The Arterial Line Assessment & Troubleshooting!

@13:07 - I meant "radial" not "femoral" 🤦🏻‍♂️

For this final lesson in the arterial line series, we will be taking a look at the assessment of our arterial line. There are a few things to be assessed, both at the beginning of the shift, as well as with our periodic assessments and I do my best to cover those things here. At the end, we also talk about some of the different scenarios to troubleshoot issues with the arterial line.

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0:00 Intro
1:21 First Assessment
2:29 Zero & Level
6:18 Routine Assessment
8:58 Troubleshooting
14:17 Wrap up

#ICUAdvantage #ArterialLine #Aline

[ICUAdvantage]

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[andypayne]

awsome series thanks! none of the nurses on my unit could explain to me what a square test was, so thank you for being there when they couldnt!

[elizabethdiaz]

This was such a thorough review. I love love love your videos. Thank you so much ❤

[michaelquarshie]

This was very useful, especially tonight. My patient’s A line waveform began to flatten out of nowhere. My initial thought was low pulse pressure. I watched this video which taught me how to do a square wave test, then zeroed, then checked the alignment to make sure the transducer was at phlebostatic axis, all to be certain it wasn’t a problem with the A line. Turned out I was right.

[munaabed]

Great explanation! I need to ask you about the patient's position (e.g. lateral position, high Fowler's position) and its relationship to leveling and accuracy of BP readings. Thanks!

[baileybunsen]

Awesome job! as a new civic nurse I greatly benefit from your videos. If possible could u maybe go over stopcocks ?

[Flippinpinoy]

@5:15 we use those Velcro foley straps to keep the transducer at phlebostatic axis. We use it for a lines more than foleys in my ICU lol
Works great

[wesamzaen]

Great as usual, I worked in cardiac surgery unit for 4 years, still you adds a lot to me. Thank you.

[DarshanaRokade-mhtb]

Wonderful wonderful explanation, Thank you so much for explaining in such an amazing way . Question - why to keep 300 mm hg pressure in the pressure bag??

[isabelhovig]

My patient’s wave was over damped, and everything on this checklist was fine. For the square wave, I did a hard flush at the stop cock closest to the pt. It would whiten the palm of his hand and send searing hot pain into his wrist/hand for a few seconds (but the hard flush corrected the wave form and BP reading). What could have the palm pallor & pain indicated?

[joshmccord]

Do you have any videos on insulin drips and what all needs to be corrected before the drip can be discontinued??

[rosswillison]

Thank you Eddie for these excellent educational videos. I really appreciate it. Quick question, where did you get the information about it not mattering where the transducer is located when zeroing the ART line? I tried explaining this to some colleagues, but would like to back it up with a reference. Thx. Also could you discuss the reasonihg behind using a separate extension line w a stop cock and why you hand it to the MD separately from the pressure line itself? Thx.

[LifeRNhungrynursetravels]

This is great! Thanks for the overview!

[KCZ]

Sir, as u have clearly explained that there well be a changes in blood pressure with change in the level of the transducer with respect to the phlebostatic axis. Can you please tell if there will be any changes in blood pressure recording if the site of cannulation is kept above or below the level of the phlebostatic axis?

[SuperMCKlappstuhl]

Great Content, Thank you! 😊What's your opinion about removing a clot from an arterial line via a syringe?

[slgallow]

Thanks for the great video! I’m wondering, is a “whipped” waveform the same as an under damped one or is that something different altogether?

[riveriajamming]

what happens in the case of leveling transducer to the tragus in the case of TBI?

[themindsetsecret]

Hi thank you so much for this, amazing help!!
I just have a stupid question- pressure bag is supposed to be 300mmhg to prevent backflow. I got that but why 300? It delivered 3mls/hr flush but why 300?, it could be 200 or 250?? Lol I just can't find any answer for this. Could you please help me? Thank you so much!

[nimochoudhary]

Assalamualaikum. Edy sir. Well defined as usual. 👍❣️

[gracep]

Is there any chance you could do more PICU-specific videos? Thank you!