Old school RN, worked in the ICU and later OHU in the 80’s, didn’t have these goodies back then! Residents and attendings did it by feel. So glad we have this technology now!
Thanks Dr. Kumar, with one useful clinical skill at a time that you’re teaching, that’s really very helpful. I appreciate you. And I love how techy you do it too. Very cool. 😊
Great video! I've been putting in US guided IVs for close to a year now but still run into trouble visualizing what I'm doing, and often blame it on the iQ's poor visibility for vascular access compared to other machines. I didn't know that you can't see the needle tip until it crosses the MIDDLE of the probe. I've always been looking for my needle as soon as it goes under the probe but not waiting till it gets to the middle of it.
Hey doc thank you for the video on basics. I typically do this skill multiple times in a shift could you possibly do a video on structure Identification i.e. nerves, muscle tissue, fat etc. I have multiple staff asking for this type of video and the ones that have found don't have a great way of communicating this. Those videos often brush over the subjects so quickly that it's difficult to follow. Thanks for your time
Thank you very much for the video! May I ask a few questions : 1. Is there anything like the ultrasound version of the Allen's test to be done prior to inserting radial artery catheter? 2. Most of the times, mainly in femoral artery, I get the pulsatile flow in the needle hub, but it s impossible to thread the guidewire...any ideas on how to overcome this?/ 3. We use a camera cover/ glove and put the US gel inside it.Then dip in betadine. Any tips on how to approach when there is no sterile USG gel?
Hi Dr. Rishi, I wasn't sure where I have to ask my question here or Instagram! But I'm very confused about norepinephrine role in pain management! How SNRI by inhibiting reuptake of NE cause analgesia, but also alpha 2 agonist by decreasing the NE also cause analgesia!
Also another interesting I noted is it looked like you reach around and cannulate towards you? Was that for video demo or your typical approach? So far short-axis accesses I've done have been away from me towards patient. (Currently scouring youtube to pay attention to various operator's grips to reflect on my own)
IV means Intravenous... but you’re placing an arterial line .... is it the correct way to say it? Sorry I’m confused ... Can you please clarify why we are calling it IV?
Old school RN, worked in the ICU and later OHU in the 80’s, didn’t have these goodies back then! Residents and attendings did it by feel. So glad we have this technology now!
It's amazing!!
Thank you, Rishi. The long axis tip is a game changer!
Glad you liked it, Dan! Thanks for watching!
Thanks Dr. Kumar, with one useful clinical skill at a time that you’re teaching, that’s really very helpful. I appreciate you. And I love how techy you do it too. Very cool. 😊
Hahaha thanks so much for the kind comment! And oh yes, "techy" is an understatement! 😂
Great video! I've been putting in US guided IVs for close to a year now but still run into trouble visualizing what I'm doing, and often blame it on the iQ's poor visibility for vascular access compared to other machines.
I didn't know that you can't see the needle tip until it crosses the MIDDLE of the probe. I've always been looking for my needle as soon as it goes under the probe but not waiting till it gets to the middle of it.
Glad it was helpful!
I always heard that if playing video games gives you an edge with ultrasound, kinda see why now! Another great video, thank you Rishi!
That's what I tell myself! 🎮
Haha I think it may hold some truth, been gaming my entire life and now doing interventional radiology
There you go! Haha!
Hey doc thank you for the video on basics. I typically do this skill multiple times in a shift could you possibly do a video on structure Identification i.e. nerves, muscle tissue, fat etc. I have multiple staff asking for this type of video and the ones that have found don't have a great way of communicating this. Those videos often brush over the subjects so quickly that it's difficult to follow. Thanks for your time
Great video!
Thank you!
Thank you very much for the video! May I ask a few questions :
1. Is there anything like the ultrasound version of the Allen's test to be done prior to inserting radial artery catheter?
2. Most of the times, mainly in femoral artery, I get the pulsatile flow in the needle hub, but it s impossible to thread the guidewire...any ideas on how to overcome this?/
3. We use a camera cover/ glove and put the US gel inside it.Then dip in betadine. Any tips on how to approach when there is no sterile USG gel?
Hi Dr. Rishi, I wasn't sure where I have to ask my question here or Instagram!
But I'm very confused about norepinephrine role in pain management!
How SNRI by inhibiting reuptake of NE cause analgesia, but also alpha 2 agonist by decreasing the NE also cause analgesia!
rishi hello is there an email to ask individual questions for your *opinion* ? regarding PICC LINE
Nice ..
Great tips
Glad you think so!
The pad u r using what's it called
I mean the demo pad which gives u The artery n vein
Is it avaible online?
Hey Dr. Kumar,
Once you pierce skin, you immediately flatten out? Or you traverse the depth at a steeper angle and flatten once reaching your target?
Also another interesting I noted is it looked like you reach around and cannulate towards you? Was that for video demo or your typical approach? So far short-axis accesses I've done have been away from me towards patient. (Currently scouring youtube to pay attention to various operator's grips to reflect on my own)
Definitely for the demo.
IV means Intravenous... but you’re placing an arterial line .... is it the correct way to say it? Sorry I’m confused ... Can you please clarify why we are calling it IV?
Or is it like intravascular?
“IV” refers to “intravenous.” The same approach can be used for arterial line placement.
Can you tell what type of black "IV block" you use for inserting the needle in?
Sure! yourdesignmedical.com/collections/task-trainers
Thanks
Please use butterfly biplane view