Why do ED staff insist on placing short IV catheters in the upper arm? ALWAYS evaluate the veins in the forearm for IV access first. There is a great rate of failure for short IV catheters in the upper arm for many reasons. Leave the upper arm for the vascular access team to place an appropriate device. If vascular access is needed rapidly and/or there is poor vasculature in the arms, place an USG CVC.
Agreed. I place midlines and PICCs, but when I’m called for an IV, I will usually put a long 20g PIV in the forearm with ultrasound. These are majorly overlooked
Usually we do that bc of CT with contrast. They want a 20G in AC or up or else they won’t accept it. Also in case of emergency, it’s the most accessible if u need to insert a quick line
Good tech tips! But why are we not following the vessel below the AC? There’s no reason to ultrasound guide an IV in this patient’s upper arm (maybe there are that were mentioned)- too many chances of needling through a muscle and also ruin integrity of upper arm vessels for future fistula use.
that is a good point. We wanted to show a large vessel for demonstration of the video, but I agree if there is a linear, large vessel in the forearm that is my first option as well.
Tubing should not be laying without a cap on it, you will give your patient an infection, and that isn't the goal!! Keep the cap on unit you are ready to hook it into the hub of the IV catheter!
Hi Stephen - the purpose of this video is to demonstrate a dynamic needle visualization technique under ultrasound guidance to new and early users of ultrasound-guided procedures. The focus is NOT on the the sterility of the procedure. Please refer to your own hospital infectious disease policies and guidelines for this. Sorry for inconsistent information.
There are plenty of medical education and simulation videos where the demonstrators are not using full protective equipment. Instead, it is assumed the learner can apply their base knowledge of sterile technique when performing it in real life situations.
Great video! Thank you!
Thanks a lot of you 👍👍🙏🙏❤️
Left hand obscures the vision both the probe and the insertion site of needle. The probe is slightly inclined which needs to be stated in the video.
Are the standard Braun vasofix 18 or 20 IV Cath is sufficiently deep enough to achieve the depth of the vein?thanks
If the vein is less than 1cm under the skin then it should suffice, otherwise anything deeper requires a long IV catheter
@@linlectures thx u
What is the name of the phantom blue insertion trainer you are using? we are trying to find one for our department and can't find a good one online.
I’m not sure of the exact model. I actually got it from Blue Phantom at a booth at ACEP a few days ago
I like the bun
thanks!
@@linlectures llol
Why do ED staff insist on placing short IV catheters in the upper arm? ALWAYS evaluate the veins in the forearm for IV access first. There is a great rate of failure for short IV catheters in the upper arm for many reasons. Leave the upper arm for the vascular access team to place an appropriate device. If vascular access is needed rapidly and/or there is poor vasculature in the arms, place an USG CVC.
Agreed. I place midlines and PICCs, but when I’m called for an IV, I will usually put a long 20g PIV in the forearm with ultrasound. These are majorly overlooked
Usually we do that bc of CT with contrast. They want a 20G in AC or up or else they won’t accept it.
Also in case of emergency, it’s the most accessible if u need to insert a quick line
Sometimes that's all we have supplies wise
Good tech tips! But why are we not following the vessel below the AC? There’s no reason to ultrasound guide an IV in this patient’s upper arm (maybe there are that were mentioned)- too many chances of needling through a muscle and also ruin integrity of upper arm vessels for future fistula use.
That's not the point of the video, but thanks anyways.
that is a good point. We wanted to show a large vessel for demonstration of the video, but I agree if there is a linear, large vessel in the forearm that is my first option as well.
They are giving education, u don’t won’t to do that on people who have fragile veins
Tubing should not be laying without a cap on it, you will give your patient an infection, and that isn't the goal!! Keep the cap on unit you are ready to hook it into the hub of the IV catheter!
Please don’t teach folks to poke these vessels. Those are picc vessels.
Please delete this and refilm using correct technique of sterile probe cover and sterile gloves
It’s not a sterile procedure. It’s clean but not sterile. It’s a regular PIV just with ultrasound, not a CVC
Hi Stephen - the purpose of this video is to demonstrate a dynamic needle visualization technique under ultrasound guidance to new and early users of ultrasound-guided procedures. The focus is NOT on the the sterility of the procedure. Please refer to your own hospital infectious disease policies and guidelines for this. Sorry for inconsistent information.
The focus is not on the sterility???????????? Delete this channel, disgusting
I’m new to using the ultrasound. I really enjoyed your video. Thank you!
There are plenty of medical education and simulation videos where the demonstrators are not using full protective equipment. Instead, it is assumed the learner can apply their base knowledge of sterile technique when performing it in real life situations.