Arterial Line - transducer and zeroing | Student Doctor Network
2011年4月19日 · One may sometimes be interested in leveling the arterial line at another point. Essentially, the level at which you zero the arterial line will measure the arterial pressure at that level. Which means that if your patient is in some sort of unconventional position (eg. sitting bolt upright) you may wish to measure at the level of the tragus ...
Arterial lines stop working | Student Doctor Network
2018年3月10日 · I’ve had a case recently we’re my radial art line stopped working mid case. Attending thought I punctured at too steep an angle, but I’ve always used about 45 degree angle and then flattened. I generally use the arrow radial kits. Anyone have an idea about why arterial lines stop working, or am...
Underdamping/Overdamping of Arterial Pressure Waveforms
2016年10月20日 · Miller (6th ed p 1279-1280) recommends placing the transducer "5 cm below the sternal border in the fourth intercostal space" so E is wrong because zeroing at the sternal angle would underestimate the MAP. If D is wrong (as the board claims), the implication is that long tubing either increases or doesn't change resonance in the system.
Suturing arterial lines | Student Doctor Network
2007年7月27日 · I believe it’s good practice to suture A-lines on ICU patients. In the OR it’s ok to have that arrow catheter because you aren’t really moving the patient but in ICU where arterial line is in for a week there is every chance that it may get pulled out if patient is getting hoyer-lifted, proned or ambulated by PT/OT.
Arterial Lines? | Student Doctor Network
2014年1月7日 · 3. What I was saying is having an arterial line in the specific situations we mentioned SAH, ICH, severe hypotension in my opinion is easier to titrate my sedative and or my vasopressor with. IN the SAH example when you stick the laryngoscope in you know if you have blunted their sympathetic surge with propofol + opiate of choice.
Arterial line | Student Doctor Network
2017年10月13日 · Especially peri-intubation. I am sure we would have less perintubation codes if everyone had an arterial line. Then I slowly managed to get better. By doing arterial lines every attempt I could get. I never let the medstudents,residents,NP do the arterial line if I had the time. And followed the rules which were : 1. U/S 100% of the time if ...
Femoral arterial line placement during codes - Student Doctor …
2013年1月30日 · The intra-arrest arterial line seems like a stepping stone for many of the FOAMed talking heads. ACLS management has been pretty stagnant for decades without improvement in outcomes. Arterial blood pressure measurement may help differentiate the cardiac arrest patient into different phenotypes, especially by identifying profound shock with …
Avoiding the brachial plexus when placing axillary a-lines
2008年7月19日 · I've started going straight to an ultrasound guided brachial a line, identify median nerve and avoid, as easy as and quick as US RIJ central line. complications unlikely to be much higher, probably approximates central aortic pressure better than radial a line and will likely last longer in the ICU. It is also a well tolerated location.
Arterial Line for VATS | Student Doctor Network
2008年10月7日 · During my training always put an A-line for the VATS....no big deal, adds 5 minutes, pretty safe, and I find the information it gives you useful. Helps me keep an eye on PAO2,CO2, BD, HGB, Glu, beat to beat variabilty, etc. Our new surgeon does not want them on his patients....I am okay with...
Mediastinoscopies & arterial lines | Student Doctor Network
2002年3月6日 · Indications for Arterial Line Placement 1. Failure to obtain non-invasive blood pressure 2. Anticipated ...