mental roadmap to CVC

Visualizing the tip of the needle

The tip of the needle is visualized best when the bevel and the probe are perpendicular (90°):

On the right, when the probe is tilted until it is perpendicular to the needle (in red), the needle tip is far more prominent in the ultrasound image (below), compared with holding the probe perpendicular to the skin surface on the left.

https://www.youtube.com/watch?v=nJCcJu4e-yM

to-and-fro method for U/S-guided dynamic needle tip positioning: to-and-fro method

DNTP to and froDownload

FOAMed resources

General information

https://derangedphysiology.com/main/required-reading/equipment-and-procedures/Chapter%20211/central-venous-access-device-insertion

https://www.pocus101.com/ultrasound-guided-central-line-placement-made-easy-step-by-step-guide/

Visualization of the needle

https://pie.med.utoronto.ca/OBAnesthesia/OBAnesthesia_content/OBA_needling_module.html

https://icuscenarios.com/tirbo-20-understanding-the-needle/

https://youtu.be/nJCcJu4e-yM?si=6vfcVjyqEcI4qEdv

Tipps and tricks by Scott Weingart

https://emcrit.org/squirt/central-lines/

https://youtu.be/ukEv7NgH3iQ?si=1QYuiwxm5fNWiWTw

https://youtu.be/XUjncj6ybak?si=TnPtO1GUgZVN1nEN

Subclavian vein

https://emcrit.org/pulmcrit/shrug-subclavian/

https://www.nejm.org/doi/full/10.1056/NEJMvcm1406114

https://www.pragueicu.com/video-courses/subclavian-vein-cannulation?fbclid=IwAR0kh1s98M6Vxmrozwaj4xBqS74tRbyK6CtWotsKWfBHlgY0O2B7KgVTDqo

https://player.vimeo.com/video/667146179?h=18cf49fd79

https://youtu.be/x88QJGdFkWc?si=k98Str7t5aLXDS31

https://www.tamingthesru.com/blog/procedures/ultrasound-guided-subclavian-line-pearls

https://www.acep.org/emultrasound/newsroom/sept2019/tips-and-tricks-us-guided-subclavian-vein

Troubleshooting

https://youtu.be/JFL-DULJPgU?si=LPO-bCl46bU80Ik3

https://youtu.be/xBDOuUxBswo?si=pT9swXWchuwvWvdL

Argument for OUT-OF-PLANE by Brandon Oto

https://youtu.be/nJCcJu4e-yM?si=6vfcVjyqEcI4qEdv