@@TheGreatWall002 There is no safety device preventing air embolism when your bag gets empty and it's more convenient to change the bag if there is no air in the line. It's not required to remove the air from the bag, but I do it as an extra level of safety and convenience.
@@TheGreatWall002 I am a CVICU nurse and patients with a-lines sometimes live past their surgery (maybe not your patients). That a-line may be there a week or more with frequent blood draws, it's very common to have to change the saline bag out due to flushing after blood draws. Nobody mentioned giving iv fluids to the patient through the a-line. ***This is very basic, and anyone working in the OR, and managing a patient knows this (or should know this).
You have to burp the bag to get all the air out. Its common in the ICU for the bag to run out. The pressure bag runs between 3-5ml/hr so that equates to between 64-100ml alone per day. Now factor in checking dynamic response, flushing between lab draws, zeroing the system and that 500ml bag is gone in 2-3 days. When you stated “I’m an anesthesiologist” I knew you weren’t aware of what happens on the floor. Don’t sweat it though, nobody’s perfect.
Yea I didn't see them De air the bag before pressurizing the bag the trasducer works with the pressure bag having NO air then add the 300mmhg if u do before that u are not in 300mmhg
Getting the correct orientation of the transducer holder has always given me trouble. Thanks for the info. Hopefully I can remember it next time. We just don’t do a lot of art lines.
I would suggest not pressurizing the bag until after the line is primed, otherwise it creates micro bubbles in the tubing because of turbulence. Also, it is easier to have the transducer etc in their holder so the tubing isn't flopping around and you can hold the end upwards since air bubbles rise upwards.
sir you must first purge the air line then then the patient connecting tubing isnt it, i also got another question to ask sir why do we use pressure infusion bag and pressure it to 250 or 300 why is that
@Waruna . The saline bag is pressurised because if it not your arterial BP will be more than the pressure in the tubing of the bag and you will end up getting back flow of blood into the tube. I think that is the answer🤔
Hello. Thanks for the question. I'm not sure I'm understanding. Are you asking why the transducer is not right next to where the tubing connects to the arterial line catheter?
You have to pressurize the system to be able to flush it. Remember that this will be hooked up to an ARTERY. The pressure inside an artery is much higher than the pressure inside a vein. Unless the pressure in the system is higher than the pressure inside the artery, blood from the artery will back up into the tubing.
Is the black bucket sterile?? Because if not you guys would be causing septicemia otherwise! Asepsis principles are crucial. No thanks don't set it up for me.
Bro. Totally with you. I didn't specify, but we were just in a sim lab jacking around with old unsterile equipment. Not used on a patient. Have a good day.
Don't forget to squeeze the air out of the saline bag first!
@@TheGreatWall002 There is no safety device preventing air embolism when your bag gets empty and it's more convenient to change the bag if there is no air in the line. It's not required to remove the air from the bag, but I do it as an extra level of safety and convenience.
@@TheGreatWall002 I am a CVICU nurse and patients with a-lines sometimes live past their surgery (maybe not your patients). That a-line may be there a week or more with frequent blood draws, it's very common to have to change the saline bag out due to flushing after blood draws. Nobody mentioned giving iv fluids to the patient through the a-line. ***This is very basic, and anyone working in the OR, and managing a patient knows this (or should know this).
You have to burp the bag to get all the air out. Its common in the ICU for the bag to run out. The pressure bag runs between 3-5ml/hr so that equates to between 64-100ml alone per day. Now factor in checking dynamic response, flushing between lab draws, zeroing the system and that 500ml bag is gone in 2-3 days.
When you stated “I’m an anesthesiologist” I knew you weren’t aware of what happens on the floor. Don’t sweat it though, nobody’s perfect.
Yea I didn't see them De air the bag before pressurizing the bag the trasducer works with the pressure bag having NO air then add the 300mmhg if u do before that u are not in 300mmhg
Getting the correct orientation of the transducer holder has always given me trouble. Thanks for the info. Hopefully I can remember it next time. We just don’t do a lot of art lines.
I love her eye
I would suggest not pressurizing the bag until after the line is primed, otherwise it creates micro bubbles in the tubing because of turbulence. Also, it is easier to have the transducer etc in their holder so the tubing isn't flopping around and you can hold the end upwards since air bubbles rise upwards.
Thanks for the suggestion!
Loretta Gilbert my mentor said exactly the same to me today.
ua-cam.com/channels/FLdcqGAHEo5VRVCv96l8Ag.html?view_as=subscriber?sub_confirmation=1
I agree. Prime before pressuring
I am looking for the Trancducer mount and cant find one. where did you get yours or do you have a online store you can lead me to?
is there any leak tester to meet the need of 580 psi pressure for PMO/pressure monitoring line or arterial lines
Very nice
What about replacing the fenestrated caps?
Yes
Good producer
sir you must first purge the air line then then the patient connecting tubing isnt it, i also got another question to ask sir why do we use pressure infusion bag and pressure it to 250 or 300 why is that
@Waruna . The saline bag is pressurised because if it not your arterial BP will be more than the pressure in the tubing of the bag and you will end up getting back flow of blood into the tube. I think that is the answer🤔
Heparnization?
Thanks for the video, she's Beautiful by the way. Maybe I should apply to where she works hahaha
I was really looking at her like... are we just going to ignore the fact that shes fine af.
Hi if anyone can let me know -why tubing going to the patient needs to be upwards in the transducer set ? any reasons for it
Hello. Thanks for the question. I'm not sure I'm understanding. Are you asking why the transducer is not right next to where the tubing connects to the arterial line catheter?
@@PainH8er I think he is asking why you position the transducer on the white mount with the tubing going toward the patient upwards. @2:20
i'm interested in this too
@@TheLifeOfNurse yes that was the question
@@PainH8er I want to know why the tubing going to the patient should be placed upwards @ 2.20-230. as stated by @saline and @julie
does the transducer have to be at a certain height or no?
After it is zeroed, it should be leveled to patient's heart (the phlebostatic axis)
I read that you have to have the pressure bag 2 feet above the patient?
it does not matter. The pressurized bag can be below the patient or at the same level. What matters is the transducer.
How much heparin should we put in 500N/S ?
1 ml
I have a question are Registered Nurses allowed to set up arterial line transducer.
Mcclot1993 Fo Sho!!
Yes we do!
Sometimes they have to place them🤓
She is beautiful love your eyes.
Y need to put pressure 300
You have to pressurize the system to be able to flush it. Remember that this will be hooked up to an ARTERY. The pressure inside an artery is much higher than the pressure inside a vein. Unless the pressure in the system is higher than the pressure inside the artery, blood from the artery will back up into the tubing.
Podia se em português
I sent you a message on some requests I would like to see on a video of the Aestiva 5. I BEG OF YOU, Please view the message.
You didn’t show how to zero it.
An important step we all expected to be included.
Is the black bucket sterile?? Because if not you guys would be causing septicemia otherwise! Asepsis principles are crucial. No thanks don't set it up for me.
Bro. Totally with you. I didn't specify, but we were just in a sim lab jacking around with old unsterile equipment. Not used on a patient. Have a good day.
Example I’m guessing