Initial Steps to Central Line Insertion

Central Line

[@mahrouky]

the best video on landmark technique on youtube thank you

[@naturalobserver]

Super helpful as only video I've seen going through landmarks in good visible detail. Love the alternative landmarks, thyroid cartilage, 3 fingers etc. that will be super helpful in the obese patients. Well done

[@ritathomas3353]

Thank you so much😊 beautiful alternative landmarks explained so clearly..three fingers, thyroid cartilage etc..will be so helpful

[@laizerlaizar6829]

God bless doctors it's helping

[@codyhambleton3729]

Thank you for the video without using ultrasound. As an SRNA, I would like to learn both with and without the ultrasound in case you do not have time for it or I am in a facility without one.

[@robertomedina9824]

Thanks, your video helped me.

[@mightyoak11111]

Thanks for posting. Viewers should know though that the standard of care today for IJ central line placement is ultrasound guidance. Because just about every medical facility in the US has ultrasound available, there is no excuse not to use it while placing a central line. It significantly improves safety and decreases complications.

[@PainH8er]

That is a great point. These videos are outdated. I will make sure to put a note on the video specifying this as soon as I can. I still think they teach good overall principles about the steps to take, but I agree that they are not current with the latest practice guidelines. Thanks!

[@mikekarras5960]

Hi sir, I just wanted to thank you very much for showing procedure without a ultrasound. There are still paramedics (like myself) who do these in the field and have zero access to an ultrasound. So your video on landmarks and access without ultrasound is still very useful

[@kevinonaya8494]

I have learnt thank you

[@joeblundell299]

Just wanting to give a WARNING on PICC lines, they should never be inserted into a person with total leg paralysis that only has their upper body for transfers. The transfer from wheelchair to bed is enough to severely damage the brachial plexus nerves, and cause permanent paralysis to the patients arm.

[@PainH8er]

It all depends on where you practice, but yes, they can do central lines

[@darsheelkhushale2385]

Sir ur video good5. But I get confuse sometime about arterial venous blood help me . Please reply

[@PainH8er]

What is your specific question about arterial and venous blood?

[@drrajdeepdhandhukiya]

Arterial blood sign : bright red Pulsatile There will be jet of blood as soon as you remove syringe Even if you missed all these sign you will have great resistance while inserting guide wire And if these couldn't make you alert there will be back flow in iv set At last X-ray will tell you position of central line

[@ATLTraveler]

I volunteered to have this done as an example in medical school and it hurt like a MOOOOOTHERFOOOOKER...

[@ilearn5]

you VOLUNTEERED for this? God bless you, sir...

[@ATLTraveler]

@@ilearn5 yeah I immediately regretted it...

[@ilearn5]

@@ATLTraveler I mean the risk alone.... You should've at least been offered dinner first.

[@sergioveresso4129]

Спасибо,хорошо поставлено видео.Хотелось бы увидеть как это делается при остановке сердца,когда нет ни ультразвука ни пульса на сонной артерии и шея короткая толстая.А не на манекене.

[@yootuubinatwerk]

had it done hurts like hell

[@darsheelkhushale2385]

How do I know I puncture vein and artery . Can u show sir how to differeciat

[@drzee303]

Thanku sir

[@bofarouqali951]

There is no need for two needles. Just insert the catheter then put your lead . Or use US .

[@amarazeeshan4041]

So painful 💔 😢

[@tilak231]

Where are the links???

[@darsheelkhushale2385]

I know artery bright red vein dark red . But still

[@Oreogorgeous]

great video. tq!

[@LarikHdd]

Thank you

[@SuperHellojk]

do AA ( anesthesiologist assistant ) do central lines

[@IronMan-sg9we]

great job thank you

[@dentaltube2775]

👍👍

[@darsheelkhushale2385]

Please reply

[@rpivangchhia3937]

See

[@fernandadaniela636]

hola

[@Rob-d9b]

no handwashing...typical

[@PainH8er]

You are correct. I should have showed the handwashing.

[@questerr1]

I'm

[@bettymitchell1176]

where are rubber gloves?

[@ATLTraveler]

@@bettymitchell1176 he's literally wearing gloves lol...