That little trick for airing up the pressure bag quickly is awsome...Im gonna have to experiment with that next shift on the ambulance. That would save some time pumping up the bag for a bolus.
Honestly the amount of fluid isn’t that important in an emergent scenario because you can change it when things stabilize. So the real question is: what size pressure bag do you have? If it’s a 1L grab a 1L bag, if it’s 500mL pressure grab a 500 mL. To go further, in ICU we used 1 liter because patients were there for a long time and the fluids would need to be changed less often, in the Operating room we use 500 mL because they’re not expected to have the Aline very long. But again, if someone has a 500 mL I can change it to a 1L or if someone has a 1L I can change it to a 500 mL. Great question!
Transducer should be prime before adding pressure, pressure can create turbulent flow and cause micro bubble to effect reading, also putting a needle in a bag without cleaning the port has now contaminated the system. Little details but important in teaching/learning it correctly. May make thinks a little slower but still best practice.
Good vid, what do you mean when you say hand it to them though? Lol are you not placing A lines or are you still watching a couple CRNAs do them and still learning the process? -2nd yr SRNA
Corey Johnson Hey Corey good question! I’m in my third year and since our programs integrated we started placing A-lines day one in the OR. this video was more for ICU nurses who don’t place them, but still have to set them up.
@@JosiahShoon I gotcha. I thought you might have been at a bad clinical site that only let you assist in placing them or something lol and man idk if I could've done integrated that sounds tough going straight into clinical without not even really knowing the basics or setup but some programs still do it so I'm sure it works either way! Good luck in your last year
I am 73 I awakened with an arterial line in my left foot, after a shortened Submandibular resection. Data stated unstable BP last reading 232/112. No history of HTN ? Jeanne retired RN
I agree most do it wrong The reasoning behind company's teaching to prime before pressure is added is to prevent trubulence and micro bubbles from forming and allowing air to remain in the system then entering the patient and that air effecting readings if on the transducer. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-xBbut7_GIXk.html I worked for Edwards but you will find company's like Transpac have the same rec's. Bedside practice isn't always best practice.
