How to Perform a Femoral Vein Ultrasound

This video demonstrates how to perform a femoral vein ultrasound.
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Timestamps:
00:00 - Intro
00:33 - How to position the patient for femoral vein ultrasound
00:57 - Prepare the leg for scanning the femoral vein
01:25 - View the vessels in the ultrasound image of the femoral vein
2:22 - Apply compression to view more vessels within the femoral vein
3:07 - Continue scanning along the abductor region
4:43 - View more than one vein compressing
This video demonstrates the use of handheld ultrasound in performing a femoral vein ultrasound. The patient starts in the supine position and then rolls slightly towards their affected leg, which in this case is the left leg.
Take the gel and place a small amount on the inner thigh. Take a handheld ultrasound device. In the video, it's already been selected for a vascular preset. The linear transducer has already been selected. So, it's in behind the femur. Go from the common femoral vein down to the abductor region. Place the transducer in a transverse plane at the groin crease and look for vessels on the image. If necessary, adjust the gain and the depth. You can now see the vessels.
In the video, two vessels appear in the image, which means the positioning is slightly too low in the leg. Start at the common femoral vein, above the saphenofemoral junction. Slide up until you see the two vessels. Now, the common femoral artery is on the right of the screen and the common femoral vein on the left. Then, use a downward compression to compress the common femoral vein and release.
In the video, it's been proven there's no DVT or thrombus at that level. So, slide slightly down from there, about a probe width, and you can see a vessel coming off the common femoral vein, which is the great saphenous vein, at the saphenofemoral junction. Compress again, making sure the walls of the veins coapt completely, to exclude the DVT.
Now, slide further down from the groin and continue the compressions all the way down to the abductor region. In the video, there are now three vessels visible. Adjust the gain slightly. Now, when compressing, you can see there's two round circles compressing. Sometimes there's a duplication of the femoral system, and that's where we can see that at the moment. Continue down the leg until you get to the abductor region, compressing as you go every centimeter.
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Learn more about GE Healthcare handheld ultrasound:
United States: handheldultrasound.gehealthca...
Europe: www.vscan.rocks/