{"title":"Practical Intensive Care","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"}],"url":"https:\/\/www.surgie.com\/ja\/collections\/custom-channel-practical-intensive-care.oembed","provider":"Surgie","version":"1.0","type":"link"}