Hey thanks for the comment! I totally agree that when I first started doing hearts, it was overwhelming and hard to understand because it was a huge mess of wires and tubes. Hopefully this can help people prior to entering their heart rotation so that they aren't lost early on.
This was a great video to help understand where lines are going and how they all relate to each other instead of just looking at them on a pt in the hospital and trying to figure it out from the mess of tubes and wires.
Thank you sir for the great video. To increase the likelihood of reaching the pulmonary artery: 1. Do you feed the catheter slowly? 2. Do you put the patient upright or supine ? 3. Do you have any other recommendations?
Yes! I actually made a central line suturing video but took it down because I wanted to improve it, so stay tuned. For now, I believe my triple lumen central line video shows the suturing technique a little bit better than this one.
Tried to watch how you loop the thread to secure your sutures several times but it all went too fast. Would you be able to make a vid on suturing techniques please?
Nice video. Don't understand why S-G-catheter isn't left sterile and flushed/checked by the person in the sterile field, instead of relying on person outside of field.
What's up Bruce. Thanks for the comment. I'm glad you liked it. The reason the SG catheter isn't flushed by the person who is sterile is that it has to be hooked up to the transducers before they are flushed, and the transducers aren't sterile. Does that make sense? You have to push the flush button on a non-sterile transducer in order to flush the SG catheter.
PainH8er You can't just drop sterile syringes into the field to flush. Because you have to hook it up to the monitor (transducer) to detect the wave form. After you hook it up to the transducer you can flush it as well. The monitor (transducer) isn't sterile. So the sterile flushes would accomplish the goal of flushing, but wouldn't allow pressure measurement. When you float a Swan you need the pressure measurement (waveform) to guide you to the right place (pulmonary artery).
Why can't all instructional videos be this detailed and helpful...thanks so much.
This is a great video.
Thank you SO much for this video! I’ve been searching for an insertion video that shows the assistant’s role - this is perfect!!
Thanks so much!
OK, deal. I'll definitely post more. I've taken a couple month break to prepare for the other ones, but they will come slowly but surely
Excellent demonstration. Thank you
Thank you for posting these videos. I couldn't get enough of them and I am looking forward to watching more of your AMAZING skills. Very impressive.
Hey thanks for the comment! I totally agree that when I first started doing hearts, it was overwhelming and hard to understand because it was a huge mess of wires and tubes. Hopefully this can help people prior to entering their heart rotation so that they aren't lost early on.
Excellent demonstration
Thank you for making these videos. I’m a new to ICU nurse and this is great info
This was a great video to help understand where lines are going and how they all relate to each other instead of just looking at them on a pt in the hospital and trying to figure it out from the mess of tubes and wires.
Thank you sir for the great video.
To increase the likelihood of reaching the pulmonary artery:
1. Do you feed the catheter slowly?
2. Do you put the patient upright or supine ?
3. Do you have any other recommendations?
Yes! I actually made a central line suturing video but took it down because I wanted to improve it, so stay tuned. For now, I believe my triple lumen central line video shows the suturing technique a little bit better than this one.
Nice video. May be just a note on deflating the balloon once you have wedged: :-)
Great point! Thanks for watching :)
Alright brother, let's test the balloon.
Awesome video guys. Thanks for the information.
Thanks for the video! If you don't mind, it would be great to know where you purchased that simulation model.
If anyone knows how to perform good videos its you. PLEASE do more. I LOVE this stuff. I beg of you. PLEASE do more videos. PLEASE!!
Thank you! Really good video!
Tried to watch how you loop the thread to secure your sutures several times but it all went too fast. Would you be able to make a vid on suturing techniques please?
such a good vid.
I wish we were trained to do this omggg
you done it very well.
Great, great vid. Thank you.
the least chaotic swan insertion ive ever seen
The way you let go of that wire makes me crazy lol
Wouldn't it be easier to just use the angiocath and insert that in the first instance? That's my standard practice
That is a method for sure, but you increase the chances of blowing the vein. I prefer the wire through the needle, but I’ve seen it done both ways!
According to this video you left the catheter wedged with balloon up...
Good call! My bad on that one! Thanks for pointing that out :)
And i can never be a doctor or surgeon
Nice video. Don't understand why S-G-catheter isn't left sterile and flushed/checked by the person in the sterile field, instead of relying on person outside of field.
What's up Bruce. Thanks for the comment. I'm glad you liked it. The reason the SG catheter isn't flushed by the person who is sterile is that it has to be hooked up to the transducers before they are flushed, and the transducers aren't sterile. Does that make sense? You have to push the flush button on a non-sterile transducer in order to flush the SG catheter.
Manually flushing?
Yes. Is there a "non-manual" type of flushing I'm not aware of?
PainH8er
You can't just drop sterile syringes into the field to flush. Because you have to hook it up to the monitor (transducer) to detect the wave form. After you hook it up to the transducer you can flush it as well. The monitor (transducer) isn't sterile. So the sterile flushes would accomplish the goal of flushing, but wouldn't allow pressure measurement. When you float a Swan you need the pressure measurement (waveform) to guide you to the right place (pulmonary artery).
Thanks Michael. Couldn't have said it better myself.