Ultrasound-Guided Peripheral Intravenous Access

Ultrasound-Guided Peripheral Intravenous Access

Obtaining intravenous (IV) access is a basic necessity in the emergency department. So what do you do when you are unable to place a peripheral IV, and your go-to external jugular line is not an option? You certainly do not... read more

Comparing Percutaneous to Open Access for Extracorporeal Membrane Oxygenation in Pediatric Respiratory Failure

Comparing Percutaneous to Open Access for Extracorporeal Membrane Oxygenation in Pediatric Respiratory Failure

The proportion of pediatric patients undergoing percutaneous extracorporeal membrane oxygenation cannulation is increasing. Mechanical and physiologic complications occur with both methods of cannulation, but percutaneous... read more

High Flow Nasal Cannula (HFNC) – Part 1: How It Works

High Flow Nasal Cannula (HFNC) – Part 1: How It Works

The use of heated and humidified high flow nasal cannula (HFNC) has become increasingly popular in the treatment of patients with acute respiratory failure through all age groups. I first started using it as a pediatric intensive... read more

Choosing the Appropriate Configuration and Cannulation Strategies for ECMO

Choosing the Appropriate Configuration and Cannulation Strategies for ECMO

Extracorporeal membrane oxygenation (ECMO) is becoming a common procedure to support patients with severe cardio-circulatory or respiratory failure as well as in case of combined compromise of the two systems. Deciding which... read more

High Flow Nasal Cannula Use Outside of the ICU – Factors Associated with Failure

High Flow Nasal Cannula Use Outside of the ICU – Factors Associated with Failure

High FiO2 requirements, history of intubation, and cardiac co-morbidity are associative predictors of HFNC failure. Bronchiolitis patients may be treated with HFNC outside of the ICU with lower odds of failure. Two hundred... read more

7 Ways To Instantly Increase Your IV Success Rate

7 Ways To Instantly Increase Your IV Success Rate

Stop making excuses for missed IV starts! Hit the vein on the first attempt with these 7 ways to instantly improve your IV success rate. To Instantly Improve Your IV Success Rate, Improve Your Tourniquet Skill. Oftentimes,... read more