Guess that means I'm on the B team.
M. Lee Nix, BSN,RN,RVT
Director, Vascular Lab
Instructor, Department of Surgery
University of Arkansas for Medical Sciences
FAX (501) 686-8688
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From: Rob Daigle [SMTP:[log in to unmask]]
Sent: Monday, September 13, 1999 11:19 AM
To: [log in to unmask]
Subject: Re: Scanning positions
Don, scanning from the side of the patient is being taught in some
ultrasound schools, and I think it's a mistake. The key ingredients
successful technical carotid scan include the ability to hold a 1 or
Doppler sample volume in a 1mm or 1/2 mm residual lumen and keep it
there. Anyone can do normal carotids, but it's the tough ones that
require a very steady hand/arm and very subtle transducer movement.
arm cannot be resting on the patients chest. Additionally, the
scan from a posterior -lateral position is essential. These two
ingredients are difficult when positioned at the patients side.
a lot of people who scan carotids and all of the people that I
to be the "A team" scan from in front of the head, and it's for a
reason. If you want to achieve the best quality exam, you can't cut
corners on technique. My apologies for preaching to the choir, but
concerned about what I consider to be an erosion of carotid scanning
From: Don Ridgway [mailto:[log in to unmask]]
Sent: Sunday, September 12, 1999 8:24 PM
To: Robd; UVMFLOWNET
Subject: Scanning positions
This isn't what you'd call Earth-shaking, but there's a bit of a
What position are people taking relative to the patient when
carotids? I'm still of the old school, sitting behind the patient's
Another tech tells me nobody scans like that any more; he stands at
patient's side, facing the patient, much as one would doing an
scan but a bit farther toward the head.
Could I ask for a bit of a survey? There's a lunch riding on this.
reply straight to me so as not to clutter the Flownet up severely:
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Thanks a ton.