Why You Suck At Vascular Access

In this lecture from ResusX: Reset (see the link below for more videos), titled "Why You Suck At Vascular Access," the speaker, known as The Vascular Guy, candidly addresses the common challenges in vascular access and shares valuable insights gained from personal experience. He introduces practical tips and tricks to emphasize the shift towards ultrasound as a standard rather than an exception in achieving higher success rates. One highlighted technique is the "Gel Tower" for pediatric patients with superficial veins, offering a margin of error when inserting the needle. The speaker also discusses the importance of bending the needle to navigate the vein, especially in challenging anatomical situations. Furthermore, he explores the significance of longitudinal ultrasound views, demonstrating how it aids in troubleshooting issues such as valve obstructions. The lecture encourages clinicians to enhance their ultrasound skills for improved vascular access outcomes, emphasizing the need for understanding technology and equipment selection.
00:05 Introduction and Personal Experience with Vascular Access
00:21 The Importance of Ultrasound in Vascular Access
01:20 Tips and Tricks for Successful Vascular Access
01:49 The Gel Tower Technique
02:46 Needle Navigation and Insertion Techniques
08:36 Understanding Ultrasound Technology
11:27 Finding the Needle Tip and Avoiding Perforation
12:35 Case Study: Overcoming Valve Obstruction
14:31 The Importance of the Right Equipment
16:07 Conclusion and Q&A
To watch more videos from the ResusX:Reset conference, check out www.resusx.com/resusx-reset-r...
Hashtags:
#VascularAccess, #UltrasoundTips, #EmergencyMedicine, #CriticalCare, #ResusXConference, #MedicalSkills, #VeinVisualization, #PediatricVascularAccess, #UltrasoundTechniques, #CatheterInsertion, #NeedleBending, #LongitudinalView, #DIVAPatients, #UltrasoundTechnology, #CatheterObstruction

[@Jaffa_MD]

Great to see the EchoNous linear probe highlighted!

[@CriticalCareNow]

Yeah! They were at the ResusX conference

[@Jaffa_MD]

@@CriticalCareNow what did you think? I've had an extended demo of the Torso and the Torso One. Both definitely good, but the One is far and away the better. I actually posted a video review a while back...

[@CriticalCareNow]

@@Jaffa_MD I thought it was really cool! Love the Doppler. What’s the link to your video

[@Jaffa_MD]

ua-cam.com/video/q2UH0zd4aW4/v-deo.htmlsi=S1iZbnuLPDkPa7eP@@CriticalCareNow

[@ketachamaragh9059]

I’d be a little nervous with the amount of gel and holding it steady but I think using that gel as a buffer is a cool trick

[@thevascularguy]

Definitely some skill required to do a properly

[@CriticalCareNow]

I trust the Vascular Guy

[@Balbinix123]

Very helpful techniques.

[@CriticalCareNow]

Thanks

[@thevascularguy]

😁🙏. Let me know if it helped you in the field!

[@jonathancheung4187]

Thanks for the lecture. When you use the extra gel for the superficial veins cannulation, is there any risk if the gel is introduced into the bloodstream? I am not aware of any strong evidence on this and the amount of gel getting into the body, if any, is likely quite tiny; but for this potential risk I usually avoid directly going through the gel with the needle.

[@CriticalCareNow]

Not sure but with central lines there’s a fair bit of gel on the field so assume it’s the same risk

[@thevascularguy]

That’s a fantastic question! There are articles reporting incidences of gel embolisms, but so far from what I’ve read, they’re all associated with central line insertions. There has been poor practice from clinicians who thought lubricating the guidewire with gel would help navigate the guidewire through vector changes of the vein. After incidences of gel embolisms, this practice of using gel to lubricate the guidewire has been stigmatized.
In regards to incidences with gel, embolisms and peripheral insertions, I haven’t read any or heard of any articles I’ve seen so far or reports. I imagine the risk is extremely low, if it all because of the amount of gel squeezed out by the tension of the skin even at the needle tip

[@drayush2]

If you use too much gel then probe is slippery

[@CriticalCareNow]

That’s where practice comes into play. Thanks for the comment

[@thevascularguy]

That’s a great point! This is why proper handling of the probe is key. You always want three points of contact on a sturdy surface. And lift the probe the entire time for this specific technique. Usually in the field, my pinky wrist and forearm will be anchored on the patient’s body in bed. But for this demonstration I didn’t have my pinky down so that the guests and camera could visualize the gel tower

[@user-de7ob7ch4z]

The lectures name is totally uncalled for 😂😂😂😂

[@CriticalCareNow]

It's all for click bait 🤣

[@thevascularguy]

It got you to post comment😏😂😁