The Ski-LIft: a technique to help with ultrasound guided access

This is a repost of an older post from the old version of the blog.  The video is the original and a little older quality.  I plan to eventually redo the video with some additions; but for the time being here is the video for reference and education.

 

My colleagues and I published an article in Academic Emergency Medicine, the journal for the Society for Academic Emergency Medicine, about something we termed the Ski Lift.  This is a method to help assist in viewing the needle during in-plane guidance for realtime ultrasound guidance for vascular access.

A brief description is presented here with a video, the full article can be found at:

Academic Emergency Medicine Vol 17 Issue 7 Page e83-e84, July 2010.

  1. Obtain a sagittal view of the target vessel
  2. Stabilize the transducer and brace your hand.  Then rock the probe to elevate the proximal section.
  3. Place the needle in the center of the probe (usually at the case seam) and under the probe footprint.
  4. Stop rocking the probe so the entire surface is again contacting the skin, the needle tip should be immediately visible.
  5. Advance the needle to the target vessel

Introduction to Ultrasound Physics for Point of Care Users

Video of basic ultrasound physics for the point of care users who is starting to learn ultrasound.  Targeted at new and early users including residents.  This is a more expanded version of the primer video that was a bare bones discussions.  This cover the majority of topics that would be needed to start the resident education for meeting ACEP guidelines at graduation and the EM-RRC Milestones.

SonoSite Turbo Hard Reboot Instructions

This is a short video demonstration with instructions of how to perform a hard reboot on your SonoSite Turbo system should it freeze and be non-perational.

Most times when the system, touchpad, or keyboard freezes you can hold down the power button until it powers down for a soft reboot.  If this fails you have to move onto the hard reboot.

This should also work for your other clamshells systems (MicroMaxx, Titan, and Edge).  However, the S series is set up a little differently.  The Exporte has a whole different setup for reboots.

US Guided Central Venous Catheter Kit Walk Through

This is a video from operator point of view of the placement of an ultrasound guided IJ central venous catheter.  The video uses a head mounted camera so there is a bit of movement so warning if you get motion illness early.

Yes I know, the bedside table had to be elevated for the camera angle and images so the edge of the kit wrapping relative to the drape is not ideal for sterile technique.

The video uses a Cook Spectrum antibiotic impregnated catheter with a Biopatch, chlorhexidine impregnated bandage.  Central line kits and contents will vary based upon manufacturer and customization.

Video provided for educational and informational purposes only.

I do not currently receive any funding or support from Cook or Biopatch.

US Guided Central Venous Catheter Kit Walk Through

This is a video from operator point of view of the placement of an ultrasound guided IJ central venous catheter.  The video uses a head mounted camera so there is a bit of movement so warning if you get motion illness early.

Yes I know, the bedside table had to be elevated for the camera angle and images so the edge of the kit wrapping relative to the drape is not ideal for sterile technique.

The video uses a Cook Spectrum antibiotic impregnated catheter with a Biopatch, chlorhexidine impregnated bandage.  Central line kits and contents will vary based upon manufacturer and customization.

Video provided for educational and informational purposes only.

I do not currently receive any funding or support from Cook or Biopatch.