Ultrasound Guided Vascular Access
Module 1: Central Line Placement
This module provides a step-by-step guide to ultrasound-guided central venous catheter placement and confirmation. It covers probe handling, vessel identification, real-time guidance of needle and guidewire, and ultrasound-based confirmation of catheter position and complications. The module includes two videos:
- Ultrasound-Guided Central Line Placement
- Ultrasound-Guided Confirmation of Central Line Placement
Learning Objectives
By the end of this module, learners will be able to:
- Review ultrasound physics and knobology relevant to vascular access.
- Demonstrate ultrasound-guided central line insertion technique, including:
- Optimal probe selection and positioning
- Vessel identification (IJ, subclavian, femoral)
- Needle and guidewire visualization
- Recognize common troubleshooting strategies during central line insertion.
- Identify methods to confirm correct catheter placement using ultrasound:
Direct visualization of guidewire
Basic transthoracic echocardiographic views
Catheter tip location verification
Evaluate for immediate complications such as pneumothorax using ultrasound.
Apply the ASA central line checklist during and after the procedure.
Illustrate key steps in post-procedure care and documentation.
Answer review questions to reinforce safe and effective central venous access practices.
Module 2: Arterial Line Placement
This module provides a comprehensive guide to ultrasound-guided arterial line placement. Through a step-by-step instructional video, learners will understand when arterial lines are indicated, how to prepare for and perform the procedure under ultrasound guidance, and how to manage potential complications. The module includes:
- Ultrasound Guided Arterial Line Placement
Learning Objectives
By the end of this module, learners will be able to:
- Describe the clinical indications and contraindications for arterial line placement.
- Explain the basics of ultrasound knobology and the key techniques used for ultrasound-guided arterial access.
- Outline a step-by-step approach to placing an arterial line under ultrasound guidance, including preparation, probe positioning, and real-time needle visualization.
- Identify common complications (e.g., hematoma, arterial spasm, thrombosis) and describe appropriate troubleshooting strategies to ensure safe and effective arterial line placement.
