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141989 - Procedural Guidance Ultrasound

  • : Online

Most clinicians ‘pick up’ ultrasound guidance techniques on the job – few are formally taught. Many ‘ultrasound guided procedures’ would be better termed ‘misguided’, as the clinician stabs blindly in a direction similar to that of the ultrasound beam, hoping that the tissue movement on the screen means that the needle tip is somewhere near the target. Emergency medicine proceduralists should be experts in every ultrasound guided technique. The EP should be able to choose the best from at least four approaches and three needle types for every patient. An expert should understand beam steer, multibeam and needle visualisation options but still be able to optimise raw settings when these advanced options are not present. Since the proceduralist is breaching skin, one should also know the appropriate sterilisation requirements and how to clean a visibly bloodied probe. This course includes tips and traps, anatomy familiarisation on real volunteers and needling practice on phantoms.

Relevance to General Practice

Establishing venous access in clinical practice is crucial and can be technically challenging. Among the most common indications for bedside ultrasound, ultrasound-guided procedures are validated and increasingly used [1]. Randomized trials and observational studies in children and adults have found that ultrasound-guided needling reduces time to venous catheter placement and reduces the risk of complications during central venous and peripheral venous access [2-5]. Real-time ultrasound guidance in venous access is indicated in any patient for whom central vascular access is required, when equipment and operator expertise is available [2-4]. Similarly, central venous access at internal jugular or femoral access sites should be performed using real-time ultrasound instead of using the landmark technique only [6-8]. The principles of ultrasound-guided venous access are also applied toward procedures such as thoracentesis, paracentesis. lumbar puncture, joint injection and nerve blocks.

Learning outcomes
  • Identify the parameters of safe application of ultrasound in medical diagnosis.
  • Identify the physical principles, artefacts and the steps for image optimisation while performing ultrasound in general practice
  • Practice "hands on" ultrasound scanning skills required to maximise diagnostic ability in answering relevant clinical questions
  • Recognise the sonographic appearances of normal and abnormal structures required to answer common clinical questions
  • Perform ultrasound guided technique in multiple sites.
  • Delivery
    141989 - Procedural Guidance Ultrasound
    Provider Type
    Education Provider
    7 hours
    Start Date
    End Date
    CPD Points
    7 hours
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