Top Tweets for #NeedleTracking

about 1 year ago

🔍💉 Sharpen the View: Mastering Needle Visibility in Ultrasound-Guided Blocks ✨🧠 #UltrasoundGuidedBlocks #NeedleVisibility #RegionalAnesthesia #UltrasoundTechniques #EchogenicNeedle #NeedleTracking #POCUS #UltrasoundEducation #AnesthesiaTips #MedTwitter #MedicalInfographics #BlockTechniques #TipOfTheDay #MyRATips Tip of the Day: ⚖️ FRCS vs PHART Framework 🔷 FRCS – Image Optimization for Diagnostics (POCUS & Scanning): Designed to maximize visualization of internal structures, ideal for initial assessment and diagnosis. 🔄Fanning: Pivoting the probe in an arc to visualize the full extent of a structure (e.g., a vessel or nerve). 🔁Rotation: Clockwise or counterclockwise turn of the probe to align anatomical landmarks with the beam. 👞Rocking (Heel-Toe Maneuver): Tilting one end of the probe to center the beam over curved surfaces like vessels. 📦Compression: Gentle downward pressure to collapse veins, remove air, and enhance contact. ➡️Sliding: Shifting the probe linearly across the skin to trace a nerve or vessel. 🧹Sweeping: Wide arc movement to explore deeper or adjacent areas. 🧠Uses: Pre-block scanning to identify structures, confirm sonoanatomy, and assess for anatomical variants. Click this link to know it better: https://t.co/BDOLLqHpR5 🔶 PHART – Needle Optimization for Intervention (RA & Procedures): Designed to align the needle with the ultrasound beam and improve needle tip visibility during insertion. 💪Pressure: Applying/modulating pressure to flatten tissue planes or highlight fascial layers. 👠Heeling: Lifting one end of the probe to steer the ultrasound beam and align it with the needle shaft. 🧭Alignment: Realigning the probe's center to follow the trajectory of the advancing needle. 🔄Rotation: Minor probe twists to correct obliquity or gain a clearer needle view. 🎚 Tilt: Subtle angling to enhance reflection from the needle, especially when it's not ideally echogenic. 🧠Uses: During needle insertion for peripheral nerve blocks, particularly useful in steep or oblique approaches. 🧪 TECHNIQUES to Enhance Needle Visibility 1. Needle Approach Optimization 📌 ✅In-Plane Approach: Needle is aligned parallel to the probe; full shaft and tip are visible. 🚫Out-of-Plane Approach: Only a cross-section of the needle is visible; tip identification is more challenging. ⚙️Oblique Approach: A hybrid technique to improve visualization when conventional methods fail. 2. Optimize Needle Angle 📐 ✅Shallow Angle (30–45°): Ideal for reflecting sound back to the probe. Better echogenicity. ⚠️Steep Angle (>60°): Ultrasound waves reflect away from the probe; needle becomes nearly invisible. 3. Hydrodissection 💧 🔷Injecting small volumes of saline/LA between tissue layers creates a visible separation and guides needle advancement. 🔷Particularly useful in fascial plane blocks (e.g., TAP, QL, ESP). 4. Tissue Movement Cues 👀 🔷Even when the needle is not directly seen, watch for tissue movement caused by needle tip advancement. 🔷Subtle lifting or shifting of layers indicates needle location and spread. 🛠️ GADGETS & Advanced TECHNOLOGIES 1. Echogenic Needles ✨ 🔶Feature dimples, coatings, or laser etching that enhance ultrasound wave reflection. 🔶Essential when working at steep angles or deep planes. 2. Needle Guides 📏 🔶Clip-on accessories that maintain a fixed angle between the probe and the needle. 🔶Particularly useful for novices or in deep block placements (e.g., lumbar plexus, paravertebral). 3. Beam Steering (Electronic Focusing) 🔄 🔶Alters the ultrasound beam angle without moving the probe, enhancing needle-beam alignment. 🔶Excellent for in-plane blocks at steep angles. 4. Compound Imaging (Spatial Compounding) 🧊 🔶Uses multiple angles to generate a composite image, reducing speckle and improving clarity. 🔶Enhances visualization in noisy or artifact-prone zones. 5. Needle Tracking Systems 📡 🔶GPS-like technology using sensors in the needle or probe. 🔶Provides real-time on-screen guidance. 🔶Examples: eZono eZGuide, Philips Needle Navigation, BK Medical Smart Needle. ✅ PRACTICAL TIPS: 🕵️‍♂️Pre-scan first: Locate nerve, muscle, and vessels; plan the needle path before puncturing. 🔄Combine PHART & FRCS: Use FRCS for target clarity and PHART for perfecting needle visibility. 🪞Move the needle slightly: Subtle jiggling or tapping can help track needle location when visibility is poor. ⚙️Adjust depth, gain, and focus on your machine to match needle location. ✍️Use echogenic needles for deeper, angled, or fascial blocks. 🔄Don't hesitate to re-angle or re-insert if the needle is off-plane. 💡Practice on phantoms or simulators to master probe maneuvers and beam alignment.

KartikBSonawane's tweet photo. 🔍💉 Sharpen the View: Mastering Needle Visibility in Ultrasound-Guided Blocks ✨🧠

#UltrasoundGuidedBlocks #NeedleVisibility #RegionalAnesthesia #UltrasoundTechniques #EchogenicNeedle #NeedleTracking #POCUS #UltrasoundEducation #AnesthesiaTips #MedTwitter #MedicalInfographics #BlockTechniques
#TipOfTheDay #MyRATips

Tip of the Day:

⚖️ FRCS vs PHART Framework

🔷 FRCS – Image Optimization for Diagnostics (POCUS & Scanning): Designed to maximize visualization of internal structures, ideal for initial assessment and diagnosis.

🔄Fanning: Pivoting the probe in an arc to visualize the full extent of a structure (e.g., a vessel or nerve).
🔁Rotation: Clockwise or counterclockwise turn of the probe to align anatomical landmarks with the beam.
👞Rocking (Heel-Toe Maneuver): Tilting one end of the probe to center the beam over curved surfaces like vessels.
📦Compression: Gentle downward pressure to collapse veins, remove air, and enhance contact.
➡️Sliding: Shifting the probe linearly across the skin to trace a nerve or vessel.
🧹Sweeping: Wide arc movement to explore deeper or adjacent areas.

🧠Uses: Pre-block scanning to identify structures, confirm sonoanatomy, and assess for anatomical variants.

Click this link to know it better:
https://t.co/BDOLLqHpR5

🔶 PHART – Needle Optimization for Intervention (RA & Procedures): Designed to align the needle with the ultrasound beam and improve needle tip visibility during insertion.

💪Pressure: Applying/modulating pressure to flatten tissue planes or highlight fascial layers.
👠Heeling: Lifting one end of the probe to steer the ultrasound beam and align it with the needle shaft.
🧭Alignment: Realigning the probe's center to follow the trajectory of the advancing needle.
🔄Rotation: Minor probe twists to correct obliquity or gain a clearer needle view.
🎚 Tilt: Subtle angling to enhance reflection from the needle, especially when it's not ideally echogenic.

🧠Uses: During needle insertion for peripheral nerve blocks, particularly useful in steep or oblique approaches.

🧪 TECHNIQUES to Enhance Needle Visibility

1. Needle Approach Optimization 📌

✅In-Plane Approach: Needle is aligned parallel to the probe; full shaft and tip are visible.
🚫Out-of-Plane Approach: Only a cross-section of the needle is visible; tip identification is more challenging.
⚙️Oblique Approach: A hybrid technique to improve visualization when conventional methods fail.

2. Optimize Needle Angle 📐

✅Shallow Angle (30–45°): Ideal for reflecting sound back to the probe. Better echogenicity.
⚠️Steep Angle (>60°): Ultrasound waves reflect away from the probe; needle becomes nearly invisible.

3. Hydrodissection 💧

🔷Injecting small volumes of saline/LA between tissue layers creates a visible separation and guides needle advancement.
🔷Particularly useful in fascial plane blocks (e.g., TAP, QL, ESP).

4. Tissue Movement Cues 👀

🔷Even when the needle is not directly seen, watch for tissue movement caused by needle tip advancement.
🔷Subtle lifting or shifting of layers indicates needle location and spread.

🛠️ GADGETS & Advanced TECHNOLOGIES

1. Echogenic Needles ✨
🔶Feature dimples, coatings, or laser etching that enhance ultrasound wave reflection.
🔶Essential when working at steep angles or deep planes.

2. Needle Guides 📏
🔶Clip-on accessories that maintain a fixed angle between the probe and the needle.
🔶Particularly useful for novices or in deep block placements (e.g., lumbar plexus, paravertebral).

3. Beam Steering (Electronic Focusing) 🔄
🔶Alters the ultrasound beam angle without moving the probe, enhancing needle-beam alignment.
🔶Excellent for in-plane blocks at steep angles.

4. Compound Imaging (Spatial Compounding) 🧊
🔶Uses multiple angles to generate a composite image, reducing speckle and improving clarity.
🔶Enhances visualization in noisy or artifact-prone zones.

5. Needle Tracking Systems 📡
🔶GPS-like technology using sensors in the needle or probe.
🔶Provides real-time on-screen guidance.
🔶Examples: eZono eZGuide, Philips Needle Navigation, BK Medical Smart Needle.

✅ PRACTICAL TIPS:

🕵️‍♂️Pre-scan first: Locate nerve, muscle, and vessels; plan the needle path before puncturing.

🔄Combine PHART & FRCS: Use FRCS for target clarity and PHART for perfecting needle visibility.

🪞Move the needle slightly: Subtle jiggling or tapping can help track needle location when visibility is poor.

⚙️Adjust depth, gain, and focus on your machine to match needle location.

✍️Use echogenic needles for deeper, angled, or fascial blocks.

🔄Don't hesitate to re-angle or re-insert if the needle is off-plane.

💡Practice on phantoms or simulators to master probe maneuvers and beam alignment.

NephroPOCUS

@NephroP

about 2 years ago

#ultrasound transducer movements, standard #POCUS terminology. #FOAMed #Nephpearls #MedEd

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@RegionalUchile @regionaluchile

over 5 years ago

Bloqueo fascia ilíaca supranguinal con aguja Onvision Suprainguinal Fascia Iliaca Block using Onvision needle #regionalanesthesia #needletracking ⁦@danibrava⁩ ⁦@s_layera⁩ ⁦@AlisteJulian⁩

Dr Kumaran @Kumaranism

over 7 years ago

#VeganPoCUS in Dubai @WINFOCUS Tofu Phantoms for Vascular Access! #NeedleTracking #TargetSign #FirstTimeEveryTime #Vegan 🌱 @LondonPOCUS @ParmyDeol @sererovida @rosieICM @icu_dave

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