Very comprehensive tutorial! I greatly appreciate the time and effort you put into this presentation-from setup to pitfalls. Having practiced USIV cannulation over rhe past 5 years this video reminded me of some of my initial struggles. I'm sure this material will help others to gain mastery.
Hello, great videos. Just out of curiosity, what IV brand/style do you use for ultrasound guided IVs? Where I work we currently use BD Nexiva 1.75" long IVs for US-guided IVs.
Thanks for sharing, very hard to find such practical tips. Quick question, why a 15 degree angle between skin and probe? Why not directly perpendicular ie 0 degrees?
@@TheMCATDisciplesI thought it might be so, but even in ur sniper technique for example the angle between ultrasound and needle is then 60 rather than 90 degrees. Does that pose a problem? Or to ask this question in another way what will the practitioner see if they maintain 0 degree probe angle/less than 90 degree ultrasound to needle angle?
Yes, the sniper technique is partially blind due to this 60 degree needle/probe angle, thus you will likely only see needle shadowing rather than a bright spot until you are within the vessel lumen, where the ultrasound wave conductivity improves due to the fluid (blood) within the vessel lumen.
@@TheMCATDisciples *Hi* ( 1 ) Would you ever recommend placing a PICC Line without using any of these guides: a fluoroscope or ultrasound or CCVC? ( 2 ) What are the consequences of not using these guides? ( 3 ) For example, if one attempts to insert a PICC Line *into the left basilic vein* , but after placement of the sheath excessive bleeding occurs *because the PICC Line was actually placed into the artery in Error* after realizing this it is decided let's hurry and remove this!............ (3 A) Is this a huge mistake? (3 B ) And what are some of the possible long term effects months or years later following this? *TY*
@@internationalintellectcrow2865 I can’t answer a question this specific over TH-cam. If you have a question related to techniques in sonography, I would be happy to answer them.
Very comprehensive tutorial! I greatly appreciate the time and effort you put into this presentation-from setup to pitfalls. Having practiced USIV cannulation over rhe past 5 years this video reminded me of some of my initial struggles. I'm sure this material will help others to gain mastery.
Best teacher ever.
Great video! I was having a hard time explaining some techniques to my trainees. This video has helped a lot!
This is amazing!! Very useful video!
Thank you! Shares are welcomed!
great video !!! Learned so much
Hello, great videos. Just out of curiosity, what IV brand/style do you use for ultrasound guided IVs? Where I work we currently use BD Nexiva 1.75" long IVs for US-guided IVs.
Thanks for sharing, very hard to find such practical tips. Quick question, why a 15 degree angle between skin and probe? Why not directly perpendicular ie 0 degrees?
Having a 15 degree probe-skin angle helps to reach that ideal 90 degree needle-probe angle for needle visualization.
Also thank you for your comment, please share with your colleagues 😊
@@TheMCATDisciplesI thought it might be so, but even in ur sniper technique for example the angle between ultrasound and needle is then 60 rather than 90 degrees. Does that pose a problem? Or to ask this question in another way what will the practitioner see if they maintain 0 degree probe angle/less than 90 degree ultrasound to needle angle?
Yes, the sniper technique is partially blind due to this 60 degree needle/probe angle, thus you will likely only see needle shadowing rather than a bright spot until you are within the vessel lumen, where the ultrasound wave conductivity improves due to the fluid (blood) within the vessel lumen.
@@TheMCATDisciples understood. thanks again for the video and for taking the time to reply
excellent
Thank You for sharing but I have questions
What are your questions?
@@TheMCATDisciples *Hi* ( 1 ) Would you ever recommend placing a PICC Line without using any of these guides: a fluoroscope or ultrasound or CCVC? ( 2 ) What are the consequences of not using these guides?
( 3 ) For example, if one attempts to insert a PICC Line *into the left basilic vein* , but after placement of the sheath excessive bleeding occurs *because the PICC Line was actually placed into the artery in Error*
after realizing this it is decided let's hurry and remove this!............ (3 A) Is this a huge mistake? (3 B ) And what are some of the possible long term effects months or years later following this? *TY*
@@internationalintellectcrow2865 I can’t answer a question this specific over TH-cam.
If you have a question related to techniques in sonography, I would be happy to answer them.
@@TheMCATDisciples Sure is there a email to ask these questions?
?
How is probe-to-skin angle 15 degrees? It’s clearly > 90 degrees according to picture… You mean probe-to-vertical plane angle 15 degrees, isn’t it?
Correct, 15 degrees from the vertical plane
fabulous video. But, why talk like a cowboy huffing smoke? Not like that in any other videos...