The YouTube age block is triggar happy with medical content. But please enjoy our staked out path from CVC A-game to better drains. In-plane FTW! Become a Seldinger-god!
Re-uploading an edit of the Seldinger Masterclass. We had a YouTube strike for some policy violation about blood.
Please support our anaesthetist friends by watching and sharing wildly (or just share once, or not at all, that's ok too...) youtu.be/kNIzWujmfDk?si=Fmn2… via @YouTube
Check out our latest video on using your central line skills to place Pleural Effusion Chest Tubes. DMs, requests and comments preferably on B sky @interanest.org
youtu.be/_yxGNKpZSiQ
In our latest video we demonstrate how you can use your central line skills to place better pleural effusion chest tubes. In-plane! Microconvex probe! Painless! Safer! (@InterAnest.org) youtu.be/_yxGNKpZSiQ
So #MedTwitter has migrated. We've tagged along and you can follow us by our handle InterAnest.org We've got a couple of great videos lines up, taking Seldinger technique to the next level, including our big project Chest Tube Academy. See you there.
New video! Periocardiocentesis under real-time, in-plane ultrasound guidance. Safer, quicker, more convenient. It's boss-level Seldinger-technique, not for the feint of heart, but attainable in the right setting, with the right plan and right backup.
youtu.be/61FPmtw5RAM
InterAnest is leaving Zermatt for this time, minds blown, exhausted and inspired. @TBS_Zermatt stands head and shoulders above all other conferences. Thank you so much.
Don't miss out on cutting edge talks on critical care, emergency medicine, resuscitation, prehospital medicine and physiology from world experts.
#FOAMed at its best
LIVE from Zermat Wed-Fri
Programme and stream:
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RA people! What is minimum observation/monitoring time/staff/setting for single shot US-guided femoral/PENG of hip fractures? Case: little old lady fast tracked to ward after X-ray in middle of night. Some oxycodone in ambulance. Good block effect.
20ml Ropi or Chiro. Dr stays? (But is extremely bussy, can be available by phone). Nurse stays? Orderly stays? They have many patiens to attend to. Sat/BP? (Easy) ECG-rythm? (More time consuming) 30min? 60min? MEWS 10,20,30 min post block?
Thing is: the best may be enemy of the good. If monitoring too extensive, either corners are cut or little lady gets no block during the night. And tied up staff aren’t available for other patients who may need care!
Here's a cheap and convenient US-probe cover. With chlorhexidine as contact medium, and ALWAYS maintaining a 5 mm distance to puncture site, this is my go to for peripheral lines, femoral blocks and midlines. BUT respect your local guidelines. youtu.be/3PhGNpahmZQ
Central Line People! I’m looking for formal protocols for entrusting CVCs to beginners. Please send examples! Do you have a minimum amount of observerved procedures? Teaching modules? Supervisor sign off? Or do you let them pick-it up as they go and hope for the best?
What is a reasonable minimum level of observation post-femoral (20ml normal dose) nerve block? Orderly/nurse bedside 30 min. Vitals at 10, 20 and 30mins? Telemetry for an hour? My local written guidelines are not compatible with our staffing reality. Suggestions/refs appreciated.