February 21, 2022

Utilizing Real-Time Ultrasound-Guidance for Vascular Access.

Written by: Mark Swanson RDMS, RVT

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Real-time Ultrasound Guidance increases the first pass and overall success rates and reduces the risk of complications when performing central venous, peripheral venous, or arterial access.

Proper transducer manipulation and system optimization is the key when performing ultrasound-guided vascular access.

In a dynamic approach, the procedure is performed using real-time ultrasound guidance of the needle entry and visualization of needle tip placement. Ultrasound guidance improves success rates and decreases complications when compared to the static approach or landmark technique. Real-time needle visualization is performed using a Short-Axis (Out-of-Plane) or Long Axis (In-Plane) technique.

In a short-axis view, the imaging plane is perpendicular to the course of the vessel, and the needle is visualized as “out-of-plane”. The vessel will appear as an anechoic circle on the screen and the needle is visualized as a hyperechoic point (dot) in cross-section.

In a long-axis view, the image plane is parallel to the course of the vessel, and the needle is visualized as “in-plane”. The image will ideally display the course of the vessel across the screen visualizing the needle shaft and tip as it is advanced during the vascular access procedure.

Introduction and Advanced Emergency Medicine & Critical Care Ultrasound Live Training Course provides participants a strong foundation to perform and/or interpret the core and advanced ultrasound applications in an emergency setting as outlined in the ACEP and WINFOCUS ultrasound practice guidelines. These courses are taught by leading emergency medicine and critical care ultrasound experts that incorporate comprehensive lectures, interactive case presentations, system optimization, and needle guidance sessions. Extensive Hands-On scanning sessions feature a 3:1 faculty to participant hands-on scan ratio with live models and phantoms to allow the learner to immediately integrate the skills learned into clinical practice. In this five (5) day program, participants will learn ultrasound techniques for the entire emergency medicine & critical care specialty. Each participant also receives scanning checklists for reference purposes and a Case Log of over 100 exams performed that may be used for hospital credentialing purposes.

   Introduction to Emergency Medicine Ultrasound Course

   Introduction to Critical Care Ultrasound Course

   Introduction and Advanced Emergency Medicine & Critical Care Ultrasound


About the Author

Mark Swanson RDMS, RVT

Mark is the Senior Clinical Instructor and Product Specialist at Gulfcoast Ultrasound Institute, Inc.

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