Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ KEY IMAGES +++ Patient and provider setup ++ Figure 3-1 Graphic Jump LocationView Full Size||Download Slide (.ppt) +++ Hand position, longitudinal ++ Vedio Graphic Jump Location Video 03-01: Hand Position Longitudinal Using the hand position in the still image, the needle can be guided into the vessel while maintaining visualization of the entirety of the vein and needle throughout the procedure. Play Video +++ Venous anatomy of the upper extremity ++ Figure 3-2 Graphic Jump LocationView Full Size||Download Slide (.ppt) +++ Hand position, transverse ++ Vedio Graphic Jump Location Video 03-02: Hand Position Transverse Using the hand position in the still image, the needle can be guided into the vessel using the follow-the-tip technique. This means that the needle is advanced until visible on the screen, then the probe is moved away from the needle until the bright white dot disappears. This process is repeated until the needle is well into the vessel. Play Video +++ US anatomy, proximal arm ++ Vedio Graphic Jump Location Video 03-03: Upper Arm Anatomy In the anterior upper arm, the humerus can be seen as the landmark deep on the screen. The brachial vein and artery can be seen running between the bicep and triceps muscles. Also visible is the basilic vein splitting off of the brachial, and the brachial nerve between the artery and vein. Play Video +++ US anatomy, forearm ++ Vedio Graphic Jump Location Video 03-04: Forearm Anatomy In the forearm the vein can be seen running superficial to the muscle body, and deep to the dermis. The radius can be seen as a landmark deep on the screen. Notice that it takes very little pressure to compress these veins (on the right side of the screen an uncompressed gel layer is a marker of the amount of pressure being applied). Play Video +++ Catheter in vessel, transverse view (target sign) ++ Vedio Graphic Jump Location Video 03-05: Accessing the Vessel in Transverse This video shows the process of following the needle tip in the transverse or out-of-plane technique. As soon as the needle tip becomes visible (as a bright white dot), the operator stops advancing the needle and moves the probe away until the needle tip disappears. This process continues until the needle is hubbed in the vessel. Play Video +++ Catheter in vessel, longitudinal view ++ Vedio Graphic Jump Location Video 03-06: Accessing the Vessel in Longitudinal This video shows the vein and needle with the transducer being held in the same plane while the needle is advanced into the vessel. This video also ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Download the Access App: iOS | Android Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.