Thank you for the video, informative as always. It is sometimes difficult to visualise the needle and its tipp, maybe you could do a video on this topic
From my experience, it helps to ensure the probe is closest to 90 degrees/perpendicular to the needle tip pathway. Also, while the needle is pushing into the skin, it creates more interference which causes the tip to glow brightly -- so keeping positive pressure and a gentle but steady advancement towards the targeted vein will give you pretty good chance at visualization of the needle tip. Another thing is seeing the needle when it's past the probe; you will see a linear shaped dark shadow. Sometimes, due to the anatomy of the person, getting optimal probe position may be difficult and if time is of the essence and their vein is large enough/can be safely approached -- I've referred off of the shadow while mindfully keeping aware of the flash in the needle chamber -- to which then once it's in the vein -- somehow the tip 'magically' appears on the screen lol. However, I too was hoping for more 'advanced' tips. Hope my tips helped/gave more understanding.
Fantastic video. After 6 months of not having the access/need to site USS guided cannulas I have lost a lot of confidence with the technique. This video has really refreshed the principles. Planning to buy the portable USS probes for my iPad so I can have ready access to the tools when needed.
I've seen ads for those but I'm really wondering how good they actually are. I mean ~$2500 for a portable US probe is not that small amount if it does quite an inferior job than the regular US machines like the one seen in the video.
@@BloodyMaSSacR3 the ability to have ready access to a probe which can change minute to minute care is worth it in my opinion. Cannulation. Diagnosis and characterisation of collections. Assessment of ascites. Pericardial effusions. Identify gross valvulopathies. Confirm fetal heartbeat/movements. Identify position of fetid in early labor. At a regional setting this would be valuable, at a major tertiary centre, not so much.
Believe me. I’ve been learning this for three years and now I am an instructor for a new needs. It takes time. And you need a mentor that will point out your mistake. Self learning is great but when it comes to a skill like this it’s better to have a mentor. In regards the portable ultrasound are used to own the butterfly and I sold it because of the poor quality. It was good though to practice at home on tofu .
i highly recommend using a longer cannula when using ultrasound. its very common for very little catheter (cannula) to be inside the vein so it is easy for it to dislodge and "tissue"
Hi, great content and video thank you. Please could you do a demonstration of midline insertion / cannulation using in plane or long axis view. Or do you know of any video sources that demonstrate this. Thank you 👍🏼
Thanks for the video. I do have some comments. I think this procedure could’ve been more sterile. Yes it’s an IV and probably having a full sterile probe covers too much but at least applying Tegaderm or some sort of barrier on the probe could’ve been better. Also the type of gel that is used is not really sterile. Sterile gel comes in individual packages. This is probably a young healthy guy and you’re doing this just for demonstration. But in real life those that need ultrasound guided IVs are usually the most fragile sickest oldest patient that can really get infected with such level of sterility.
Good point though. You can tell he was getting breathless from having to speak for a considerable amount of time with less oxygen inflow. How sad that we've got to the point where two close colleagues can't make a video without wearing masks to "stay protected from each other"! If fear for contracting COVID was the reason for wearing the masks, then they could've simply tested shortly before making the video thus negating the need to wear masks for the video, especially for ?Laheer - so we can hear him better. Still love his videos though but seriously, consider testing and unmasking... thanks!
Thank you for the video, informative as always. It is sometimes difficult to visualise the needle and its tipp, maybe you could do a video on this topic
From my experience, it helps to ensure the probe is closest to 90 degrees/perpendicular to the needle tip pathway. Also, while the needle is pushing into the skin, it creates more interference which causes the tip to glow brightly -- so keeping positive pressure and a gentle but steady advancement towards the targeted vein will give you pretty good chance at visualization of the needle tip. Another thing is seeing the needle when it's past the probe; you will see a linear shaped dark shadow. Sometimes, due to the anatomy of the person, getting optimal probe position may be difficult and if time is of the essence and their vein is large enough/can be safely approached -- I've referred off of the shadow while mindfully keeping aware of the flash in the needle chamber -- to which then once it's in the vein -- somehow the tip 'magically' appears on the screen lol.
However, I too was hoping for more 'advanced' tips. Hope my tips helped/gave more understanding.
Fantastic video.
After 6 months of not having the access/need to site USS guided cannulas I have lost a lot of confidence with the technique. This video has really refreshed the principles.
Planning to buy the portable USS probes for my iPad so I can have ready access to the tools when needed.
I've seen ads for those but I'm really wondering how good they actually are. I mean ~$2500 for a portable US probe is not that small amount if it does quite an inferior job than the regular US machines like the one seen in the video.
@@BloodyMaSSacR3 the ability to have ready access to a probe which can change minute to minute care is worth it in my opinion.
Cannulation.
Diagnosis and characterisation of collections.
Assessment of ascites.
Pericardial effusions.
Identify gross valvulopathies.
Confirm fetal heartbeat/movements.
Identify position of fetid in early labor.
At a regional setting this would be valuable, at a major tertiary centre, not so much.
Believe me. I’ve been learning this for three years and now I am an instructor for a new needs. It takes time. And you need a mentor that will point out your mistake. Self learning is great but when it comes to a skill like this it’s better to have a mentor. In regards the portable ultrasound are used to own the butterfly and I sold it because of the poor quality. It was good though to practice at home on tofu .
i highly recommend using a longer cannula when using ultrasound. its very common for very little catheter (cannula) to be inside the vein so it is easy for it to dislodge and "tissue"
Yeah longer cannula for deeper veins is such a great tip!
Was taught, going to trouble of USIV, use longer needle.
thank you so much doc you are the besst
What an IV legend this guy is 👏
Lots of time spended on side things but nothing about the most important...... Technique of insertion and trouble shooting (needlepoint visu)
Thanks for your video
Thank you!
Hi, great content and video thank you. Please could you do a demonstration of midline insertion / cannulation using in plane or long axis view. Or do you know of any video sources that demonstrate this. Thank you 👍🏼
I wanted to see the angle you used to puncture the skin and the vein, sadly it is not visible in the video
awesome!
Can you show different ways zo hold the canula?
i have lots of holding cannula tips in my videos :)
ruclips.net/p/PLKoga8GNPk1VipzD8wDqvnIcVbHWgX5Qd
Can u do videos on central line placement
Thanks for the video. I do have some comments. I think this procedure could’ve been more sterile. Yes it’s an IV and probably having a full sterile probe covers too much but at least applying Tegaderm or some sort of barrier on the probe could’ve been better. Also the type of gel that is used is not really sterile. Sterile gel comes in individual packages. This is probably a young healthy guy and you’re doing this just for demonstration. But in real life those that need ultrasound guided IVs are usually the most fragile sickest oldest patient that can really get infected with such level of sterility.
Take off those damn masks!!
Wrong channel
Good point though. You can tell he was getting breathless from having to speak for a considerable amount of time with less oxygen inflow. How sad that we've got to the point where two close colleagues can't make a video without wearing masks to "stay protected from each other"! If fear for contracting COVID was the reason for wearing the masks, then they could've simply tested shortly before making the video thus negating the need to wear masks for the video, especially for ?Laheer - so we can hear him better. Still love his videos though but seriously, consider testing and unmasking... thanks!