ARROW VPS G4
Preface and Vision
Introduction
Factors Affecting catheter tip placement
Principles of ECG
Understanding the role of
ECG in tip placement
Principles of Doppler
Tip Positioning with Doppler
Doppler and ECG in Tip Positioning
Clinical Best Practices and troubleshooting
Setting up the
ARROW
®
VPS G4
™
Device
Summary of Benefits
Conclusion
Thank you
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For Further Education
Doppler and ECG in Tip Positioning
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Please complete this education by answering the following questions.
What is the correct position for the tip of the catheter according to the AVA guidelines?
Upper SVC
Lower third of the subclavian
Lower third SVC-CAJ
What is the major complication of the tip being too high in the SVC?
Infection
Arrhythmia
Pneumothorax
Thrombosis
How far should the VPS
®
Stylet extend from the tip of the PICC?
1 mm
2 mm
Name the three technologies utilized by the ARROW
®
VPS G4
™
Device
ECG
Ultrasound with clot buster
Doppler Ultrasound
Proprietary Algothrim
3D Images
In most patients, where is the P-wave generated from?
SA node
Brain activity
AV node
Doppler Ultrasound is able to detect antegrade and retrograde blood flow
True
False
With the ARROW
®
VPS G4
™
Device Technology, ECG and Ultrasound Doppler readings are primarily____ while threading the catheter
Intravascular
Extravascular
Atrial blood flow is primarily
Turbulent and retrograde
Laminar and antegrade
Name advantages of threading the catheter Stylet assembly slowly as the clinician threads the catheter
Less intimal damage to vein
Blood flow carries catheter throughout vein
Symbols are in real time
Clinician has ability to understand Doppler readings and flow
All of the above
A clinician should not finish a case on which symbols
Green
Yellow
Blue Bullseye
Orange
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