The best teaching video of A-line placement so far in my experience as a CRNA. I wish I had instructors/professors like Dr. DiNardo!!! For those who have Dr. DiNardo, you’re so lucky!
In the 'through and through' technique - why wouldn't the guidewire simply go out through hole you created in the posterior wall of the artery instead of going along the lumen of the artery?
There are two things to observe in this technique: The first is that the return of pulsatile arterial blood shows that it is in the artery. If there is a flow interruption, most likely the catheter left the artery. The second is that the guide wire has to slide easily through the catheter. The guide wire has the ability to pierce the arteira or deform in the skin if it makes too much force or has an obstruction and you insist through. Apart from these factors, the catheter has a low risk of entering the skin and making a false path through the hole in the posterior wall of the artery.
Great video to show the main elements of this procedure. I would love to see how hemodynamically unstable blood pressure is taken. Thanks. Mohammed Qutyan, Nursing Student.
Great video! As a nurse who used to work in the ICU, it is nice to see such a clear explanation. I provide nurses with educational videos on my channel and think I might look at ART lines, from a nursing perspective :)
Sorry to be so off topic but does anyone know a tool to get back into an Instagram account?? I was stupid lost the password. I appreciate any tips you can give me.
@Tripp Kristopher thanks so much for your reply. I found the site through google and I'm in the hacking process now. Seems to take a while so I will reply here later with my results.
He also was not wearing a mask, even Pre-Covid it was required, Also did not discuss how to suture the catheter as the #1 Rule after any a-line is placed is "DO NOT LET IT BE PULLED OUT", So should he have used HCG-impregnated "gel dress" or "sponge dress"? Is that a universal recommend for pediatric art line placement, based on extensive research? C'mon, this was just an educational video on a-line placement technique, not a presentation on CLABSI prevention. Maybe he is not a very good Cardiac/Pediatric Anesthesiologist or educator? On the Contrary, as this little video made for OPENPediatrics featured James DiNardo, an actual Master of Anesthesia far beyond a-line placement. He was my "Obi-Wan" when I was a resident in early '90s, and he is still rocking it. FWIW, In 2011 the CDC agreed with use of HCG-infused dressing for peripheral arterial lines, then in 2017 removed that rec if placed in under 18yo patients. Since then, various organizations and professional societies greatly vary on this, especially for Peds patients, the younger the more risk of significant dermatitis developing in few days. Curious, where did you do your Anes Residency? Or perhaps Pedi ICU advanced nurse certification?
I had this done years ago in 2020, due to having COVID-19 viruses 3 times and the last one was the worst of the worst. Consider a law hauler due to the COVID.🦼🦽🚔🐾🧑🚒👮🧕🧑🦽🧑🦯🧑🦼🧑🦼💅✍️
The best teaching video of A-line placement so far in my experience as a CRNA. I wish I had instructors/professors like Dr. DiNardo!!! For those who have Dr. DiNardo, you’re so lucky!
Good point about causing an intimate flap and the guide wire not being able to pass.
The best teaching video.Thanks
What about infiltration of the site with local anesthetic before the actual arterial access.
In the 'through and through' technique - why wouldn't the guidewire simply go out through hole you created in the posterior wall of the artery instead of going along the lumen of the artery?
There are two things to observe in this technique:
The first is that the return of pulsatile arterial blood shows that it is in the artery. If there is a flow interruption, most likely the catheter left the artery.
The second is that the guide wire has to slide easily through the catheter. The guide wire has the ability to pierce the arteira or deform in the skin if it makes too much force or has an obstruction and you insist through.
Apart from these factors, the catheter has a low risk of entering the skin and making a false path through the hole in the posterior wall of the artery.
Would be great to show video of placing at other sites, especially posterior tibial artery
Outstanding teaching video
Wonderful demonstration. Thank u
Great video from beginning to end
IT IS SIMPLY ADEQUATE AND ABSOULTELY HELPFULL,PLEASE MAKE A VIDEO ON PRIMING IT WITH TRANSDUCER AS WELL...THANK YOU...
Best video 💯💯
Good content and good explanation
Excellent teaching video
Hi, don't you guys routinely use USG for arterial line placement ?
Dr. Abhishek Tandon MD
the content was very good.
Amazing ❤
It's was lovely.. thanks 😊
Excellent
Very well done. Perfect length.
Great video to show the main elements of this procedure. I would love to see how hemodynamically unstable blood pressure is taken. Thanks. Mohammed Qutyan, Nursing Student.
This was just excellent for me, it was quite comprehensive. Thanks a lot.
Great video! As a nurse who used to work in the ICU, it is nice to see such a clear explanation. I provide nurses with educational videos on my channel and think I might look at ART lines, from a nursing perspective :)
Very well done video, thank you team, OPEN Paediatrics
we never used guide wire
Great video, thanks!
thanks for nice video.
A very informative video! I learned a lot.
Sorry to be so off topic but does anyone know a tool to get back into an Instagram account??
I was stupid lost the password. I appreciate any tips you can give me.
@Lane Drake instablaster =)
@Tripp Kristopher thanks so much for your reply. I found the site through google and I'm in the hacking process now.
Seems to take a while so I will reply here later with my results.
@Tripp Kristopher it worked and I actually got access to my account again. I'm so happy:D
Thanks so much you saved my ass :D
@Lane Drake Happy to help :)
Excellent explanation! Now I know what to expect next week.
So nice vedio great and easy to understand thank you so much
Great video!
Perfect. Very helpful. Thank you.
This video contains enough inforation...so thanks for this video..
Thank you sir for providing information
Very well done!
Excellent
Very compact and comprehensive. Thanks
V helpfull 👍
Helpful
Fabulous realy such a graet guidance for this
Very easy content and understandabale
nice explanation
Great video, thank you
Great work Keep on
Excellent vıdeo thanx a lot
Great video
thanks
great video
Very good
Very good content...
Very simple & good demo
Great video.thanks a ton..!!
good video
Very , very good: was too simples e Not too long! Thank you!
Thank you for your feedback. For more videos like this, please visit www.openpediatrics.org.
nursing student... thank you
Matthew B
Nice vedio
i was bothered by the lack of chlorhexedine dressing placed at the end 😂
He also was not wearing a mask, even Pre-Covid it was required, Also did not discuss how to suture the catheter as the #1 Rule after any a-line is placed is "DO NOT LET IT BE PULLED OUT", So should he have used HCG-impregnated "gel dress" or "sponge dress"? Is that a universal recommend for pediatric art line placement, based on extensive research?
C'mon, this was just an educational video on a-line placement technique, not a presentation on CLABSI prevention.
Maybe he is not a very good Cardiac/Pediatric Anesthesiologist or educator? On the Contrary, as this little video made for OPENPediatrics featured James DiNardo, an actual Master of Anesthesia far beyond a-line placement. He was my "Obi-Wan" when I was a resident in early '90s, and he is still rocking it.
FWIW, In 2011 the CDC agreed with use of HCG-infused dressing for peripheral arterial lines, then in 2017 removed that rec if placed in under 18yo patients. Since then, various organizations and professional societies greatly vary on this, especially for Peds patients, the younger the more risk of significant dermatitis developing in few days.
Curious, where did you do your Anes Residency? Or perhaps Pedi ICU advanced nurse certification?
Its vein no
Its not an artery bcz artery blood will splash. He punchered vein
I had this done years ago in 2020, due to having COVID-19 viruses 3 times and the last one was the worst of the worst. Consider a law hauler due to the COVID.🦼🦽🚔🐾🧑🚒👮🧕🧑🦽🧑🦯🧑🦼🧑🦼💅✍️
Great video
Great video.