Ultrasound.Guide
  • Home
  • Modules
    • Introduction to Ultrasound
    • Ultrasound Basics
    • Aorta and IVC Ultrasound
    • Thoracic Ultrasound
    • Finding Fluid
    • Procedural Ultrasound
    • FAST
    • Echocardiography
    • Emergency Echo 5Es
    • Renal Ultrasound
    • Pelvic Ultrasound
    • Gallbladder Ultrasound
    • Artifacts
  • Blog
  • About

Look Before You Stick!

  • Slide 1 of 7
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7

Look before you stick


         Continue          


Narration

So ultrasound can be helpful in any procedure where you are trying to access fluid, but an important principle is that before you put a needle in something, you want to make sure there actually is a fluid collection that you can access. This is an example of a patient who was thought to have a joint effusion at the metacarpophalengeal joint of the hand-it was swollen and tender, but when you look with ultrasound, if you look carefully you can see

Arthrocentesis

slide text


sensor position

         Continue          


Narration

bones, the shadowing, and the joint space and there is really no fluid in this space, so it's going to be futile to try to put a needle in that.

Arthrocentesis


         Continue          


Narration

This is contrasted to a knee effusion here where we see that needle going in and entering that fluid filled space. If you have a large joint effusion you may not need ultrasound to identify it, but in this case we can find the shortest distance between the skin and the fluid collection and here we are showing dynamic guidance of the needle into the space.

Cellulitis vs. Abscess

“Cobblestoning”


         Continue          

Cellulitis vs. Abscess

Note air bubbles


         Continue          

Other


         Continue          

US Guided Procedures - Summary

  • Start with peripheral IV access
  • Understand in-plane vs. out-of-plane
  • Know where your needle tip is
  • Practice!!!

         Continue           


Procedural Ultrasound

--- Table of Contents ---

Lesson NameMinutes id
Introduction5
111
Basics3
112
In and Out of Plane4
113
Peripheral Vascular Access4
114
IJ Access2
115
Femoral Access2
116
Subclavian Access & Confirmation3
117
Other Procedures3
118
Thoracentesis & Paracentesis3
119
Cardiac Procedures4
120
US Guided Nerve Block1
121
Look Before You Stick!4 checkmark
122
Quiz Question #11
123
Quiz Question #21
124
Quiz Question #31
125

This website is for medical professional education. Contact a healthcare provider for medical care. © 2021 Clinical Skills Education LLC | Terms and Conditions | Privacy Policy | Comments & Feedback

  • facebook like
  • twitter like
  • linkedin like
  • email share