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If you’d like to see the video of an actual patient, visit • Ultrasound guided peripheral venous cannul... and view my video: “Ultrasound guided peripheral venous cannulation in an actual patient” . ******** Keyboard Shortcuts(PC) ************* If you feel that the movie is moving too fast, you can control the movie with your computer keyboard as shown below: Spacebar or K: Toggle Play/Pause. Comma key:Inch backwards frame by frame during pausing. Period key: Inch forwards frame by frame during pausing. Left/Right arrow: Seek backward/forward 5 seconds J: Seek backward 10 seconds. L: Seek forward 10 seconds. ********* 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 ************************************************* 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 • How to Safely Cannulate a Difficult Intern... how to make & practice with an ultrasound phantom for IVs, lines, abscess • how to make & practice with an ultrasound... Peripheral Vein Cannulation Using Ultrasound- transverse or longitudinal - which is best • Peripheral Vein Cannulation Using Ultrasou... Ultrasound-Guided Peripheral IV Placement • Ultrasound-Guided Peripheral IV Placement Peripheral Venous Access Under Ultrasound Guidance - Part 1 - SonoSite, Inc. • How to: Peripheral Venous Access Under Ult... ultrasound guided peripheral IV course by Siegfried Emme • ultrasound guided peripheral IV course ... Ultrasound-guided arterial line Placement • Ultrasound-guided arterial line Placement PICC LINE INSERTION FULL PROCEDURE • PICC LINE INSERTION FULL PROCEDURE