You touched the patient body and the sterile needle with your contaminated glove so many times. Also, the skin should have been sterile prepped before local block as well since there is risk that the needle may penetrate pleural space.
You are correct! She is using her right hand to locate the insertion point between the ribs and does connect the suction system to the catheter after the pericardial space is reached. In veterinary medicine pericardiocentesis and other paracentesis procedures are considered aseptic but not truly sterile procedures. Aseptic or clean technique is usually used for non-indwelling urinary catheter insertions (say for urine sample collection), paracentesis and other procedures. Whereas in these procedures sterile gloves and tubes/catheters/needles are usually used, a complete sterile field, double surgical scrub of the patient and gowning of the operator is not used. The goal of asepsis is not to eliminate all organisms but to reduce the amount of the endogenous micro-organisms on the skin of the patient, the operator, and instruments to sufficiently reduce the risk of infection in these short procedures. Unfortunately as is often the case in vet med, there aren’t any studies of the rate of infection as a complication after pericardiocentesis. Infection as a result of the centesis procedure would be expected to occur within a week of the procedure. I personally have never seen a patient who has undergone a single or even multiple pericardiocentesis procedures return with a complication of infection at the cutaneous insertion site or at the level of the pleura or pericardium but it would be great to have a study about this.
You are correct and we have a long answer for it! She is using her right hand to locate the insertion point between the ribs and does connect the suction system to the catheter after the pericardial space is reached. In veterinary medicine pericardiocentesis and other paracentesis procedures are considered aseptic but not truly sterile procedures. Aseptic or clean technique is usually used for non-indwelling urinary catheter insertions (say for urine sample collection), paracentesis and other procedures. Whereas in these procedures sterile gloves and tubes/catheters/needles are usually used, a complete sterile field, double surgical scrub of the patient and gowning of the operator is not used. The goal of asepsis is not to eliminate all organisms but to reduce the amount of the endogenous micro-organisms on the skin of the patient, the operator, and instruments to sufficiently reduce the risk of infection in these short procedures. Unfortunately as is often the case in vet med, there aren’t any studies of the rate of infection as a complication after pericardiocentesis. Infection as a result of the centesis procedure would be expected to occur within a week of the procedure. I personally have never seen a patient who has undergone a single or even multiple pericardiocentesis procedures return with a complication of infection at the cutaneous insertion site or at the level of the pleura or pericardium but it would be great to have a study about this.
I know I’m late but she is actually using a Doppler to get a blood pressure lol. You can see her use a lubricant and a small metal box beside it. That’s the machine itself, you have to listen very closely so headphones are nice.
Vets study even more than doctors for humans actually. They deal with so many different species whereas doctors for us humans only deal with one species. That's so insulting to insinuate they're not real docs. As if being a vet was something anyone can do. Try and study what they have to and you'll see that it's not for the faint of heart. It's many years of studying. The basics of many procedures are similar and animals meds are in many cases exactly the same as for humans.
Veterinarians do what doctors do, with the added challenge of patients of a wide variety of species and patients who cannot tell you how they are feeling and where they are feeling it. I'm sorry to hear that something in your upbringing has resulted in you having such apathy towards others who are not the same species as you, and seemingly angry at others who do have such empathy.
Wow, I don't know if you are trying to prove your stupidity or something, because the word "dog" is literally in the title and you still thought this was for humans!
Hello doctors. Thanks to the doctors for sharing these techniques.
Your content is very useful. We are trying to help more dogs and cats in Vietnam
This is a low key awesome ultrasound image.
You touched the patient body and the sterile needle with your contaminated glove so many times. Also, the skin should have been sterile prepped before local block as well since there is risk that the needle may penetrate pleural space.
Very helpful video thanks
Very good video 👏🏽👏🏽👏🏽👏🏽👏🏽
Awesome work!
How long will the dog survive after the procedure?
Is constructive pericarditis causes arrithmiyas?
Thanks doctor
This was very helpful, thank you!
Apokgvvffg5yu7gvf kala kala Kare gujri kala kala Kare gujri
Did you learn this in Vet School or How can a newly grad vet learn this?
Did you learn how to do it?
@@rusiru4082 theoretically I know how to do it but I haven't had the chance, we don't have ultrasound where I work. In school I saw it once :(
Thank y
Great
me, a human nurse
also me: hmm better watch this in case it's useful later
You touched the catheter with your dirty hand😬
You are correct! She is using her right hand to locate the insertion point between the ribs and does connect the suction system to the catheter after the pericardial space is reached. In veterinary medicine pericardiocentesis and other paracentesis procedures are considered aseptic but not truly sterile procedures. Aseptic or clean technique is usually used for non-indwelling urinary catheter insertions (say for urine sample collection), paracentesis and other procedures. Whereas in these procedures sterile gloves and tubes/catheters/needles are usually used, a complete sterile field, double surgical scrub of the patient and gowning of the operator is not used. The goal of asepsis is not to eliminate all organisms but to reduce the amount of the endogenous micro-organisms on the skin of the patient, the operator, and instruments to sufficiently reduce the risk of infection in these short procedures. Unfortunately as is often the case in vet med, there aren’t any studies of the rate of infection as a complication after pericardiocentesis. Infection as a result of the centesis procedure would be expected to occur within a week of the procedure. I personally have never seen a patient who has undergone a single or even multiple pericardiocentesis procedures return with a complication of infection at the cutaneous insertion site or at the level of the pleura or pericardium but it would be great to have a study about this.
I can be purple guy now :)
Dirty hand was touching the catheter going inside.
You are correct and we have a long answer for it! She is using her right hand to locate the insertion point between the ribs and does connect the suction system to the catheter after the pericardial space is reached. In veterinary medicine pericardiocentesis and other paracentesis procedures are considered aseptic but not truly sterile procedures. Aseptic or clean technique is usually used for non-indwelling urinary catheter insertions (say for urine sample collection), paracentesis and other procedures. Whereas in these procedures sterile gloves and tubes/catheters/needles are usually used, a complete sterile field, double surgical scrub of the patient and gowning of the operator is not used. The goal of asepsis is not to eliminate all organisms but to reduce the amount of the endogenous micro-organisms on the skin of the patient, the operator, and instruments to sufficiently reduce the risk of infection in these short procedures. Unfortunately as is often the case in vet med, there aren’t any studies of the rate of infection as a complication after pericardiocentesis. Infection as a result of the centesis procedure would be expected to occur within a week of the procedure. I personally have never seen a patient who has undergone a single or even multiple pericardiocentesis procedures return with a complication of infection at the cutaneous insertion site or at the level of the pleura or pericardium but it would be great to have a study about this.
is it true it's because the dog has cancer? ??
the dog has blood in the pericardium. a result of pericardial effusion or cardiac tamponade
How unprofessional of that woman in the background to be listening to music while everyone else is saving this poor dog.... 😂
I know I’m late but she is actually using a Doppler to get a blood pressure lol. You can see her use a lubricant and a small metal box beside it. That’s the machine itself, you have to listen very closely so headphones are nice.
i thought this would be real doctors and humans. not a bunch of animal lovers and a dog.
well, they are REAL doctors, but for animals. what the f were you expecting from reading the title? leave
@@marie-lynnissa656 lmfao love your response
Vets study even more than doctors for humans actually. They deal with so many different species whereas doctors for us humans only deal with one species. That's so insulting to insinuate they're not real docs. As if being a vet was something anyone can do. Try and study what they have to and you'll see that it's not for the faint of heart. It's many years of studying. The basics of many procedures are similar and animals meds are in many cases exactly the same as for humans.
Veterinarians do what doctors do, with the added challenge of patients of a wide variety of species and patients who cannot tell you how they are feeling and where they are feeling it. I'm sorry to hear that something in your upbringing has resulted in you having such apathy towards others who are not the same species as you, and seemingly angry at others who do have such empathy.
Wow, I don't know if you are trying to prove your stupidity or something, because the word "dog" is literally in the title and you still thought this was for humans!