We simply scan patients in a reverse trendelenburg.  Standing is a last resort.  Rarely any issues in demonstrating reflux, I'm not sure why there's such a push to stand patients for this exam, when it's rarely necessary.

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Kathy Munson
Sent: Monday, May 04, 2009 11:47
To: [log in to unmask]
Subject: Re: Step for venous insufficiency testing

I agree.  It is also helpful if you have enough staff, to have one person augment while the other person catches the image and handles the knobs.


-----Original Message-----
From: Denise Levy <[log in to unmask]>
To: [log in to unmask]
Sent: Sun, 3 May 2009 6:07 pm
Subject: Re: [UVMFLOWNET] Step for venous insufficiency testing
Have them wear a helmet for protection when the patient get vaso-vagal...passes out.
Prior to my current place of employment,  a patient was sent to the ER with a head injury, because they stood a patient for over an hour for a venous insufficiency and they passed out cold without warning. ... I had several male patients pass out 3 years ago, vaso-vagal sitting in a chair!!! We were one of 5 centers in the country doing a study/research with VNUS for 3 years and I followed all the cases. Several of my male patients get a cold cloth on the face to ease their faintness and I had to talk them through their anxiety of repeating their history of vaso-vagal with past visits to the lab.

We have a bed with a foot board and chest strap to hold them upright. See Joan Baker's site.
Or happy landing for some of your patients.
Oh and get plenty of ice for your sore neck, back and shoulder...The position is a killer of vascular technologist..

I've been there and the bed is the best way to go. Stand them up with support.
Denise Levy

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