Word of the Day – Ultrasound-Guided Vascular Access: In-Plane Approach

Gulfcoast Ultrasound Institute - Word of the Day

Ultrasound-Guided Vascular Access: In-Plane Approach

va-in-planeThe in-plane or long access approach is the technique used to allow visualization of the entire needle when performing ultrasound-guided vascular access.
The transducer is positioned in a long axis over the selected vein.  The vessel is visualized straight across the screen.  The needle is placed at the center of the transducer in-line with the ultrasound beam and the trajectory of the vessel with the bevel up.

The transducer is held stationary with the non-dominant hand while advancing the needle using the dominant hand.

Figure 1: Adapted from Chapter 19, Emergency Ultrasound Ed. 2, James Mateer MD, editor

To learn more about Ultrasound-Guided Vascular Access: In-Plane Approach, and how to identify it during your evaluations, check out upcoming vascular hands-on training course that will provide hours of hands-on scanning.

Word of the Day – Free Hand In-Plane MSK Injection Technique

Gulfcoast Ultrasound Institute - Word of the Day

Free Hand In-Plane MSK Injection Technique

MSK injections performed using ultrasound guidance allows for efficient and accurate needle placement that results with reduced complications and improved patient satisfaction. There are two basic approaches used when performing ultrasound-guided MSK injections:  In-plane and out of plane.

The “in-plane” approach is the most commonly utilized technique because it allows better visualization of the needle (Ibrahim, Moore 2).   To perform the in-plane approach, the needle is position in the center of the probe in a long axis position and advanced parallel to the sound beam.  The goal is to always see the entire length of the needle, including the tip.

To learn more about Free Hand In-Plane MSK Injection Technique, and how to identify it during your evaluations, check out upcoming musculoskeletal hands-on training course that will provide hours of hands-on scanning.