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"These Amazing Tricks Will Have You Placing Umbilical Lines Every Time!" 

The NICU Doc
Подписаться 16 тыс.
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Placing umbilical lines, like UACs and UVCs is not easy but these amazing tricks will have you placing them every time! LEARN with this STEP-BY-STEP 4K video that walks you through placing umbilical artery and vein catheters in newborn babies. Some of the topics covered include:
-sterile technique
-setting up your umbilical tray
-cutting the umbilical cord
-inserting the catheter
-securing the catheter,
-and many tips and tricks on making this procedure LESS SCARY!
***Feel free to use this video for educational purposes, to teach students or classes in groups.
You can save it to keep coming back for reference. Just make sure you give credit to @thenicudoc when using the video to educate. And please SHARE my handle with your class so THEY can also come watch my other instructional videos***
If you are about to enter the world of the NICU, then you NEED to know this procedure. This VIDEO is for YOU! Don't be intimidated or afraid to put one in. After learning from a neonatologist, you can ALSO be a PRO (ok ok...does require practice like anything...but why not start HERE!).
Please LIKE and and SUBSCRIBE and SHARE with others if you find it helpful. Please leave positive or constructive comments.
LIKEs are like little "tip jars" for me, so please, if you feel like thanking me, a LIKE will make me very happy. Thank you!
We always love comments and questions on each video, so please feel free to leave a comment or constructive feedback at the bottom. If you have ideas for a video, please let me know below. If we get enough interest, I'll make it for YOU!
If you're new to this channel, WELCOME!
Here we talk about EVERYTHING NICU, from itty-bitty preterm babies to babies at home, from the medical to a parent's point of view. We aim to educate about common topics in the neonatal intensive care unit (NICU) and beyond. With playlists geared towards health care professionals and families alike. Keeping it professional but also having a little fun with light topics and medicine for ALL.
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I'll leave a link to some of the other videos I have created that people like, so you can
get an idea. Thanks again for joining my effort to disseminate some educational and fun information for parents and professionals alike.
-Dr Fort MD
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Any information regarding babies and newborns, check out the American Academy of Pediatrics Website and WebMD
aap.org
webmd.com
*Disclaimer: Although I work in an academic institution and hospital and unless otherwise stated, the videos posted are of my sole creation. Any opinions, comments, or postings are not a representation or a reflection of our institutions. **Any medical advice or topics discussed are NO substitute for your physician's advice and care. Actions taken on advice from the videos are done so at your own risk.

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17 авг 2024

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Комментарии : 40   
@user-yj8ye1gy3c
@user-yj8ye1gy3c 3 месяца назад
Perfect. Thanks a lot
@phyllisoneal5662
@phyllisoneal5662 Год назад
Loved the info and Thank you for the Mom thought to “clean up!” Us nurses really appreciate it!😊
@thenicudoc
@thenicudoc Год назад
LOL! You guys work real hard...we don't need to add your already busy day.
@ungsopheap3955
@ungsopheap3955 10 месяцев назад
Good explanation and let you share presentation slide
@iltefatahmad845
@iltefatahmad845 8 месяцев назад
Hello sir....how can we avoid UVC line to migrate in portal vein
@rodrigoneoped
@rodrigoneoped Год назад
Hi, I am a neonatologist here in Brazil and I was very pleased to attend this class. For me, it was inspiring. I work with residents and was excited to be able to create content like yours. Congratulations for the excellent work. It would be a pleasure to meet you in person. Regarding the materials and mannequin, could you tell me where I have access? Thanks! Rodrigo
@thenicudoc
@thenicudoc Год назад
Muito obrigado! I thank you for your kind comment. From a beautiful country like Brazil. I hope to visit one day! Being from Perú, I always looked up to Brazil "futebol" and the "jogo bonito." 😁. The baby is a simulator from the following company called Preemie Paul. simcharacters.com/en/products/paul/ I have met the inventors who are a German couple of neonatologists. Really great simulator (can be expensive..but worth it to teach).
@rodrigoneoped
@rodrigoneoped Год назад
@@thenicudoc Thank you very much for replying! I work with a Peruvian neonatologist friend. I will access the site and get to know Paul better. I hope that one day I can get to know Brazil, its natural beauties and the wonderful people here.
@sskfrey
@sskfrey Год назад
Excellent video! I just don’t see why the recent guidelines say this is the access of choice during neonatal reanimation. Especially for someone who does not do at least a couple of these a year.
@thenicudoc
@thenicudoc Год назад
To be honest, it is fairly easy to do if you can do a simulation to keep up your skills. Also, Wharton Jelly (where the umbilical cord is) does not have any nerve cells so it is painless. Finally, it is a big vessel and central, you can give large volumes and strong co centrated drugs. Something that can be limiting or dangerous with just a PIV.
@ibrahimtoeima2355
@ibrahimtoeima2355 Год назад
Great explanation. Thank you
@thenicudoc
@thenicudoc Год назад
I am so glad you liked. Thanks for taking the time to comment
@ravindraraval7098
@ravindraraval7098 2 года назад
Hii Dr Ravindra here... Nice explanation... Especially stabilization of uvc, here I have one problem which comes every time that after stabilization, there is some blood spillage is there in upcoming hours and we have to apply pressure gauge pieces to stop it ... Can you please suggest some solution for the same... Thank you 😊
@thenicudoc
@thenicudoc 2 года назад
Umm..if I am understanding, this is a few hours after placing the lines? Maybe keep the umbilical tie around the base (just cut it a little shorter) and add some tension so that you have it helps to hold any bleeding in check (like the pressure you are putting with the gauze). Hope this helps.
@emanadel6440
@emanadel6440 2 года назад
Thanks from Egypt
@thenicudoc
@thenicudoc 2 года назад
you so welcome...from the U.S. And I will visit Egypt one day!
@leenaomar9138
@leenaomar9138 Год назад
Thank you for the great illustration. What to do when I face resistance during insertion of cath ?????
@thenicudoc
@thenicudoc Год назад
It probably means that it is a false fact (you have torn into Wharton's jelly if there is strong resistance. It is normal to have some very mild resistance that you push through. Best is to take out and try again turning the catheter to different directions. If that doesn't work, you can cut the cord a little closer to the base and look for the vessels again. Best of luck!
@leenaomar9138
@leenaomar9138 Год назад
@@thenicudoc thank you soo much
@abdulsamadrasheed2647
@abdulsamadrasheed2647 3 года назад
best explaination 👌🏻
@thenicudoc
@thenicudoc 3 года назад
thank you for that wonderful feedback 😊
@mohammadmanie9679
@mohammadmanie9679 2 года назад
Thanks Very interesting
@thenicudoc
@thenicudoc 2 года назад
Glad you found it so.
@user-fh3kq2qo4r
@user-fh3kq2qo4r 2 года назад
Thanks for your video. In our practice, the umbilical cord will contract back into the abdomen in few days, and so as the catheter. It causes the placement to be deeper. How can this be resolved?
@thenicudoc
@thenicudoc 2 года назад
はじめまして. One thing to avoid is pulling on the umbilical cord when placing it. If you pull on it, then it will retract when you finish the procedure. Best to not put any tension. If you still find this to be a problem, you can make your insertion length calculation and then subtract 0.5 and obtain an XRAY the next day to ensure it did not go too deep. 頑張ってください
@ochelari01
@ochelari01 2 года назад
At the end do you remove the umbilical ție or not? Thank you for your answer!
@thenicudoc
@thenicudoc 2 года назад
I cut the tie and leave 1cm ends. That way, when I remove the line, I have the tie just in case the umbilicus would start bleeding.
@ochelari01
@ochelari01 2 года назад
@@thenicudoc thank you!
@suleymanmengulluoglu9677
@suleymanmengulluoglu9677 2 года назад
thanks 🙏🙏🙏
@thenicudoc
@thenicudoc 2 года назад
Glad you liked 😊
@ravindraraval7098
@ravindraraval7098 3 года назад
After you insert and fix that line, is there any procedure like cleaning the area and just pack that area with sterile packing and tape so we can avoid accidental pulling of Catheter while giving drugs and iv fluids??
@thenicudoc
@thenicudoc 3 года назад
Great question. You definitely want to clean the solution off you used to sterilize the skin for the procedure. Then you cover the lines with tegaderm or other film or tape against the abdomen so the infant doesn't tangle and accidentally pull the line. Correct!
@leenas5362
@leenas5362 5 месяцев назад
How to avoid incorrect placement in liver
@thenicudoc
@thenicudoc 5 месяцев назад
If I knew...it wouldn't happen to me either 😁. All the little tricks they tell you is just that...tricks. A lot of it is anatomy and luck. Don't get frustrated
@natashanedelkova5549
@natashanedelkova5549 Год назад
1/2 of the UAC or UVC plus 1 for UAC?
@thenicudoc
@thenicudoc Год назад
1/2 of the UAC length + 1 for the UVC length of insertion (UAC length is always the longer one)
@mustlovedogs5569
@mustlovedogs5569 Год назад
The cord on manikin is unrealistically long. It would be cut shorter with clamp
@abdulsamadrasheed2647
@abdulsamadrasheed2647 3 года назад
Sir u didn’t mention dressing after placing sutures. Is it necessary or not ??
@thenicudoc
@thenicudoc 3 года назад
Yes. Thank you for bringing this up. The objective of this video was insertion and stabilizing the catheter. Steps after this would be to clean off any cleaning solution on the skin and place a dressing to keep the area as clean and sterile as possible.
@mustlovedogs5569
@mustlovedogs5569 Год назад
For illustration purposes...a lot was not done here hahahahha
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