I used to put all my arterial lines in like this, until I saw the
“Out-of-Plane Dynamic needle tip tracing”-light
(You can tell how old this is by the machine!)
Don’t @me about landmark being easier!
What is your preferred technique?
#AnSky #MedSky #POCUSky
“Out-of-Plane Dynamic needle tip tracing”-light
(You can tell how old this is by the machine!)
Don’t @me about landmark being easier!
What is your preferred technique?
#AnSky #MedSky #POCUSky
Comments
(Genuinely haven’t heard that term before)
Central lines I learned in plane (after I learned landmark technique in first years of training - no US available to us then.
Only in-plane for LRA - because there's no lumen to fill.
I don't really know WHY I'm struggling with in-plane arterial lines, but I am.
And SAX OOP usually works fine for me.
And I'm afraid I can't even really describe WHAT my problem is.
It just doesn't work very well for me.
It's quite like axillary brachial plexus block. I HAVE to stand "head-side" of the patient. My "brain image" works only from there.
I moved from in-plane to out-of-plane, and haven’t really looked back!
@drrobbieerskine.bsky.social told me about this for central lines!
In place for CVCs, out of plane for most arterial cannulations. Still learning I guess
Btw, for these ones I have started putting local anaesthetic above (even in asleep patients) in order to 'push' them deeper and make needle visualization easier.
Definitely a learning curve here, but the scanning/ needling skills are transferrable between invasive lines and regional anaesthesia techniques.
(need an edit button urgently)