Ultrasound Guided Vascular Access

In this lecture from our Ultrasound Grand Rounds, Dr. Matthew Tabbut, MD talks how to use ultrasound to guide vascular access.

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This is the official account of the Case Western Reserve University & MetroHealth Medical Center Emergency Medicine Ultrasound Division. Videos are not medical advice or views/policy of these institutions.

[domagojmusulin]

I think this is the most complete video about USG VA on internet!
Greetings from Croatia 🇭🇷

[andreastewart]

I have been doing this for at least five years maybe a little longer. I’ve always given myself an 85% success rate. Your video helped to validate what I was doing correctly and showed me opportunities for improvement. Thank you because I’m pretty sure when I first started doing this there weren’t that many ultrasound videos and the ones I did find were not great. The past few years there have been some that have been better but yours by far has been the best. I look forward to going to work and the next time someone wants me to try to start an IV using the ultrasound I will be trying these techniques. Thank you so much for sharing.

[jennysong]

TY for this informative lecture! I've been struggling with ultrasound guided vascular access for difficult patients but I'm looking forward to trying it again post watching your video !

[yuehhanlin]

Thanks that was very comprehensive. Any suggestions about applying traction for loose skin. Sometimes i run into issues puncturing the vein on older patients.

[berserksc]

How can you tell if there are nerve bundles around the vein?

[bettysmith]

Meh, those probe covers are around 7.00 a piece. I work on a vascular access team and we still use Tegaderms for regular PIVs without any issues. We wipe the outside of the teg with CHG once it's on the ultrasound probe and use sterile gel, and obviously clean the arm with CHG.