Don:  This letter reminds me of another technique I have used.  If a

patient is just too hard to get from a wheelchair to a bed or a stretcher,

I'll scan them in the chair, again standing behind them, and treating them

as if they are in a bed and I am just standing or sitting behind them.

Usually works beautifully, but I still sometimes run into the inaccessible

subclavian or vertebral.  Where are you going to lunch?  Stay in touch.

Shirley McLean, RVT



----------

> From: Lorraine Pearlman <[log in to unmask]>

> To: [log in to unmask]

> Subject: Re: Scanning positions

> Date: Monday, September 13, 1999 11:38 AM

>

> Hi Don:

> I don't know if this gets you a lunch , but I scan and teach my students

to scan

> standing behind the patient who is seated.  The right carotid is scanned

with

> the right hand and for the left side, the patient and his chair are moved

to

> face the opposite wall.  The left carotid is scanned with the left hand.

This

> position allows for excellent range of motion for the patient's neck, no

> distended jugulars, and good position for viewing the monitor and

reaching the

> imager controls.

> For those patients who can't sit, however, I scan facing the patient.

> Lorraine Pearlman

> Manager, Vascular Lab

> Staten Island University Hospitla

> Staten Island, NY