Ultrasound: Skills of Ultrasound-guided Vascular Access

Indications for the Use of Ultrasound

Basic Science and Anatomy

8 Topics

Overview of Basic Science and Anatomy

Identification of Structures

Flow Dynamics of Veins and Arteries

Anatomy of the Neck

Anatomy of the Groin

Anatomy of the Basilic Vein

Technical Application of Ultrasound When Cannulating

4 Topics

Overview of Technical Application

Angle of Approach

Static or Real-time

Clinical Assessment and Risk Stratification

3 Topics

Clinical Setting

Technique: Basic Tips

Technique: Real-time Guided Cannulation

5 Topics

Video of two-axis technique in real time

Ultrasound: Skills of Ultrasound-guided vascular access – Post Test

Ultrasound: Skills of Ultrasound-guided vascular access – Post Test

Ultrasound: Skills of Ultrasound-guided Vascular Access Ultrasound: Skills of Ultrasound-guided vascular access – Post Test

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Question 1 of 10

1. Question
When attempting to cannulate the femoral vein, which one of the following is correct?
- The patient should be head up 5 degrees
- The patient should be head up 50 degrees
- The patient should be flat
- The patient should be head down 5 degrees
- The patient should be head down 20 degrees
Correct

Incorrect
Question 2 of 10

2. Question
In ultrasound guided peripheral cannulation, which of the following is true?
- The ideal vein is the basilic vein
- Few veins can be used
- The ideal vein is the cephalic vein
- Small dorsal veins are best as they are superficial
- A standard cannula is used
Correct

Incorrect
Question 3 of 10

3. Question
Complications of central venous cannulation do NOT include which one of the following?
- Gel embolism
- Air embolism
- Catheter embolism
- Loss of sterility
- Probe fracture
Correct

Incorrect
Question 4 of 10

4. Question
The optimal approach, when introducing a needle under ultrasound guidance, is which one of the following?
- As parallel to the skin as possible and along the probe
- 30 – 45 degrees to the skin
- 15 – 30 degrees to the skin
- Bevel down
- As parallel to the skin as possible and across the probe
Correct

Incorrect
Question 5 of 10

5. Question
In the normal individual, the internal jugular vein (IJV) is which one of the following?
- It is lateral to the common carotid artery in at least 90% of cases
- It is medial to the common carotid artery (CCA) in 20% of cases
- It has a palpated transmitted pulsation
- It is thick walled
- It distends in the upright position
Correct

Incorrect
Question 6 of 10

6. Question
In the normal individual, at the level of the inguinal ligament, the common femoral vein is which one of the following?
- It is lateral to the lacunar ligament
- It is lateral to the femoral artery
- It is lateral to the lateral cutaneous nerve of the thigh
- It is lateral to the femoral nerve
- It is medial to the femoral canal
Correct

Incorrect
Question 7 of 10

7. Question
Which one of the following is a B-mode ultrasound characteristic of normal venous structures?
- Compressibility
- Acoustic shadowing
- Loss of compressibility
- Reverberation
- Mirror artefact
Correct

Incorrect
Question 8 of 10

8. Question
Which one of the following suggests the correct position of the needle tip during ultrasound guided vascular access?
- Tenting
- Reverberation
- Noise
- Edge artefact
- Side lobe artefact
Correct

Incorrect
Question 9 of 10

9. Question
Which one of the following is true of the technique of image acquisition?
- The target vessel should be centred on the screen
- The target vessel should be to the left of the screen
- Low frequency transducers are often useful
- Gain should be maximal
- The target vessel should be to the right of the screen
Correct

Incorrect
Question 10 of 10

10. Question
The optimal position for internal jugular cannulation is which one of the following?
- Right side, head down at 30 degrees and head rotated to the left
- Left side, head down at 20 degrees and head rotated to the right
- Left side, head down at 30 degrees and head rotated to the right
- Right side, head down at 20 degrees and head rotated to the left
- Right side, head down at 30 degrees and head rotated to the right
Correct

Incorrect

6 Comments

Collapse Comments

Shawgi MOHAMED July 5, 2023 at 9:55 am

Very important topic,usfull for daily practice.

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Dr Kashif Hussain July 24, 2023 at 10:58 pm

good module

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dalyc (Group Leader) September 19, 2023 at 6:58 pm

Good refresher

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Dr Abdul Manan Babar October 6, 2023 at 5:01 pm

Great learning module.

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thompsonch July 23, 2024 at 3:37 pm

good module

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Dr Mohammed Mohammed Ali Elbedri Omer February 12, 2025 at 10:59 am

Informative topic

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