Indwelling catheters are major sources of in-patient bacteremia. The skin is never rendered sterile. I strongly urge the placement of a small amount of Betadine ointment at the puncture site before applying the dressing. I change dressings daily. Having inserted hundreds of central lines, all without complication, I can say that enhancing pt. safety is always rewarded.
There are germs everywhere, including the air, on hospital surfaces like tables and bed rails- even with disinfection. You are not allowed to raise your hands above your head or out as that increases the amount of germs passed on to your sterile gown and gloves by the air. You aren’t allowed to extend your hands pass the cuffs of the gown without gloves because again- this can cause germs to spread onto sterile surfaces. The medical devices demonstrated in this video were sterile- meaning it was sterilized to completely- 100% kill all germs and microbes. Why these procedures? A center line infection can be catastrophic, causing death and pain to patients. A line placed through the body- into the heart must be sterile to avoid a central line infection. Even one germ could cause infection.
@@kerbalt692 wow, great job of not addressing why there are more germs when raising one's hands, etc. What a display of taking a lot and saying nothing. Please. Don't become a teacher.
Justina Branham i was given the option to be put under, which i chose to be put under for the placement. Glad i was but waking up and the first couple of days were pretty painful, they gave me alot of pain meds within like the first 12 hrs of me actually being awake, but after like 3 days with it it didnt hurt as much. But i was also allergic to the covering they used so we had to make sure anytime we changed the dressing it was the correct kind and stuff. Other than that it wasnt too awful, the only other thing i hated was having to sleep in different positions because i could lay on my sides and be comfy so i slept on my back which i hated
Tyler Asher I also had one of these when I was diagnosed with transverse myelitis, also for plasmapherisis. Mine was done with no sedation or anesthetic other than lidocaine and it was one of the most painful procedures that I have ever experienced. I'm still traumatized.
Also, i have seen that some physicians wear two sets of gloves. One pair of larger and darker indicator gloves, and one pair of lighter outer gloves. That configuration shows very clearly if the outer pair of gloves are broken. I was just wondering why the glove configurations can very from hospital to hospital and what the benefit is for having one pair of gloves.
they need the sonogram for every iv i get, unless they go in my foot or ankle,, but they wont because of type 2 diabetes, but my primary dr takes blood from the top of my foot,,,
Very informative informations, Thank u
Indwelling catheters are major sources of in-patient bacteremia. The skin is never rendered sterile. I strongly urge the placement of a small amount of Betadine ointment at the puncture site before applying the dressing. I change dressings daily. Having inserted hundreds of central lines, all without complication, I can say that enhancing pt. safety is always rewarded.
Perfectly informative and comprehensive video. Millions of thanks :)
The best and most comprehensive video. Thanks a lot
Perfect aspect technique, and very informative presentation. Thanks a lot.
Very nice, excellent presentation.
Excellent
Dr. Hussain
Amazing video!!! Very informative and lots of detail
Excellent video and speaker
Is my eyes playing tricks on me now I know it’s was a real person at the beginning... Right? Lol very informative love it
I don’t need to know any of this, but I watched the whole thing.
Same
Excellent presentation even for beginners to understand.
Wow, excellent video ,very helpful
Thankyou ,🙏🏻
Excellent teacher!
Excellent teaching
Very good effort. Very clear
What's the reason for not touching above the yellow line of the sterile gown? Also, why shouldn't we raise or lower our arms?
All of these proceedures and rules are to avoid a central line infection. Using the same experience learned form surgical infections.
There are germs everywhere, including the air, on hospital surfaces like tables and bed rails- even with disinfection. You are not allowed to raise your hands above your head or out as that increases the amount of germs passed on to your sterile gown and gloves by the air.
You aren’t allowed to extend your hands pass the cuffs of the gown without gloves because again- this can cause germs to spread onto sterile surfaces.
The medical devices demonstrated in this video were sterile- meaning it was sterilized to completely- 100% kill all germs and microbes.
Why these procedures?
A center line infection can be catastrophic, causing death and pain to patients. A line placed through the body- into the heart must be sterile to avoid a central line infection. Even one germ could cause infection.
@@kerbalt692 wow, great job of not addressing why there are more germs when raising one's hands, etc. What a display of taking a lot and saying nothing. Please. Don't become a teacher.
I had one of these for plasmapheresis, its very useful and i perfer it over an iv for plasmapheresis
Tyler Asher does the procedure hurt? Id be so nervous!
Justina Branham i was given the option to be put under, which i chose to be put under for the placement. Glad i was but waking up and the first couple of days were pretty painful, they gave me alot of pain meds within like the first 12 hrs of me actually being awake, but after like 3 days with it it didnt hurt as much. But i was also allergic to the covering they used so we had to make sure anytime we changed the dressing it was the correct kind and stuff. Other than that it wasnt too awful, the only other thing i hated was having to sleep in different positions because i could lay on my sides and be comfy so i slept on my back which i hated
Justina Branham i have an instagram page all about my disease and treatment if your interested it is Tyler Asher Kunz
Tyler Asher I also had one of these when I was diagnosed with transverse myelitis, also for plasmapherisis. Mine was done with no sedation or anesthetic other than lidocaine and it was one of the most painful procedures that I have ever experienced. I'm still traumatized.
Justina Branham it hurts really bad.
Nicely explained.
The line doesn’t need to be flushed through with saline prior to insertion? Seems like an air embolus would be likely if not
very nice and clear thank so much
Great job !
I'm just curious, but why doesn't the assistant wear gloves?
Because basically the wrappers of materials he's opening/handling are not sterile so it doesn't make any sense if he wear that sterile gloves.
Also, i have seen that some physicians wear two sets of gloves. One pair of larger and darker indicator gloves, and one pair of lighter outer gloves. That configuration shows very clearly if the outer pair of gloves are broken. I was just wondering why the glove configurations can very from hospital to hospital and what the benefit is for having one pair of gloves.
@12:12 as a videogamedunkey fan, I laughed way harder than I should. Completely aware that the demographic overlap will be impossibly slim.
The usg info was nice
I really want to try!!
Im a 14 year old that's not thinking about going into the medical feild whatsoever
It is now 2:14am
I have already watched three of these
Peace be to you ! THANK YOU FOR THIS!!! 😃
nice video, but concentrated on sterilisation morethan central line placement
in reality doctor do follow all this procedure? or all this just for demonstration??
They are absolutely supposed to. Dr Rose does it consistently every time and seamlessly
Except, you don't need an assistant, don't typically need an ultrasound, and the entire procedure can be completed in about 5 minutes or less.
they need the sonogram for every iv i get, unless they go in my foot or ankle,, but they wont because of type 2 diabetes, but my primary dr takes blood from the top of my foot,,,
excellent
Huh. I've seen hundreds of these done in the field with none of these fancy procedures. The Arrow kit is used, but apart from that, nothing special.
excellent spin move
Thanks alot
Ooh damn that's I thought he was a real person
thank you
Spear methos
Triangulation method
Nice to know