This is wonderful. For the USMLE Step 1, you learn that a retroperitoneal hemorrhage/hematoma is a complication of femoral artery catherization. The classic vignette is a patient who had a recent cardiovascular procedure, now presenting with hypovolemia and CT showing a bright spot in the pelvis. However, I just memorized the fact and moved on. Watching this video and understanding why the complication occurs has made me appreciate the complication a million times better.
Here is my take. Use ultrasound. Never advance if you can not see the needletip. Try to compress the vessel with the probe. Enter the vessel where you could see the vessel compress. If you can do it with the probe, then you can do it later with your hand. This goes for any access, anywhere.
This is wonderful.
For the USMLE Step 1, you learn that a retroperitoneal hemorrhage/hematoma is a complication of femoral artery catherization. The classic vignette is a patient who had a recent cardiovascular procedure, now presenting with hypovolemia and CT showing a bright spot in the pelvis.
However, I just memorized the fact and moved on. Watching this video and understanding why the complication occurs has made me appreciate the complication a million times better.
Here is my take. Use ultrasound. Never advance if you can not see the needletip. Try to compress the vessel with the probe. Enter the vessel where you could see the vessel compress. If you can do it with the probe, then you can do it later with your hand. This goes for any access, anywhere.
Excellent tips to stay safe
Thank you Dr.
What can you do to stop the sheath kinking in the soft tissues when inserting it over the wire?
Do you do a lot of brachial or radial artery access. Do you have any tips for those ?
Hey. Radial yes. I do have some tips to share. Thanks for commenting!