March 2020 Health Matters

NCH Emergency Departments Use Latest Technology to Provide Comfort to Patients

Patients show up at one of NCH’s five emergency departments every day with a variety of symptoms and complications. Often, though, one of the first things they need to get is an IV or intravenous line started as quickly as possible to deliver medication, pain relief or hydration. With some patients however, finding a vein to start an IV can pose a challenge for the medical staff at a time when every minute counts. To facilitate this critical need, and provide a better patient experience, all NCH emergency departments are equipped with the Sonosite II, which provides ultrasound-guided vascular IV access for patients of all ages. Portable, compact and quick to boot up, the Sonosite II combines a handheld wand with sophisticated imaging on a large, easy-to-view screen, allowing emergency nurses to pinpoint the location of a vein and get an IV started with minimal delay. Some peoples’ veins are deeper and smaller, particularly those who are older or dehydrated, and because during an emergency time is

of the essence, this device helps everyone have a better experience. All NCH emergency medical staff are trained on the use of this device. Without the visualization provided by the Sonosite II, more patients would require having their IV

The Sonosite II: • Prevents delays in patient care • Provides the least invasive IV access on patients who are a hard IV insertion • Helps assure the best outcome for all emergency patients

started via a peripherally-inserted central catheter, or PICC; a more involved and extensive procedure. The Sonosite II can eliminate that need because it is quicker, easier and less invasive. It enables clinicians to make more confident decisions and focus on what matters most — the patient.

NCH Downtown Baker Hospital Address: 350 7th St N Naples, FL 34102 Phone: (239) 624-2700 Hours: 24-hours a day, 7-days a week. NCH Healthcare Northeast Address: 15420 Collier Blvd Naples, FL 34120 Phone: (239) 624-8700 Hours: 24-hours a day, 7-days a week.

NCH North Naples Hospital Address: 11190 Health Park Blvd Naples, FL 34110 Phone: (239) 624-9199 Hours: 24-hours a day, 7-days a week. NCH Healthcare Bonita Address: 24040 S. Tamiami Trail

NCH MacDonald Pediatric Emergency Department Address: 11190 Health Park Blvd Naples, FL 34110 Phone: (239) 624-9104 Hours: 24-hours a day, 7-days a week.

Bonita Springs, FL 34134 Phone: 239-624-6900 Hours: 24-hours a day, 7-days a week.

Prostate Artery Embolization, a Breakthrough Procedure for BPH, Now Offered at NCH

By age 70, over 2/3 of all men will have an enlarged prostate. Prostate enlargement can cause urinary obstruction which can affect quality of life and lead to bladder, urinary tract and kidney problems. A cutting-edge medical treatment, now being performed at NCH, can help improve urinary function in men who suffer from lower urinary tract symptoms due to an enlarged prostate. Prostate Artery Embolization (PAE) is a

the size of the prostate gland and major relief of symptoms. “Patients feel significant improvement within a month,” says Dr. Luka, “and continue to see positive changes for up to a year.” A consultation with a urologist is recommended to determine if a patient is a candidate for PAE. “Other treatment options may be appropriate before recommending PAE or minimally invasive prostate surgery,

such as behavior modification or medications,” says

Dr. Joseph Luka

Dr. Marc Colton

minimally invasive endovascular procedure that can significantly improve lower urinary tract symptoms caused by a benign prostatic hyperplasia (BPH), a benign condition affecting older men which leads to prostate enlargement. NCH Physician Group Interventional Radiologist, Dr. Joseph Luka performs PAE by inserting a small catheter into the prostate artery by going through either the wrist or groin and injecting tiny particles or microspheres which block blood flow to the prostate. “Essentially, you shut down the blood supply to the prostate, and over a period of a few months it shrinks in size, allowing the urethra to function more normally,” explains Dr. Luka. Patients can expect a 30-40 percent decrease in

Dr. Marc Colton, NCH Physician Group Urologist. Because prostate surgery for very large prostate glands may require a hospital stay with a relatively lengthy recovery-time, some patients have opted for PAE in lieu of this, because it is performed under local anesthesia and on an outpatient basis. Other patients undergo PAE when prostate surgery presents too many risks for complications or if they are not able to tolerate medications for BPH. “If you are tired of living with symptoms of BPH, consider a consultation to explore whether you qualify for prostate artery embolization at NCH, which was recognized by Healthgrades as one of America's 100 Best Hospitals for Prostate Surgeries™ in 2020,” says Dr. Colton.

To check if you are a candidate for PAE, you can make an appointment with Dr. Colton, NCH Physician Group Urology, at (239) 624-1160, or Drs. Wilkinson, Jay or Rivera, Advanced Urology Institute, at (239) 465-4157, or Dr. Luka, NCH Physician Group Interventional Radiology, at (239) 624-4427

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