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Proceduralist.org | Building Bedside Skills

This site was created to teach medical students, residents and faculty common bedside procedures and point-of-care ultrasound. Procedures Ultrasound Guided IV Lumbar Puncture Paracentesis Central Line Intraosseous Catheter  Arterial Line Point-of-Care Ultrasound Cardiovascular Pulmonary Abdominal Vascular Disclaimer: Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However,…

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Proceduralist.org | Building Bedside Skills | proceduralist.org Reviews

https://proceduralist.org

This site was created to teach medical students, residents and faculty common bedside procedures and point-of-care ultrasound. Procedures Ultrasound Guided IV Lumbar Puncture Paracentesis Central Line Intraosseous Catheter  Arterial Line Point-of-Care Ultrasound Cardiovascular Pulmonary Abdominal Vascular Disclaimer: Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However,…

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proceduralist.org proceduralist.org
1

Lumbar Puncture Technique | Proceduralist.org

https://proceduralist.org/technique

FAST Exam and Ascites. Rapid US in Shock. Step by Step Instructions. Lumbar Puncture Tips and Tricks. Patient Position is Critical. Adjust the height of the bed so your elbows are bent at 90 degrees while performing the procedure. This is the preferred position to measure opening pressure. Have the patient move as close to the edge of the bed as safely possible. Make sure the spine is perpendicular to the hips and shoulders. Placing a pillow under the head and between the knees is helpful. Never aspirate...

2

Saving Images | Proceduralist.org

https://proceduralist.org/saving-images

FAST Exam and Ascites. Rapid US in Shock. Blog at WordPress.com. Follow “Proceduralist.org”. Get every new post delivered to your Inbox. Build a website with WordPress.com.

3

Arterial Line | Proceduralist.org

https://proceduralist.org/arterial-line

FAST Exam and Ascites. Rapid US in Shock. Continuous direct arterial blood pressure monitoring (i.e. refractory shock on pressors, hypertensive emergency, high risk surgery, esp. if acute changes or extremely labile BP). Frequent arterial blood draws (example: ARDS protocol, severe hypoxia). Failure of indirect blood pressure monitoring (unreliable cuff pressure). Crit Care Review 2002: http:/ www.ncbi.nlm.nih.gov/pmc/articles/PMC137445/. Technique (see video for demonstration). Insertion of radial arter...

4

Paracentesis Indications for Blood Products | Proceduralist.org

https://proceduralist.org/transfusions-and-albumin-administration

FAST Exam and Ascites. Rapid US in Shock. Paracentesis Indications for Blood Products. Most cirrhotics with abnormal coagulation studies do not require a transfusion. INR does not accurately reflect the bleeding risk in cirrhotics. Decreased liver synthesis of pro-coagulant factors is often balanced by the decreased synthesis of anti-coagulants. There is also a compensatory elevation in Factor VIII and Von Willebrand factor. This complex milieu is not accurately reflected by an INR or aPTT. Difficult to ...

5

Paracentesis Kit + Supplies | Proceduralist.org

https://proceduralist.org/paracentesis-kit-supplies

FAST Exam and Ascites. Rapid US in Shock. Small volume removal can be done with a 22 gauge needle. 3 options for supplies. Assemble your own supplies. Large volume removal requiring a large bore catheter. Requires a kit that includes a catheter-over-needle. Assemble Your Own Supplies. Sterile urine collection cup. Aerobic and Anaerobic blood culture bottles. Surgical marker or Sharpie. Aerobic and Anaerobic blood culture bottles. Surgical marker or Sharpie. 2 normal saline flushes. 10 ml 1% lidocaine.

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