ABG Palpation and Targeting Sal Technique YT

ABG Palpation and Targeting Sal Technique YT


hello I’m Sal Sanders be my pleasure to
demonstrate an alternative technique for palpating and targeting the radial
artery during arterial blood gas sampling this is very important because
having an arterial puncture procedure done is uncomfortable enough if you
manage to get the sample on the very first attempt and in some cases if you
have difficulty properly palpating and making that initial approach you may
need multiple attempts to get that sample most of the procedures for
arterial blood gas punctures will show the palpation being done with two
fingers and the puncture being done just prior to the finger here some will have two fingers to start with
and again the fingers perpendicular to the artery which is running this way
down the arm some will have demonstrated with lifting one finger just prior to
the puncture the technique that I’m going to demonstrate is a slightly
different technique that I call the SAL technique and that stands for Single
finger Aligned
Linearly so the finger aligned linearly with the artery the
artery running in this direction the finger being placed here and then slowly
rock the finger back and forth until you can actually feel the curvature of that
artery feel where the pulse is the highest this should be the center of the
artery and then once you’ve located that line up the center of your finger now
with that point where the pulse is strongest which should be the place
where the you’re at the center of the artery and then make your puncture at a
45-degree angle just before your finger you don’t want to stick your finger
during the procedure pretty simple I used to show this
technique to students who were having difficulty getting arterial blood
samples and the technique helped their performance quite a bit but those are
just in a total observations on my part so Dr. Colwell and I decided to see what
would happen if we taught people who are just learning this technique from the
start not just the folks who are having difficulty perhaps doing targeting that
artery and hitting it using the traditional techniques so that’s the
purpose of this video and the purpose of the research project that you’re
currently involved in so again traditional techniques would
have the fingers perpendicular to the artery and in this case the the whole
feeling of where that pulse is at least in my opinion is spread out over a much
broader part of the finger whereas with the cell technique when you’re aligned
linearly with the artery you can palpate right on the tip of your
finger there line it up with the center of your fingernail and it makes it much
easier to go ahead in and hit that artery on the first attempt

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