Very good video. I've been a vascular access nurse for 14 yrs and teach this topic. This is one of the better I've viewed thus far. Agree with not advancing immediately if only to all the vessel to relax from any spasm from the insertion, allowing the chamber to fill in addition to beveling down. I also emphasize skin traction as key to not beveling out. My trick....sometimes I will spin the cannula as I advance of the needle to get past obstructions. Again, great contribution to the topic!
When using the shorter needles I usually go at a very steep angle if it looks deep and go very very slowly that way I don’t pierce through, as soon as I see the vein begin to push down from the needle I stop, then I slowly push on the vein some to make sure it’s bouncing, then slowly push it in some while flattening my angle. I also keep an eye on how far my needle has gone in with the shorter ones, nothing worse than hitting the vein and going to advance and realizing you barely have any left and now you just ruined it, if I start to run out, I back out almost out of the skin, and change my approach angle more aggressive that way I don’t blow the vein and become screwed. I like to go slow and steady with USGA.
Very good video. I've been a vascular access nurse for 14 yrs and teach this topic. This is one of the better I've viewed thus far. Agree with not advancing immediately if only to all the vessel to relax from any spasm from the insertion, allowing the chamber to fill in addition to beveling down. I also emphasize skin traction as key to not beveling out. My trick....sometimes I will spin the cannula as I advance of the needle to get past obstructions. Again, great contribution to the topic!
This video is amazing! I’ve had very little training in ultrasound so they can be a hit or a miss. I learned so much! Thank you!
Very good video, Nice Job !
Thank you
Thank you for this video, huge help for me.
Thanks so much... learning this in pediatrics and my left hand seems to be my issue... I will keep practicing!
Good video.. helped alot
When using the shorter needles I usually go at a very steep angle if it looks deep and go very very slowly that way I don’t pierce through, as soon as I see the vein begin to push down from the needle I stop, then I slowly push on the vein some to make sure it’s bouncing, then slowly push it in some while flattening my angle. I also keep an eye on how far my needle has gone in with the shorter ones, nothing worse than hitting the vein and going to advance and realizing you barely have any left and now you just ruined it, if I start to run out, I back out almost out of the skin, and change my approach angle more aggressive that way I don’t blow the vein and become screwed. I like to go slow and steady with USGA.
Loosing that needle view on the screen more often than not. Was told you need to have at 45 degree angle to see it.
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