very informative. normally we are not aware of these things as it's the nurses always giving the medication, but as doctors these are vital information. thankyou
Sir can u please share a video position of sleeping of IJ??? I am in too much pain dont know how to sleep like the pillow should be normal or bit more upward and also want to know which pain killer should be use for pain in chest with cvp
Patient on hemodialysis and requiring high noradrenaline support. He has one triple lumen HD catheter. Can we keep norad on one of the ports of the same HD cath while he undergoes dialysis or he requires another additional temporary peripheral line for norad till dialysis gets over?
Sir in central line catheter kit we get one extra attachment to fix catheter which can be placed before the triangular head that we take stitch to skin to fix the catheter. Want to know why it is given and when to place that.
First one is not actually fixing the CVC. If you try and pull it you'll see you can entirely take it out accidentally. So that's the use of the second attachment that you should use on better fixing it to the skin.
You do realise that noone suggests using sterile gloves just to handle 3ways, right? Unless you consider wearing plain gloves is better than washing your hands before and after small stuff like this.
this has been explained many times before also. Posting the CDC guidelines for the same. Please refer 'the maintenance of the lines' section for details www.cdc.gov/infectioncontrol/guidelines/bsi/index.html www.cdc.gov/hai/pdfs/bsi/checklist-for-clabsi.pdf
sir subclavian line insertion can cause sudden death as it was hppnd wd me if sir death hppnd due to hemorrhage it would take some tym or arrhythmia but death rarely noted in litreture sir would u like to explain dis death bczz procedure was clean just during insertion of central line aftr dilatation child died
I learn something new about pressors and proximal ports. Thanks
for sharing this your knowledge
Glad to hear that!
dont touch the central line with bare hand
Kindly read the latest CDC guidelines
Thank you sir... I learnt a new point today.
Thank you Sir do keep sharing 🙏
We will, thanks and welcome
very informative. normally we are not aware of these things as it's the nurses always giving the medication, but as doctors these are vital information. thankyou
Much appreciated sir, God bless you.
So nice of you
Excellent...Sir
So nice of you
Very Nice 👍
thank u sir
Right producer 😊
Thank you sir
So nice of you
So nice
Really effective
Respected sir 🙏🏻pls discussed Central Line care
Touching with bare hands
Congratulations on crabsi
Kindly read the latest CDC guidelines
SIR PLS MAKE VIDEO ON IABP.THNAKS A LOT.
Wow it's really interesting
Konse ports ka kya use hota hai ...????
Vo pura video bana do na sir .
Hi sir , How to confirm IJV catheter tip placement in the Chest XRay, (3rd or 4th rib?)
Sir can u please share a video position of sleeping of IJ??? I am in too much pain dont know how to sleep like the pillow should be normal or bit more upward and also want to know which pain killer should be use for pain in chest with cvp
If we transfuse blood through Distal port
Can we measure CVP at the same time?? Kindly give the solution..
Sir where to give iv infusions
I hope the doctor has done the hand wash
sir whats the use of third that is medial port??
Patient on hemodialysis and requiring high noradrenaline support. He has one triple lumen HD catheter. Can we keep norad on one of the ports of the same HD cath while he undergoes dialysis or he requires another additional temporary peripheral line for norad till dialysis gets over?
Can use . But recirculation occurs so effect doesn’t come to that extent .
What should be done if only two of the three ports give back flow of blood...before injecting fluids.?
It was always so confusing..today it got cleared thank u sir
Glad to hear that
Thank baldeep boss to this case😮
Sir can give the antibiotics during blood transfusion when central line present.
yes , blood through the distal (middle port) and antibiotics through the proximal port
@TheICUCheannel pls sir reply me ASAP Thank you
Sir in central line catheter kit we get one extra attachment to fix catheter which can be placed before the triangular head that we take stitch to skin to fix the catheter. Want to know why it is given and when to place that.
First one is not actually fixing the CVC. If you try and pull it you'll see you can entirely take it out accidentally. So that's the use of the second attachment that you should use on better fixing it to the skin.
In case there is short neck , so to fix the central line a little higher (so that it’s not too deep in RA) , it’s used and we call it butterfly here .
Blood transfusion should be done through central line or peripheral line? Is it safe to transfuse blood through central line?
yes can be done by both.
KINDLY WEAR GLOVES WHILE HANDLING CENTRAL LINE
Kindly he can handle if he is not opening the closed system and since the site is properly covered
You do realise that noone suggests using sterile gloves just to handle 3ways, right? Unless you consider wearing plain gloves is better than washing your hands before and after small stuff like this.
Sir I think the yellow one is the distal one
don't go over the color, look for the sizes and the length. look once again.
How to estimate insensible fluid loss in ICU sir??
That’s a good question , can u please post on icu.in/forums
@@TheICUChannel sure sir, thank you for your input
why touching the lines without gloves ???????
Answered many times in comments before, read the infection control guidelines.
Dr . Central line kyu dala jata hai kya hota hai centerl line dalne se
This channel is for health care professionals, and if you are one, can read this. www.ncbi.nlm.nih.gov/books/NBK519511/
Can we color coding sir
Actually it’s not uniform in al companies .
Sir can u explain placement of 5 chest lead
Yes sir please
So rushing fluids through the distal port will not cause purging of vasopressors going through the proximal port?
Comparatively less .
@@TheICUChannel Thank you sir
Sir medicine kis code se dete he
Anyone, but not with the port on which vasopressors going on
@@TheICUChannel ok sir THQ so much
But sir pta kese karenge ki kis port se vasopressors ho rha he
@komalshahu5057 the one which u r using
Where it is written that touch closed lines with gloves on
Plz
Don’t discourage dr ankur he is teaching us what our seniors don’t teach bedside .
thanks.
but already have shared guidelines for such comment. hope they read and clarified.
Sir, which port to give antibiotics and which port is used taking blood investigation?
Usually distal for antibiotics and proximal for sample .
Why are you touching without gloves dr.
Comment has been answered many times, u can go through them or read the guidelines again . Thank u
Pls do respond me ASAP if not video then just reply to me via here in comments or as easy for you but pls sir must reply me m in pain
Distal is yellow. Medial is white 😊
Absolutely wrong
Don’t go on the colour , go on the length . Colour codes can vary with companies and brand .
please wear sterile gloves
its not a way yo explanation
bcz first maintain sterile techniques
and our one mistake can lead to a major things
this has been explained many times before also.
Posting the CDC guidelines for the same. Please refer 'the maintenance of the lines' section for details
www.cdc.gov/infectioncontrol/guidelines/bsi/index.html
www.cdc.gov/hai/pdfs/bsi/checklist-for-clabsi.pdf
In short your face not looking good. Make video in detail. Avoid shorts
sir subclavian line insertion can cause sudden death
as it was hppnd wd me
if sir death hppnd due to hemorrhage it would take some tym
or arrhythmia but death rarely noted in litreture
sir would u like to explain dis death bczz procedure was clean just during insertion of central line aftr dilatation child died
Thank you sir
Welcome