The Vascular Access Course

Spreading the ultrasound-guided vascular access love in Bristol and the South West since 2011. First time, every time. @highammatt @drmattkerton

[The Vascular Access Course @theaccesscourse]

@DrRobbieErskine @amit_pawa @ashwani_doc @ButterflyNetInc Haha. Ahhhhhh so nice to hear a boss say that... Put them more proximal to avoid kinking at the wrist, none of this transfixing nonsense... Music to our ears! Just need to get you reaching for it for cannulation next...

[The Vascular Access Course @theaccesscourse]

@DrRobbieErskine @amit_pawa @ashwani_doc @ButterflyNetInc IJ much more forgiving of course as much wider vessel so don't have to be perfectly in the middle of it. I'd argue OOP more transferable to smaller vessels.

[The Vascular Access Course @theaccesscourse]

@DrRobbieErskine @amit_pawa @ashwani_doc @ButterflyNetInc We teach OOP for all vascular access... There's evidence out there it's quicker to learn and we feel it's a very simple technique, and once you've got the (quickly) got the hang of it it's basically guaranteed success, whereas even the best have occasional failures with IP

[The Vascular Access Course @theaccesscourse]

@DrRobbieErskine @amit_pawa @ashwani_doc @ButterflyNetInc (fewer adjustments possible as per prev comment)

[The Vascular Access Course @theaccesscourse]

@DrRobbieErskine @amit_pawa @ashwani_doc @ButterflyNetInc IP is definitely a very satisfying technique when done well! We find you have to have the probe lined up bang in the middle of the vessel and have the skill to always insert the needle lined up perfectly with the middle of the probe...

[The Vascular Access Course @theaccesscourse]

@amit_pawa @ButterflyNetInc Nice demo of what we call the "walking in" technique. Looking forward to covid limits lifting enough to get started again...

[The Vascular Access Course @theaccesscourse]

@DrRobbieErskine @amit_pawa @ashwani_doc @ButterflyNetInc Would argue you have more possible directions of adjustment with OOP technique - probe back and forth, side to side, needle forwards and backwards, side to side, up and down. IP lovely in skilled hands but slower learning curve for beginners with US.

[The Vascular Access Course @theaccesscourse]

@StevenBradleyMD @amit_pawa @ButterflyNetInc One of our golden rules for US guided access... IGNORE FLASHBACK! The end point is seeing the tip of the needle established in the middle of the vessel, not flashback of blood from a vessel you've hit somewhere along the journey into/out of/through your target!

[The Vascular Access Course @theaccesscourse]

@gommed @GongGasGirl Should be illegal to not use US for art lines... easier (after effective training!), quicker, far less traumatic for patients and arteries, fewer 3am changes on critical care as more proximal siting results in less kinking, etc etc etc!

[Matt Higham @HighamMatt]

The only legal rave going at the moment! @RegionalAnaesUK @amit_pawa @NBTAnaesthesia

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔐Regional anaesthesia may be key during this pandemic, as it reduces the need for general anaesthesia and the associated risk from aerosol-generating procedures.

@ropivacaine @rakesh6282 @ruthi_landau @elboghdadly, @NarouzeMD @KalagaraHari #FOAMed

🔗https://t.co/g0SAv0JfcB

[Matt Higham @HighamMatt]

Enjoyed hosting the first ever @NBTAnaesthesia Zoom Block Party! Hopefully a decent substitute for socially-too-close scanning practice. This party covered the @RegionalAnaesUK lower limb #planAblocks. Promise I was wearing a party shirt #regionalanaesthesia #blockparty #nbt

[Matt Higham @HighamMatt]

Had a wonderful time at the first Block Party @NBTAnaesthesia yesterday, focused on the “Plan A” @RegionalAnaesUK upper limb blocks. Looking forward to the next one in April... party frocks and hats essential! #planAblocks #regionalanaesthesia #NBT

[North Bristol Trust Dept Anaesthesia @NBTAnaesthesia]

Thanks to Matt for organising ‘Block Party’ regional training - it’s gone down very well with our trainees #planAblocks

[The Vascular Access Course @theaccesscourse]

@drkpass KP! Next course on 3rd July, both AM and PM. Yet to send out adverts and formally book people on but I can put you on the interested list?

[The Vascular Access Course @theaccesscourse]

@SimSpaceBristol @NorthBristolNHS Thanks so much for having us @SimSpaceBristol! The perfect space to spread the US-guided vascular access love! Looking forward to the next one 👍

[The Vascular Access Course @theaccesscourse]

Really enjoyed our first course back at @NorthBristolNHS after a few years touring the region. Happy to have a new home! Huge thanks as always to the amazing faculty and to everyone for coming along... hope you enjoyed it! #vascularaccess #firsttimeeverytime #dontloseyourtip

[The Vascular Access Course @theaccesscourse]

Thanks @hayes_sheonagh, great to have you there and glad you enjoyed it!

[Sheonagh Hayes @hayes_sheonagh]

Great afternoon at the @theaccesscourse - brilliant course to gain confidence!

[The Vascular Access Course @theaccesscourse]

Massive thanks as well to @MindrayUK for supporting us with some beautiful ultrasound machines! 😍😍🤪

[The Vascular Access Course @theaccesscourse]

It’s that time again... 🐓 Getting ready for the course at our new home at Southmead Hospital @NorthBristolNHS tomorrow! #vascularaccess #firsttimeeverytime