Upper Extremity Venous Duplex Examination-Upper Extremity Venous Duplex Examination

Video Transcription

Video Summary

The video features George Berdejo, the Director of Vascular Ultrasound Services at Montefiore Medical Center in New York City. He discusses the guidelines and common indications for duplex imaging of the upper extremity veins. Some of the common indications highlighted include pain, swelling, tenderness, palpable cords, and evaluation prior to central line placement. Berdejo also discusses contraindications and limitations, such as difficulties in visualization for obese or thin patients, patients with casts or open wounds, and patients with severe edema. He emphasizes the importance of patient communication and positioning, as well as obtaining a detailed medical history and performing a physical examination. The video also includes an overview of the examination protocol, including Doppler analysis, 2D assessment, and compression techniques. Berdejo explains the importance of documenting findings and providing preliminary results to referring physicians when necessary. The video also features Rob Daigle, who provides an explanation of the upper extremity venous duplex vascular examination. He discusses the anatomy of the upper extremity veins and demonstrates how to perform the examination using ultrasound. Daigle emphasizes the importance of waveform analysis and comparing the findings of the left and right sides in order to detect abnormalities, such as thrombosis or obstruction. He also discusses specific conditions, such as effort-induced thrombosis and superior vena cava syndrome, and highlights their characteristic findings on ultrasound. Overall, the video provides a comprehensive overview of the guidelines and techniques for performing an upper extremity venous duplex vascular examination.

Keywords

duplex imaging

upper extremity veins

common indications

contraindications

limitations

examination protocol

Doppler analysis

2D assessment

compression techniques

patient communication

positioning