further into the urethra, past the prostate gland.

- Urethral Stuffing: Using thicker rods to stretch and expand the urethra.

Tools

- Sounding Rods: These are typically made of surgical-grade steel or silicone and come in various sizes and shapes.

- Catheters: Medical catheters can also be used for sounding.

- Other Objects: Some individuals use other objects, such as thermometers or knitting needles, but these are not recommended due to safety concerns.

Steel Rods

Pros:

- Durability: Steel is highly resistant to damage and corrosion, ensuring longevity.

- Easy Sterilization: Its non-porous nature makes it easy to sterilize, minimizing infection risk.

- Temperature Play: Steel's thermo-reactive properties allow for temperature play (heating or cooling).

Cons:

- Less Comfortable: Can feel colder and potentially less comfortable than silicone, especially for beginners.

- Rigidity: Its rigidity may be less comfortable for some users.

- Weight: Can be heavier than silicone.

Silicone Rods

Pros:

- Comfort: Generally considered more comfortable and flexible, especially for beginners.

- Flexibility: Allows for easier insertion and movement within the urethra.

- Variety: Available in a wide range of shapes and textures.

Cons:

- Durability: May be less durable than stainless steel and more prone to damage.

- Sterilization: Requires careful cleaning and sterilization to prevent bacterial growth.

- Lubricant Compatibility: Not all lubricants are compatible with silicone.

Risks

- Infection: The urethra is normally sterile, and introducing foreign objects can increase the risk of urinary tract infections.

- Tearing or Damage: The urethra is delicate and can be easily torn or damaged, which can lead to pain, bleeding, and scarring.

- Obstruction: Objects can become lodged in the urethra, leading to blockages that require medical intervention.

- Pain and Discomfort: Even with proper technique, sounding can be uncomfortable or painful, especially if the rod is too large or inserted too forcefully.

Mitigating Risks

- Sterility: All equipment must be sterile and single-use.

- Lubrication: Use plenty of water-based lubricant to reduce friction and discomfort.

- Slow and Gentle Insertion: Insert the rod slowly and gently, paying attention to your partner's feedback.

- Communication: Open communication is essential to ensure consent and safety.

- Safewords: Establish safewords or signals to stop the activity immediately if necessary.

- Medical Expertise: Seek guidance from experienced practitioners or workshops.

Aftercare

- Clean the Area: Clean the urethra with antiseptic solution after sounding.

- Monitor for Signs of Infection: Watch for signs of infection, such as pain, fever, or discharge.

- Seek Medical Attention: If you experience any complications, seek medical attention immediately.

[sedateandslice]

I want to wake up nauseated, confused, and in a lot of pain in a post anesthesia care unit.

For a long time I drift in and out of consciousness, moaning groggily about the dawning pain in my swollen abdomen. My incoherent cries join those of ten or so other women who are waking up to the unpleasant post surgical realities of sore throats from being intubated, sharp plastic tubes up pee holes, and the start of wicked gas pains against hysterectomy incisions. I notice sort of distantly that the woman behind the curtain next to me is sobbing and begging for pain meds and hope that my own pain levels don't get that bad.

I don't take anesthesia well so I'm down for the count in recovery for a while. Every once in a while I come back to consciousness just enough to remember the hysterectomy I've been planning for months is over and that's why I'm lying here in a hospital bed, moaning about the pain in my belly and the rough feeling in my vagina. I cry when I'm jostled as they remove the catheter.

My wife later tells me that I moan and cry the entire time the medical team helps me into my mesh underwear and my street clothes to go home. It's still shocking to me that 5 hours after my gynecological organs were sliced out of my vagina guided by a camera through my belly button that my bloated and barely coherent body is being loaded into a cab to recover from major abdominal surgery from home.

I lay in my wife's arms and cry the whole excruciating way downtown. The four incisions in my abdomen have become very apparent and the ominous pain deep inside my belly is getting worse by the minute. The gas pains come so sharp I can't help but cry out "it hurts!" every couple of blocks. I'm painfully aware of every bump and when the cabbie hits a particularly bad pothole, I suddenly feel my poor, eviscerated insides slam against my belly and, inexplicably, my entire vagina alights in agony.

"BE CAREFUL, I JUST HAD A HYSTERECTOMY!"

I cry incoherently, holding my puffy, aching belly, until we get home. I feel like my insides are going to fall out of my vagina as I walk into the house.

My wife is finally able to settle me in a comfortable position and put ice packs on my swollen belly and vagina. I'm so dizzy, barely clinging to consciousness, as she tries to get me my meds and some food. I can sense she's desperate to bring me around a little bit more.

But the gas pains are SO BAD. I can feel every internal stitch on my vaginal cuff incision because of the air bloating my belly. The best solution, walking, makes me want to cry. I'm in so much pain I can't imagine moving.

When I finally do make it to the toilet to take my first of many post surgery pees, I cry out when I sit and my vagina is hanging down over the toilet. It burns inside and, frankly, feels like I just got roughly fucked. Which I did, albeit with two weighted speculums.

I'm bleeding pretty badly into the mesh panties the hospital provided but I just let my wife change the pad because I'm so groggy and in so much pain she practically has to carry me to bed. I moan in gratitude as she places a heating pad on my aching belly and an ice pack in between my legs.

My pain remains uncontrolled all night -- I'm sure the neighbors loved me screaming "oh God, the gas hurts so bad" at the top of my lungs at 2am -- and I wake in the morning bleeding heavily and so sore I'm unable to get myself out of bed. My vagina is on fire and I still feel like my organs are going to fall into my underwear. When the gas pain comes it grips me to point where all I can do is fold myself over my screaming belly and pray it passes before I pass out from the pain.

Turns out having your gynecological organs sliced out hurts, no matter which way you do it.

[egged-bound]

I think there's something hot about artificial. It's impersonal but also erotic. You've gotta make sure everything is all signed up correctly internally for insemination by internally palpating the cervix which means each cowboy is getting internally felt up before the main act. Guiding the catheter of semen in until it's almost fully through the entrance of his cervix as he whines before pulling the plunger to empty out the straw of semen from whatever stud into the cowboys womb. On your farm, what happens to cowboys who try to comb out all the cum with their fingers before it takes so they don't get pregnant?

You give such good visuals wth wow

Boys who don’t listen would get tied over a breeding bench- legs wide arms tied up in front of them laid on their stomachs legs in stirrups. Then once intimated I can just tip the bench up so it all holds so even if they clench and squirm and try to push it out they can’t because of gravity.

But my cowboys would be well trained- used to chutes mostly and ready to breed the moment their last calf is birthed and nursing.