Ultrasound guided dynamic needle tip positioning in peripheral vein and artery cannulation

If you’d like to see the video of an actual patient, visit https://youtu.be/8FnyzJzDYds and view my video: “Ultrasound guided peripheral venous cannulation in an actual patient” .

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********** Contents of this video ***************
Click on the blue type below to jump to a specific stage of the video.
00:00 Intro
00:16 "To-and-fro method"
01:33 Demonstration of the effect of adjusting the incident angle on a simulator
02:32 "To-and-fro method" animation
03:22 "Needle blinking method"
04:38 Determination of the skin entry site
05:00 Demonstration of dynamic ultrasound-guided needle positioning on a simulator
06:51 Prevention of pathogen transmission via ultrasound probe
07:58 Ultrasound-guided needle repositioning
09:38 How to make a home-made simulator
10:59 Take-home Message
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As MAGIC guideline suggests, with the aid of ultrasound-guided technique, short catheters and midline catheters should be used more often instead of PICCs and CVCs in the case of difficult vascular access.
The dynamic needle tip positioning technique can be applied to ultrasound-guided cannulation of virtually all peripheral vessels, including hemodialysis arteriovenous fistula, upper arm vein for PICC and midline catheter, and radial artery for monitoring. One exception is calcified arteries (e.g., radial artery of dialysis patients): In such cases, the “needle blinking method” may not work because the ultrasound beam does not penetrate the calcified wall.

A nephrologist in Kyoto, Tadashi Kamata, MD

*************** Relevant YouTube video ***************
How to Safely Cannulate a Difficult Internal Jugular Vein on the First Attempt
https://youtu.be/UfKl2iVbrYs

how to make & practice with an ultrasound phantom for IVs, lines, abscess
https://youtu.be/I-Wqu6Tp8U4

Peripheral Vein Cannulation Using Ultrasound- transverse or longitudinal - which is best
https://youtu.be/RHpzLJHebMU

Ultrasound-Guided Peripheral IV Placement
https://youtu.be/-fduIjQ8EH4

Peripheral Venous Access Under Ultrasound Guidance - Part 1 - SonoSite, Inc.
https://youtu.be/lREUPXCpK8Y

ultrasound guided peripheral IV course by Siegfried Emme
https://youtu.be/d8VFgb9Edfw

Ultrasound-guided arterial line Placement
https://youtu.be/YOxyssqqYNE

PICC LINE INSERTION FULL PROCEDURE
https://youtu.be/9FvUsjje8ic

Видео Ultrasound guided dynamic needle tip positioning in peripheral vein and artery cannulation канала Ultrasound instruction video