Thanks for sharing this video. Funnily enough, I had watched it a couple weeks prior to having to place a supraclavicular introducer/Swan-Ganz in a heart transplant patient in acute rejection. She had already had a CVL and Uldall catheter placed in either IJ. Having the confidence about probe positioning and needle placement helped me tremendously in placing the line (my first time needing to go supraclavicular). So, thank you for presenting a valuable option for central access. It certainly helped me!
soy medico residente de 3er año de emergentologia y me encantan los procedimientos, he colocado cateteres venosos centrales yugulares ant, post, tambien subclavia y femoral. pero no habia intentado nunca la del confluente, ahora lo hare lo mas pronto que pueda. gracias por el video muy pero muy bueno.
Thank for this amazing video. Would you be willing to answer my questions? Question : * We'll placing our needle at the lateral of clavicular head SCM, is it right? * Our needle will puncture the clavicular head SCM, is it right? I am so grateful for your help.
Thank you for looking at the video. In general, cervical spine collars may protrude low enough over the neck and upper thorax to make this procedure difficult. However, If you have a second person to maintain cervical spine in-line stabilization (similar to during an intubation, you can potentially take the collar down in order to place this line in the trauma patient. Once the line is placed, the collar goes back on. Another approach would be the ultrasound guided axillary line, which I have covered in another video. Take care and good scanning! Phil
Can't get tired of watching this tutorial over and over again.
Thanks for sharing this video. Funnily enough, I had watched it a couple weeks prior to having to place a supraclavicular introducer/Swan-Ganz in a heart transplant patient in acute rejection. She had already had a CVL and Uldall catheter placed in either IJ. Having the confidence about probe positioning and needle placement helped me tremendously in placing the line (my first time needing to go supraclavicular). So, thank you for presenting a valuable option for central access. It certainly helped me!
Thank you very much for this perfect demonstration.
I wanna show my appreciation to you my Master, it is amazing
soy medico residente de 3er año de emergentologia y me encantan los procedimientos, he colocado cateteres venosos centrales yugulares ant, post, tambien subclavia y femoral. pero no habia intentado nunca la del confluente, ahora lo hare lo mas pronto que pueda.
gracias por el video muy pero muy bueno.
Many many thanks ..from Kerala, India
Nice presentation 👏👏👏
Fantastic , thank you very much .
Thank for this amazing video. Would you be willing to answer my questions?
Question : * We'll placing our needle at the lateral of clavicular head SCM, is it right?
* Our needle will puncture the clavicular head SCM, is it right?
I am so grateful for your help.
thank you! now I have better understanding of limitations, risks and preventive measures, can't ask for more! ;)
You're welcome, Nissen S, that's great to hear.
***** hi , let me ask, does an ultra sound can find or detect a piece of glass 1 centimetre in size, with a bit of copper inside it?
+stewart hughes
yes. it is a solid object. I hope u are not a doctor.
It is really practical
thank you
many thanks, useful video..
excellent
bravo!
awesome.. excellent..
.keep posting videos:)
Awesome, very usefull tips during procedure and real effort put to create a nice media material. thank you sir
What is the advantage over IJ ?
great. thanks..
Tq
Muito bom.
How far do you insert your catheter? What about left sided cannulation?
Thank you for looking at the video.
In general, cervical spine collars may protrude low enough over the neck and upper thorax to make this procedure difficult. However, If you have a second person to maintain cervical spine in-line stabilization (similar to during an intubation, you can potentially take the collar down in order to place this line in the trauma patient.
Once the line is placed, the collar goes back on. Another approach would be the ultrasound guided axillary line, which I have covered in another video.
Take care and good scanning! Phil
Better way to tell an artery from a vein is to use pulsed wave doppler
❤
Question: is this procedure adequate for those patients that require c-spine precautions???
ThAnk you for this awesome video by the way :)