Thank you. I have been trying to learn this skill. I've only been successful 1of almost 20. And now I know why. Nobody showed me the walk-down technique to determine actual needle depth/position. I've basically been depending on sheer luck. This now makes so much sense. Also, no one warned me about the nerve/honeycomb morphology.
@supreetsingh7797
2 ай бұрын
That’s the best demonstration of walking the needle into the vessel via ultrasound I’ve seen. Thanks it really helped me understand the concept.
@livingobject
Жыл бұрын
100% the best USIV video on KZitem. I saw this last year and forgot to save it. I liked this so much that I spent hours looking for it again.
@iTzMaJorTaK
11 ай бұрын
This is probably the most helpful US guided IV technique I’ve learnt.
@aclearlake6210
3 жыл бұрын
Short to the point, described everything necessary, interesting presentation and voice. Thank you so much you are helping a lot for my real practice, Teacher Dr.
@supaahflyy
Жыл бұрын
Just want to say thanks for this video. People sometimes forget when learning a skill you have to teach someone the basics before the advanced stuff. The theory behind it made the movements make so much more sense. Hit 4 out of 4 today. Thanks Dr. Zahn
@acorfamily
2 жыл бұрын
Just starting with our hospital's IV Team in 2 days. This was extremely helpful. Thank you Mr. Greg for sharing your expertise.
@Karicar90
Жыл бұрын
Omg the Pythagorean theorem idea is genius!!! This whole time I've been puncturing close to the probe and loosing the tip when the skin inevitably tents and then scrambling to find it! It's worse when I puncture the vein and the screen starts turning black because now there's blood leaking into the area and i can find the needle! Luckily I've been able to get most of the IVs I've tried but it takes me anywhere from 5 to 20 min mostly just looking for the needle tip!! Im going to try this with my next US IV!!
@HaemDream
2 жыл бұрын
Best video I’ve seen on this thus far - coming from a junior doctor (UK) still getting to grips with US cannulation. To the point with video examples and evidence backing up points. Thank you!
@cassandraneely7971
20 күн бұрын
Great video! I agree with your advice: learn one hand method to advance the catheter vs setting the probe down in order to have two free hands. 😅 There is no greater feeling when you obtain initial access for a “DIVA”. Yet, there is no feeling worse, when it then goes South because you set the probe down 😓
@jamesstrickland1073
3 жыл бұрын
Thanks Greg, I missed an attempt today and this was a perfect review of my practice
@jimmyjohns284
2 жыл бұрын
its a tough skill for sure. It took me about 3 months after taking the class to get certified and now im a beast. Be careful as the better you get at them the worse you get with normal ivs. im useless at regular sticks now
@USAWILL
27 күн бұрын
Having a comfortable position makes a huge difference. I used to have difficulty trying to walk the needle because i would lean over and start to get back pain and end up infiltrating or just giving up. I suggest raising the bed high to elbow height or using a chair to take your time and learn the skill. Starting with the bigger vein and then trying smaller ones makes a huge difference.
@larisakrinochkin2079
2 жыл бұрын
Your video is the most helpful from other I have seen so far
@epinephrinsr71
Жыл бұрын
Hey Greg, thank you so much for this video. It's so far the best I've seen on KZitem and will be sharing with whoever needs to learn in my ED.
@ImTheBlade65
2 жыл бұрын
This is most helpful. Thank you! I will share this video with my colleagues in the emergency department.
@yaruby3008
5 ай бұрын
This is honestly and truly the best explanation thank you so so much
@juliachambers725
2 жыл бұрын
Best video on that topic ever
@mattpainter3318
2 жыл бұрын
Placing these is just second nature to me, but your description is very useful when teaching new staff!
@thomashardy9994
3 жыл бұрын
Nice instruction, with excellent tips.
@sabrinabuttMD
Жыл бұрын
Thank you so much, this is the best video I’ve found!
@edgargonzalez1546
2 жыл бұрын
Thank you for the tips just started doing US guided IVs at my facility. Really useful since when a get a run in with a lot of dialysis patients.
@victorbasta7359
3 жыл бұрын
I am trying to acquire this skill. I’ve watched a number of these videos. You’ve done a great job. Thanks
@gregzahn7754
3 жыл бұрын
Glad it was helpful!
@irynaYe
3 жыл бұрын
Thank you so much!! Now it all makes sence at last... was advised to "follow" the tip.. Easier said.. especially in my clumsy slippery gloves of the beginner... 🙈
@kstclair6815
2 жыл бұрын
wish I had seen this video during my "steep learning curve"... thank you !!
@miriammartin2364
3 жыл бұрын
This an excellent description and explanation, with excellent technique!
@wef0711
3 жыл бұрын
Such an amazing tool. I wish more would acquire the skill.
@MoFerocio
9 ай бұрын
Absolutely FABULOUS video!!
@tomharrison2423
11 ай бұрын
One of the better videos regarding U/S guided IVs. Nice job!
@memyselfi5994
2 жыл бұрын
Thank you! Just what I needed!
@alansmothee
Жыл бұрын
outstanding video on the topic, best one and i've seen many
@andrewhernandez9674
2 жыл бұрын
Solid video on this topic, sir. No doubt it'll be quite helpful for many.
@bellefeu4933
10 ай бұрын
You can flush saline through the line to verify placement with turbulent flow on US.
@SimpleFitNurse
Жыл бұрын
Excellent video. Eventhough I do these, this is extremely educational and I apprecaite you taking the time share this.
@ajabisong
2 ай бұрын
Simply lovely!
@daviddenman1438
3 ай бұрын
Perfect. Will be sharing with trainees
@brooksangela2
3 жыл бұрын
Exactly as they do in the hospital because I get these for my iron infisions
@SquidyBrown
3 жыл бұрын
Excellent, excellent video
@jamesartis9422
9 ай бұрын
Sometimes while using the same ultrasound why do I have trouble finding my needle tip when advancing ?
@vascularaccessconsultingin4946
2 жыл бұрын
Greg, This is one of the best training videos I have ever seen. I have a few questions. What email can I send questions to? Matt Gibson
@neg12003
3 жыл бұрын
Excellent! Thank you.
@mellizatorralba9242
2 жыл бұрын
Thank you, this was very educational.
@doublewideslim
2 жыл бұрын
This is awesome. I can’t wait to try it.
@mskissmyazzify
4 ай бұрын
Thank you
@alptekinakturk4185
2 жыл бұрын
Amazing tutorial, thank you so much
@larisakrinochkin2079
2 жыл бұрын
Thank you so much for this video. I always have a question what a distance should be between the tip of the needs and the probe? Based on your video so if the vein is 0.5 cm distance I should place the tip of the needle 0.5 cm from the probe?!! Thanks
@sana-cm7oc
2 жыл бұрын
Excellent video.
@chrism6904
2 жыл бұрын
The only time I go over 2cm is if I have a 2 or 2.5 inch needle. Its a shame though... my ER stopped carrying them so im stuck with the 20g 1.75in one (though its better than nothing). I
@BlueGlassHue
2 жыл бұрын
Excellent video!!!
@jiteshlk
4 ай бұрын
Salute salute salute
@namsaraiarmaev8859
2 жыл бұрын
Thank you very much!
@0svald0100
11 ай бұрын
Muito bom ,vai me ajudar muito no hospital
@thcthczzzzzzzzzz
8 ай бұрын
Ultrasound machine Specs?
@khurshidalam5792
Жыл бұрын
Who uses an USG for peripheral iv canula insertion!!!
@ahsanullah8689
Жыл бұрын
Thanks
@02hreblue30
3 жыл бұрын
Use the small probe with a dropped centerline, find the vessel. turn it sideways(in plane) and place the IV in plane not out of plane. similar to a block. you can also rotate your IV 180 like a spinal needle and if blood continues to advance you are in. Not rocket science
@gregzahn7754
3 жыл бұрын
Long axis (in plane) works great yet often requires more skill and can be difficult to those new to procedural ultrasound. I think a short axis technique is easier to acquire for the vast majority of users.
@markcollins3853
3 жыл бұрын
Tegaderms are not the best option for a probe cover in this setting. Use a sterile glove.. backwards. Works great and pore size precludes passage of infectious agents to the probe and a avoids all the sticky mess of tegaderms
@gregzahn7754
3 жыл бұрын
Appreciate the comment. I wish there was a perfect option. There are pros and cons to each method/barrier. Regardless of what option you choose, I recommend some type of barrier because sadly in real world practice, placement often occurs without any barrier.
@02hreblue30
3 жыл бұрын
I use Tegaderms every day. work perfect.
@brooksangela2
3 жыл бұрын
Tegaderms are not my best friend when the nurse places it on my skin for some reason it does not stick
@Dagimpish
5 ай бұрын
In the past 7 or so years I’ve placed around 1000 IVs per year and in that span close to 2000 have been with ultrasound guidance. I really like the video and think it can be helpful for people learning the skill, however, wit the example where you were using the simulated vessel I noticed you keep the probe at a 90 degree angle to the patients skin. This gives a glare off the top of the needle and makes the tip of it hard to identify. Tilting the probe to make a 90 degree angle with the needle helps to clarify and identify the needle tip. Failing to identify the needle tip has been the biggest cause of failure that I’ve witnessed in people new to the skill.
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