US Guided Central Venous Catheter Kit Walk Through

This is a video from operator point of view of the placement of an ultrasound guided IJ central venous catheter.  The video uses a head mounted camera so there is a bit of movement so warning if you get motion illness early.

Yes I know, the bedside table had to be elevated for the camera angle and images so the edge of the kit wrapping relative to the drape is not ideal for sterile technique.

The video uses a Cook Spectrum antibiotic impregnated catheter with a Biopatch, chlorhexidine impregnated bandage.  Central line kits and contents will vary based upon manufacturer and customization.

Video provided for educational and informational purposes only.

I do not currently receive any funding or support from Cook or Biopatch.

This video is an operator point of view recording of an ultrasound guided central line insertion in a 2 stage simulator. This is the view from a head mounted camera so there is a bit of movement, careful if you easily get motion illness.

Instructional video for the Accucath by Vascular Pathways (Bard)

Originally Published: 2015-Apr-29

Since this was originally published the Accucath has become a Bard product.

As a disclaimer I do not currently receive any funding or support from Vascular Pathways (or Bard). The devices are purchased by the healthcare institution where I practice.

The Accucath device is a peripheral intravenous catheter that has an integrates coil tip wire to allow a seldinger type insertion technique.  Think of your arterial catheters.

Theoretically this would allow you easier placement in smaller and more difficult vessels.  It is also supposed to help you navigate through valves and avoid small side branches (all of which I have had experience with and it can be frustrating).  This is a newer device and I have had good success with smaller vessels, however, we will see what happens as more difficult access cases occur.

Below is an instructional video on using the Accucath 2.25″ device for venous access.

The Accucath is a peripheral IV with an integrated wire for a seldinger technique placement. This video reviews using the device with ultrasound guidance. I prefer to capture images of the target vessel and the wire in place after cannulation to show your targeted vessel and successful cannulation of vessel.

I tend to capture an image of the wire in the vessel and the catheter in the vessel if I am able to based on the clinical situation.  I also tend to document that the wire was removed intact, at least currently since this is a newer device in my institution.