That little trick for airing up the pressure bag quickly is awsome...Im gonna have to experiment with that next shift on the ambulance. That would save some time pumping up the bag for a bolus.
Transducer should be prime before adding pressure, pressure can create turbulent flow and cause micro bubble to effect reading, also putting a needle in a bag without cleaning the port has now contaminated the system. Little details but important in teaching/learning it correctly. May make thinks a little slower but still best practice.
Honestly the amount of fluid isn’t that important in an emergent scenario because you can change it when things stabilize. So the real question is: what size pressure bag do you have? If it’s a 1L grab a 1L bag, if it’s 500mL pressure grab a 500 mL. To go further, in ICU we used 1 liter because patients were there for a long time and the fluids would need to be changed less often, in the Operating room we use 500 mL because they’re not expected to have the Aline very long. But again, if someone has a 500 mL I can change it to a 1L or if someone has a 1L I can change it to a 500 mL. Great question!
Good vid, what do you mean when you say hand it to them though? Lol are you not placing A lines or are you still watching a couple CRNAs do them and still learning the process? -2nd yr SRNA
Corey Johnson Hey Corey good question! I’m in my third year and since our programs integrated we started placing A-lines day one in the OR. this video was more for ICU nurses who don’t place them, but still have to set them up.
@@JosiahShoon I gotcha. I thought you might have been at a bad clinical site that only let you assist in placing them or something lol and man idk if I could've done integrated that sounds tough going straight into clinical without not even really knowing the basics or setup but some programs still do it so I'm sure it works either way! Good luck in your last year
I agree most do it wrong The reasoning behind company's teaching to prime before pressure is added is to prevent trubulence and micro bubbles from forming and allowing air to remain in the system then entering the patient and that air effecting readings if on the transducer. ruclips.net/video/xBbut7_GIXk/видео.html I worked for Edwards but you will find company's like Transpac have the same rec's. Bedside practice isn't always best practice.
I am 73 I awakened with an arterial line in my left foot, after a shortened Submandibular resection. Data stated unstable BP last reading 232/112. No history of HTN ? Jeanne retired RN
That air trick !!👏🏾
That little trick for airing up the pressure bag quickly is awsome...Im gonna have to experiment with that next shift on the ambulance. That would save some time pumping up the bag for a bolus.
Love your videos. Strait, to the point!
Just the opposite of nursing school. Why make a simple task more complicated than it needs to be.
I like these videos, keep em up.
This is what im looking for. Can you please make more videos like this.
Thank you very much
Love the air trick... I'm going to star doing this 😀 thanks!
Thanks for sharing, this is stuff I never get to see
I’ve never tried a needle to get the air out, I just usually have saline spilled- definitely gonna try that
Love the content bro please make more
Christmas came early 🙌
Thanks!!!
Transducer should be prime before adding pressure, pressure can create turbulent flow and cause micro bubble to effect reading, also putting a needle in a bag without cleaning the port has now contaminated the system. Little details but important in teaching/learning it correctly. May make thinks a little slower but still best practice.
In 10 years, no facility has ever primed before the pressure.
LOVE YOUR VIDEOS!!!! THANK YOU!!!!!
Bro I didn’t know that pro tip!
My man.
Had a rapid yesterday. They put an A-Line in the patient. I’m trying to learn. When do you use 500ml vs 1L? Thanks
Honestly the amount of fluid isn’t that important in an emergent scenario because you can change it when things stabilize. So the real question is: what size pressure bag do you have? If it’s a 1L grab a 1L bag, if it’s 500mL pressure grab a 500 mL. To go further, in ICU we used 1 liter because patients were there for a long time and the fluids would need to be changed less often, in the Operating room we use 500 mL because they’re not expected to have the Aline very long. But again, if someone has a 500 mL I can change it to a 1L or if someone has a 1L I can change it to a 500 mL. Great question!
Good vid, what do you mean when you say hand it to them though? Lol are you not placing A lines or are you still watching a couple CRNAs do them and still learning the process? -2nd yr SRNA
Corey Johnson Hey Corey good question! I’m in my third year and since our programs integrated we started placing A-lines day one in the OR. this video was more for ICU nurses who don’t place them, but still have to set them up.
@@JosiahShoon I gotcha. I thought you might have been at a bad clinical site that only let you assist in placing them or something lol and man idk if I could've done integrated that sounds tough going straight into clinical without not even really knowing the basics or setup but some programs still do it so I'm sure it works either way! Good luck in your last year
I agree most do it wrong The reasoning behind company's teaching to prime before pressure is added is to prevent trubulence and micro bubbles from forming and allowing air to remain in the system then entering the patient and that air effecting readings if on the transducer.
ruclips.net/video/xBbut7_GIXk/видео.html
I worked for Edwards but you will find company's like Transpac have the same rec's. Bedside practice isn't always best practice.
Are you still in icu or work in or?
Justin T. I’m in the OR for CRNA school now, but once an ICU nurse always an ICU nurse 🙌🏼
I am 73 I awakened with an arterial line in my left foot, after a shortened Submandibular resection. Data stated unstable BP last reading 232/112. No history of HTN ? Jeanne retired RN
🤣 pro tip
😂 don’t even know why I used that phrase only thing I’m truly a pro at is eating Oreos.
You will create more bubbles if you pressure up the bag before you prime it