{"title":"Intensive Care Specialty","description":null,"products":[{"product_id":"ultrasound-guided-picc-placement","title":"Ultrasound-Guided PICC Placement [CASE 01]","description":"\u003cp\u003eThis Critical Care Cardiology educational case presents a step-by-step overview of PICC placement in the right upper limb, focusing on access through the basilic vein under ultrasound guidance. The case highlights procedural preparation in an intensive care environment, including antisepsis with chlorhexidine, sterile field organization, ultrasound probe protection, local anesthesia, and identification of vascular anatomy. Learners follow the reasoning used to differentiate vein from artery, perform venous puncture, introduce the guidewire, use the introducer kit, advance and test the catheter, and assess whether the catheter may have migrated toward the internal jugular vein. The case also reinforces the importance of catheter fixation, dressing, and radiographic confirmation of catheter position after placement. This content is intended for procedural education and should be reviewed within local protocols, supervision requirements, and institutional safety standards.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eUltrasound-guided right basilic vein access demonstration\u003c\/li\u003e\n\u003cli\u003eSterile preparation and antisepsis sequence\u003c\/li\u003e\n\u003cli\u003eUltrasound probe cover setup\u003c\/li\u003e\n\u003cli\u003eLocal anesthetic infiltration technique discussion\u003c\/li\u003e\n\u003cli\u003ePICC kit components overview, including guidewire, introducer, catheter, and scalpel\u003c\/li\u003e\n\u003cli\u003eCatheter measurement and trimming explanation\u003c\/li\u003e\n\u003cli\u003eGuidewire and introducer technique walkthrough\u003c\/li\u003e\n\u003cli\u003eCatheter advancement and introducer removal\u003c\/li\u003e\n\u003cli\u003eFlush and reflux assessment of both lumens\u003c\/li\u003e\n\u003cli\u003eUltrasound-based reasoning to evaluate possible jugular migration\u003c\/li\u003e\n\u003cli\u003eCatheter fixation and dressing overview\u003c\/li\u003e\n\u003cli\u003eReminder for post-procedure imaging confirmation\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003ePhysicians in intensive care, cardiology, emergency medicine, anesthesiology, and vascular access training\u003c\/li\u003e\n\u003cli\u003eResidents and fellows learning ultrasound-guided vascular access\u003c\/li\u003e\n\u003cli\u003eNurses and advanced practice clinicians involved in ICU vascular access workflows\u003c\/li\u003e\n\u003cli\u003eMedical educators teaching procedural anatomy and sterile technique\u003c\/li\u003e\n\u003cli\u003eHealthcare professionals reviewing PICC insertion principles under supervision\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is for medical and procedural education only. It does not replace hands-on training, institutional protocols, clinical supervision, or professional judgment. PICC insertion and catheter position confirmation must be performed by qualified personnel according to local standards, with mandatory human review and appropriate imaging or approved confirmation methods.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 87aa565a-58a6-48cd-905e-005ee16e3ca7 --\u003e\u003c\/p\u003e","brand":"Dr Lourenço Alencar","offers":[{"title":"Default Title","offer_id":43334574604349,"sku":null,"price":120.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Ultrasound-GuidedPICCPlacement_result_83b429f3-311d-40f1-a6a6-be36a08ac035.webp?v=1783703512"},{"product_id":"central-access-via-the-femoral-vein","title":"Ultrasound-Guided Femoral Vein CVC [CASE 02]","description":"\u003cp\u003eThis educational case from \u003cstrong\u003eCritical Care Cardiology\u003c\/strong\u003e reviews the step-by-step reasoning involved in placing a central venous catheter in the femoral vein under ultrasound guidance. The case highlights the femoral vein as a non-first-line central access site that may be considered when other access routes are limited or clinically unsuitable. The session focuses on the inguinal region, ultrasound identification of the femoral vein and artery, recognition of vessel overlap, compressibility assessment, needle guidance, guidewire handling, tract dilation, catheter advancement, flow and reflux checks, and final fixation with dressing placement. The content is intended for procedural education and emphasizes anatomy, sterile technique, image-guided decision-making, and safe review rather than independent procedural authorization.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based procedural narration\u003c\/li\u003e\n\u003cli\u003eSterile preparation and field setup\u003c\/li\u003e\n\u003cli\u003eUltrasound probe covering and gel handling\u003c\/li\u003e\n\u003cli\u003eFemoral vein and artery localization\u003c\/li\u003e\n\u003cli\u003eDiscussion of vein compressibility and artery-vein overlap\u003c\/li\u003e\n\u003cli\u003eLocal anesthetic preparation\u003c\/li\u003e\n\u003cli\u003eNeedle-only puncture technique discussion\u003c\/li\u003e\n\u003cli\u003eGuidewire passage and ultrasound confirmation\u003c\/li\u003e\n\u003cli\u003eDilation and catheter insertion sequence\u003c\/li\u003e\n\u003cli\u003eTriple-lumen catheter flushing and valve placement\u003c\/li\u003e\n\u003cli\u003eFlow and reflux testing\u003c\/li\u003e\n\u003cli\u003eCatheter fixation and dressing placement\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eIntensive care physicians\u003c\/li\u003e\n\u003cli\u003eCardiology and intensive cardiology trainees\u003c\/li\u003e\n\u003cli\u003eEmergency medicine clinicians\u003c\/li\u003e\n\u003cli\u003eAnesthesiology professionals\u003c\/li\u003e\n\u003cli\u003eCritical care fellows and residents\u003c\/li\u003e\n\u003cli\u003eClinicians learning ultrasound-guided vascular access\u003c\/li\u003e\n\u003cli\u003eMedical educators reviewing procedural technique\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is intended for medical education and procedural review only. It does not replace formal training, institutional protocols, supervision, or clinical judgment. Central venous catheter placement should be performed only by appropriately trained professionals within the scope of local policies and with appropriate safety precautions. Human medical review is mandatory before educational or clinical use.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 8c141dfb-a503-4c86-9d97-e83465b438c8 --\u003e\u003c\/p\u003e","brand":"Dr Lourenço Alencar","offers":[{"title":"Default Title","offer_id":43334733168701,"sku":null,"price":120.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Ultrasound-GuidedFemoralVeinCVC_result.webp?v=1783703675"},{"product_id":"five-lumen-catheter-in-the-left-internal-jugular-vein","title":"Five-Lumen Catheter in the Left Internal Jugular Vein [CASE 03]","description":"\u003cp\u003eThis case-based procedural review presents the placement of a pentalumen central venous catheter in the left internal jugular vein in an intensive care setting. The lesson focuses on procedural reasoning and technique, including antisepsis with chlorhexidine and alcohol-based solution, wide sterile field preparation, ultrasound probe protection, local anesthesia, ultrasound identification of vascular structures, needle entry, guidewire passage, skin nick creation, dilation, catheter advancement, lumen testing, fixation, and final dressing.\u003c\/p\u003e\n\u003cp\u003eThe case highlights practical considerations relevant to critically ill patients, including limited neck access, the need for multiple infusion routes, and the importance of maintaining sterility throughout the procedure. The content is intended for educational review and should be interpreted in the context of local protocols, institutional standards, supervision requirements, and current clinical guidelines.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based procedural narration\u003c\/li\u003e\n\u003cli\u003eUltrasound-guided internal jugular venous access review\u003c\/li\u003e\n\u003cli\u003eSterile field preparation and ultrasound probe covering\u003c\/li\u003e\n\u003cli\u003eLocal anesthetic infiltration step\u003c\/li\u003e\n\u003cli\u003eNeedle puncture and guidewire passage sequence\u003c\/li\u003e\n\u003cli\u003eSkin nick and dilation discussion\u003c\/li\u003e\n\u003cli\u003ePentalumen catheter advancement over guidewire\u003c\/li\u003e\n\u003cli\u003eLumen flushing and flow\/reflux check concepts\u003c\/li\u003e\n\u003cli\u003eCatheter fixation with sutures\u003c\/li\u003e\n\u003cli\u003eFinal dressing considerations\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eIntensive care physicians\u003c\/li\u003e\n\u003cli\u003eCardiology and intensive cardiology trainees\u003c\/li\u003e\n\u003cli\u003eCritical care fellows and residents\u003c\/li\u003e\n\u003cli\u003eAnesthesiology trainees involved in vascular access\u003c\/li\u003e\n\u003cli\u003eEmergency medicine clinicians learning central venous access\u003c\/li\u003e\n\u003cli\u003eICU nurses and advanced practice clinicians seeking procedural familiarity\u003c\/li\u003e\n\u003cli\u003eMedical educators teaching central venous catheterization\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis material is intended for medical education and procedural review only. It does not replace supervised training, institutional protocols, current clinical guidelines, manufacturer instructions, or qualified clinical judgment. Central venous catheterization should be performed only by appropriately trained professionals with proper supervision, equipment, monitoring, and safety precautions. Human expert review is mandatory before educational or clinical use.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 2215a25e-2f43-40b5-aab3-64dce81d4430 --\u003e\u003c\/p\u003e","brand":"Dr Lourenço Alencar","offers":[{"title":"Default Title","offer_id":43334771998781,"sku":null,"price":120.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Five-LumenCatheterintheLeftInternalJugularVein_result.webp?v=1783703086"}],"url":"https:\/\/www.surgie.com\/fr\/collections\/custom-channel-intensive-care-specialty.oembed","provider":"Surgie","version":"1.0","type":"link"}