1. Mike says

    Hi Scott! Great video. Believe it or not, I watched this on my iPad standing over a intubated patient, while setting up an A-line set! I’m at a small hospital where none of the nurses knew how to set it up…worked just fine, though!

  2. Atthasit says

    Thanks Scott! I used to measure it by ruler for a long time. Yesterday is the 1st day to set up with the monitor (Nihhon). Thanks for sharing this!!

  3. Millie Marcano says

    We recently installed new monitors that allow us to monitor CVP and I really need a little more than 10 minute review. Thank you.

  4. Casey says

    Great video! Very helpful! I’m in a critical care residency right now and have to set one of these up come Monday. Thanks!!!

  5. Phaedra420 says

    I do a lot of these; this is a great tutorial. I just want to mention an easier way to purge the air from the saline bag at the beginning of the set up. After spiking the bag and squeezing and filling the chamber of your line set, turn the bag upside down and poke an 18 gauge blunt fill needle into the medication injection port of the NS bag. The needle is not attached to anything. Squeeze the air out until you get a few drops of saline out of the needle hub and withdraw the needle while squeezing the bag. This purges the all the air out of your bag and I find it makes priming the line without air bubbles a little easier. Of course, the saline bag is not under pressure while doing this. Pressurize after purging the air. Thanks SW!!

    • says

      Phaedra, thanks for the comment. This definitely works. Can’t say it is easier though. Requires a needle, requires sticking through the port and then disposing of the needle. Vs. just flushing the air through the system which you have to do anyway. Both work so go with what you like.

  6. Chelsea says

    Any thoughts on attaching a VAMP to your pressure set up when monitoring CVP? There is the constant back and forth about whether a VAMP will actually affect your CVP reading. I feel that in the septic patient who is requiring resuscitation the VAMP helps minimize the amount of blood you are wasting when doing the repeated lab draws (and we know they need whatever they can get)! I am an RN/educator; we are currently planning some Invasive Monitoring education sessions and would love to get some feedback about this. Thanks :)

    • says

      think we are best off avoiding blood draws from central lines whenever possible (exception being scvo2). We have inline vamps for our art lines for just the reason you mention

  7. Mykl Morrissey says

    Greetings, Scott.

    My name is Mykl and I am an ED RN in California. This video was very informative and I appreciated some of the more technical points you mentioned. I have a question, though. After locating the phlebostatic axis and prior to establishing CVP, does it matter much which position their head is in: supine versus elevated? Do you have a recommended level the head should be at?



    • says

      whole point is to always keep the transducer at the level of the phleb. so put it htere regardless of where the head is. if you tape it to their chest it will always be in the right place regardless of their position

  8. Alyssa grace says

    This is an Awesome tutorial! And I can’t wait to watch others. I also really applaud your mission to “bring upstairs care downstairs” as an Icu nurse I appreciate that.
    Alyssa RN

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