Peripheral Venous Access Under Ultrasound Guidance – Part 2 – SonoSite, Inc.

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This video details the use of ultrasound imaging to identify anatomy prior to intravenous catheter needle punctures and to verify needle depth. It also depicts the use of dynamic techniques for attaining optimal needle guidance to improve safety and accuracy during deep vein cannulation and IV placement.

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Lewis Cortes Quiroga says:

do you make a course or something like that??????

Amir Al Shimmarii says:

With the short axis technique:  We use a technique to keep the echogenic needle tip in the middle of the vein (watch the flush of blood) while moving the probe slightly proximally with the direction of the vein and keeping advancing the catheter with the needle, and with less than 1 cm of distance (the more is better) between the poking site and the probe (to make it clear again – we have to keep it in the middle), by that time, it will be very easily to advance the plastic cannula and remove the needle, it has the highest successful rate of insertion without kinking the catheter or the cannula ! 

bilal ghannam says:

very helpful, thank you very much

mckibbins says:

US guided venous/arterial access should be used more often, would reduce pneumothorax (central line/port) placement, AV fistulas, and other complications.

it's like hiring a highly skilled sniper with pin point accuracy

mckibbins says:

and i'd also add sterile gel and covering the probe with sterile cover would be nice as people learning on live patients/co-workers tend to get gel (NON-STERILE) in contact with the catheter (and sometimes the probe)

i cringe when i see people learn. way too cavalier. AV fistula is not pleasant when it's not hemodialysis intended!

mckibbins says:

it can not be stressed enough the biggest hurdle to overcome is learning the art of finding the needle tip!! then following it. angling the transducer is sometimes a nice trick to seeing the needle tip.

differentiating between artery and vein is a must but also note that when a vein doesn't compress you might be dealing with a thrombosed vein. class dismissed

nice video

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