Advanced Vascular Access (PGY-2)

Please prepare for the course by reviewing these resources related to the cognitive phase of technical skills learning prior to the day of the course. The psychomotor phase (guided practice and feedback) will occur in the simulation center.

NOTE: You will need to be signed in to the LLU Library in order to access the book chapters. Use your email address and email password to log in.

Station 1: Emergent Access "Blind" Femoral CVL

1. Conceptualization:
   • Roberts and Hedges CVL chapter (Femoral line section)
   • ALIEM trick ('V-technique") for locating vein
   • Compare the prep of a non full-sterile emergent access central line to a "full-sterile" line
2. Visualization:
   • NEJM Video
   • Another youtube video
   • POV emergent access femoral line video
3. Verbalization:
   • Emergent Access Femoral CVL OSATS

Station 2: Peripheral (External Jugular) IV Placement

1. Conceptualization:
   • Roberts and Hedges Peripheral Venous Access Chapter
2. Visualization:
   • EJ Placement Video
   • The second half of this video gives a refresher on one way to secure a peripheral IV
3. Verbalization:
   • External Jugular Placement OSATS

Station 3: Ultrasound-Guided Upper Extremity Vascular Access

1. Conceptualization:
   1. Roberts and Hedges Arterial Puncture and Cannulation Chapter
   2. Roberts and Hedges Ultrasound-Guided Peripheral Venous Access
2. Visualization:
   • NEJM Video
   • Barry Bloom Video without guidewire
   • Ultrasound-Guided Radial A-line Placement
   • Ultrasound Podcast Peripheral IV Placement
   • 5-min Sono Screencast
3. Verbalization:
   • Upper Extremity Vessel Access OSATS

Station 4: Subclavian Central Line

1. Conceptualization: Roberts and Hedges Chapter
2. Visualization: Emcrit video
3. Verbalization: Subclavian CVL OSATS