Our facility relies heavily on US guided line insertion and I am fortunate enough to use it many times during my shift. Your content has been fantastic at making me even more proficient in my practice. For difficult peripheral access and using Pythagorean’s theorem, can almost guarantee 1st attempt success which is not only better for the patient in the long term but for overall patency of the line during procedure. The OR loves when we can assure 1.5 inch of large bore catheter in the vessel and it’s brilliant for MTP. Thanks for sharing your experience and knowledge with us.
Very informative. I’m a central line sim instructor but focus mostly on IJ cannulation. I remember the days of blind subclavian access and have done a few under ultrasound but not recently so this review is great. Will share with colleagues.
Hey. Great question. I run a course called UltraRounds that is usually live but not so much in light of the pandemic. Check out UltraRounds.com for more info
Excellent video! Looking forward to practicing the US approach on a phantom and getting good views on long-axis for cannulation. Thank you for sharing!
Hi, do you have to puncture in the middle of the probe during in-plane technique (as in the short axis) as long as you get the full lenght long axis view of the vessel?
@@CriticalCareNow maybe you can read these? doi.org/10.4038 /slja.v26i1.8269 and doi:10.1093/bja/aet202. Both study consistently find SC approach is faster and Byon et al also find that the SC approach decreases the incidence of guidewire misplacement. But actually it's just my personal preference. Knowing pleura is really close scares me a lot and make my hands tremble hahaha..
@@CriticalCareNow Yeah, we are good here in Houston. Fortunately, the stay home order worked and we didn't get the tsunami of sick people. We did get some, but very manageable. But I still want to be like you... smart, fun and with a full beard. 😝 You too brother, take care, stay safe and keep us learning with the bits and the tips that are crit ✌🏼😉👍🏼
just talking non stop non sense for 11 minutes and 10 seconds, total waste of time all you had to do was put up 2-3 minute video demonstrating live line placement
Our facility relies heavily on US guided line insertion and I am fortunate enough to use it many times during my shift. Your content has been fantastic at making me even more proficient in my practice. For difficult peripheral access and using Pythagorean’s theorem, can almost guarantee 1st attempt success which is not only better for the patient in the long term but for overall patency of the line during procedure. The OR loves when we can assure 1.5 inch of large bore catheter in the vessel and it’s brilliant for MTP. Thanks for sharing your experience and knowledge with us.
Thank you for sharing and I’m glad you’re here
Very informative. I’m a central line sim instructor but focus mostly on IJ cannulation. I remember the days of blind subclavian access and have done a few under ultrasound but not recently so this review is great. Will share with colleagues.
Thanks for commenting
@@CriticalCareNow Call it what you want. Great video, as usual. See you in the not so distant future.
I hope so. Overdue for a dance party
I will try it under a supervision ASAP , thanks for the great video
Thanks
super cool Haney..Excellent presentation. I must learn this . tom fiero, ed, merced
Thanks Tom!
I like your way for explanation, I will try your technique next time for subclavian cvc
Abo- Ali thanks for you comments!!!
Fantastic video. General surgeon always prefer left subclavian. Would like info on where one can take a course on a simulator
Hey. Great question. I run a course called UltraRounds that is usually live but not so much in light of the pandemic. Check out UltraRounds.com for more info
Thank you! great video. Question. What angle between the needle and ultrasound probe do u use for???
Like a 20-30 degree
Excellent video! Looking forward to practicing the US approach on a phantom and getting good views on long-axis for cannulation. Thank you for sharing!
Thank you!
Our SOP for auscultation changed from Ear-to-chest to stethoscopes. It’s time we change our insertion SOP to ultrasound guided 🙌
Yaaaas!
Cool. Now to convince my attending to let me try this next time lol.
ahmad irshad haha...I take no responsibility for talking with your attending. But have some data ready. There’s lots out there
Haha. The same thing
Hi, do you have to puncture in the middle of the probe during in-plane technique (as in the short axis) as long as you get the full lenght long axis view of the vessel?
Yes, exactly
Wow nice video. Have you ever tried the supraclavicular approach? I think it's relatively safer than the usual infraclavicular approach
I’ve tried it but personally I like the infraclavicular approach. Any reference for safety?
@@CriticalCareNow
maybe you can read these? doi.org/10.4038 /slja.v26i1.8269 and doi:10.1093/bja/aet202. Both study consistently find SC approach is faster and Byon et al also find that the SC approach decreases the incidence of guidewire misplacement. But actually it's just my personal preference. Knowing pleura is really close scares me a lot and make my hands tremble hahaha..
Thanx...we r waiting for explanation on pts.
thanks
Nice presentation!!
thanks for commenting and gald you enjoyed
Fine Sir
Thanks
Wow, you are awesome
I appreciate you. Thanks
Cool but i want to do a suggestion; a video of procedure
giray altunok thanks for commenting. Will definitely try to do
What happened with the disc
It was “instant underwear”. It took a week it rehydrate. Was it you who sent it ;)
When I grow old, I want to be like Haney.
Haha...you don’t want to be like me these days. Tired and beat up from work. Hope you are well and loving you FaceBook updates
@@CriticalCareNow Yeah, we are good here in Houston. Fortunately, the stay home order worked and we didn't get the tsunami of sick people. We did get some, but very manageable.
But I still want to be like you... smart, fun and with a full beard. 😝
You too brother, take care, stay safe and keep us learning with the bits and the tips that are crit ✌🏼😉👍🏼
Glad to hear it my friend, please stay safe and hope to see you soon
excellent vid Haney. Smart AND sexy!
Thanks and you’re damn right
just talking non stop non sense for 11 minutes and 10 seconds, total waste of time
all you had to do was put up 2-3 minute video demonstrating live line placement
Thanks for watching. Really glad you enjoyed it. Check out the other videos on the site