Central venous catheterization and PICC line insertions can be difficult and can cause serious complications. Central venous cannulation (CVC) is an important procedure in the practice of emergency and critical care medicine. A PICC line is, by definition and per its acronym, a peripherally inserted central catheter, and ultrasound is rapidly becoming a tool of choice for identifying the venous anatomy needed for success. With the increasing ability of bedside ultrasound the technology has proven to reduce error and improve patient care. The Agency for Healthcare Research & Quality, the Institute of Medicine and the National Institute for Health & Clinical Excellence have all endorsed ultrasound-guided central venous cannulation (UGCVC) as a recommended practice. Given the importance of CVC it is paramount that physicians become proficient with UGCVC.
Ultrasound guided vascular access is rapidly becoming the standard of care in many medical institutions. Basic ultrasound expertise is invaluable, but there is a whole array of ultrasound procedures that can be performed that will increase your effectiveness and diagnostic accuracy. Go beyond the basics and get the skills you need to expand your effective use of ultrasound in your clinical environment!
Participants in this course will benefit from demonstration, hands-on scanning with phantoms where the ultrasound faculty will teach you the essential skills and techniques to perform exams that make a difference in patient outcomes by demonstrating deep vein thrombosis, or need for an intervention that can be done under ultrasound guidance.
At the completion of this course, the learner will be able to:
Define deep vein thrombosis and list factors that would put a patient at risk for DVT.
Explain how to place a central line under ultrasound guidance
Venous orientation and pathology to demonstrate DVT
Upper and lower extremities, to include the jugular, subclavian, femoral, saphenous, basilic and superficial veins of the upper extremity
Proper way to compress veins
Use color Doppler to evaluate areas of suspected DVT prior to inserting a line
Central and peripheral line placement
PICC lines will be introduced as important and time saving ways of managing critically ill patients
Hands-on practice will be offered for all topics using phantoms