@NephroP@jminardi21 Anatomically, the Axillary vein becomes the Subclavian at the lateral border of 1st rib. If you are puncturing the vein over the 2nd rib, by definition you are puncturing the Axillary vein.
@ScghSimcentre @MedEdUnit@djsPerth@SonoMedED @antlet1 @jchakera@ANZCA@CICMANZ 1. Didactic (live or online)
2. Simulation training 3. Proctored Insertions. Consider requiring a โmandatoryโ number of procedures per annum per inserter. Consider appointing a Director Vascular Access
@teachIM_org@vineet_chopra Quality videography. We teach the IJ access from a different perspective, i.e., the Relationship between Insertion (1%) and the Care & Maintenance (99%). https://t.co/M3puJsr7Zg
@amit_pawa@jminardi21@GEHealthcare We note the Cephalic Vein entering the Axillary Vein right before it becomes the Subclavian Vein (the lateral border of the 1st rib is where AXV becomes SCV)
@msenussiMD @Diaz_GomezJL @Phani_kc@bcmhouston@StLukesHealthMD@BCM_Lung Dr. Senussi, I was unable to attend your Axillary Vein Course. My org, CVC Healthcare is running a small CVC Insertion course, Dec. 14 at TMC Marriott. Please come and check it. Perhaps we could collaborate in the future.
Sometimes, improving practice is easy. If you're dressing IJ lines up by the ear and not down on the chest, you're setting the stage for the crumbled mess that we see all too often. Instead, fold the catheter down toward the chest where it has a much better chance of laying flat.
@pcarriv The short answer is yes. Of course, teaching allows you to leverage your knowledge to many more clinicians, a multiplier effect. Performing procedures and teaching is clearly the best. Donโt give up hope to get back in the game.