Testimonial

Dr Jonathan Masters Scans Patient with iViz Handheld Ultrasound

Read more about Dr Jonathan Masters Scans Patient with iViz Handheld Ultrasound

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Dr Masters is an Australian urologist who uses the iViz, which he co-owns with his wife Mandy (also a physician). Both Drs Masters travel abroad to volunteer in Global Health missions. Jonathan Masters travels to Vanuatu. Here, he scans a male patient's bladder.

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Publication Date

Wed, 02/20/2019 - 12:00

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12 months, Zero Iatrogenic Pneumothoraces

Read more about 12 months, Zero Iatrogenic Pneumothoraces

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In this video we highlight Memorial Hermann Southeast Hospital for achieving 12 consecutive months of iatrogenic pneumothorax prevention by using Sonosite Point-of-Care ultrasound to guide central line placement.

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Cardiology

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- If my wife or one of my children
needed a central line, I would ask two questions.
I would need to know the experience
of the individual who's placing the line
and whether or not he or she is using ultrasound.
And if they're not using ultrasound,
I would find another doctor.
(lively music)
- [Man] When I came to Houston and Memorial Hermann,
I became aware that ultrasound
wasn't being used for central line insertion.
Either in our hospitals
or in the general medical community.
- It is just like driving blindly
on the road versus driving with your total vision, right?
It gives you total confidence
and certainty about what you're doing.
And what is happening with the patient
which is the most important thing.
- I presented the results
of the use of ultrasound at Cedar Sinai
and also results in the literature
from around the world.
Showing that the injuries
from central line insertion can be reduced
if not eliminated with ultrasound guidance.
- You cannot achieve the kind of numbers
that have been achieved nation wide
without using ultrasound.
But in our way we say
central lines should not cause pneumothoraces.
It should be a rarity rather than the acceptability.
And that's where we're doing in this hospital.
Trying to show that you can do a lot of lines
without doing pneumothorax.
And we have been able to do so so far.
- In fact, for two of our hospitals,
they've reported over a year's worth
of practice in the hospital
without the occurrence of a single iatrogenic pneumothorax.
- These are considered never events certainly
by Medicare and probably will be never events
by insurance companies.
And probably will be never events
from the legal system.
So that's really three good reasons
other than intellectually wanting
to do the right thing.
- We've actually created a new award
for hospitals that are achieving zero
iatrogenic pneumothoraces for a whole year.
We're goin' for zero.
This amazing?
And actually, I didn't even mention it
but we, our emergency departments.
We have nine of 'em, busy, we saw over 400,000
visits last year.
They placed a lot of central lines.
They use ultrasound and it is amazing
but we had no iatrogenic pnuumothorax
for the whole year.
(lively music)
We're talkin' about emergencies.
We're talkin' about level one trauma.
I mean this is pretty amazing.
(lively music)
- A few weeks back I have a patient
in the ICU, almost 350 or 380 pounds.
Blood pressure was in 60s.
Neck was barely visible.
Groin we can not access.
And we got the ultrasound.
Was able to look at thigh jay
and we put the line in.
And that was the best thing
because it was made out of night almost
and we need a line.
And we got it.
Patient did very well
and eventually she got out of ICU.

Brightcove ID

5508114147001

https://youtube.com/watch?v=5BVf6PHrRrI

Body

Sports Medicine and Hand-Carried Ultrasound - Sonosite

Read more about Sports Medicine and Hand-Carried Ultrasound - Sonosite

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- The major benefit of ultrasound
as compared to other imaging modalities
is the fact that ultrasound is inexpensive,
it's quick, it's easy, it's efficient and effective,
and it's portable.
So I can take it with me to Sac State
where I'm medical director, use it on the field
with my athletes right then and there.
We get immediate answers if the patient has
a muscle strain or some partial tear
or something going on that we wouldn't have diagnosed
without an MRI, so we can get an immediate response
and immediately decide what we're gonna do
with that patient and treat them appropriately.
I think at this point with all the technology
we have available, ultrasound should absolutely be
in the hands of every orthopedic surgeon.
It's something that can benefit
the patient and the physician.

Brightcove ID

5508117938001

https://youtube.com/watch?v=GwwdjIRtsh0

Zero CLABSIs: White Memorial Medical Center

Read more about Zero CLABSIs: White Memorial Medical Center

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White Memorial Medical Center, in Los Angeles, California, instituted a central-line-management program resulting in zero CLABSIs & an A on their Leapfrog score.

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Bloodstream Infection

Central Line Management

Central Line Bundle

6 Point Bundle

6-Point Bundle

Subtitles

(slow-paced music)
- [Voiceover] Our responsibility is to do no harm
and to protect the patients.
- Well, we started to see a trend
in central line insertion complications.
Along with that, we were also seeing
some increases in central line infections.
- Patients were staying longer in the ICU.
They were having to have multiple tries at access.
- There's an occasional patient that was dying,
and dying with diseases that should not
have lead to death, and we as a community
of doctors here decided that we'd
put an end to that, and our goals
were not directed towards just reducing the rates,
but reducing them to zero.
5% of the people that walk into a hospital
in the United States develop some sort
of hospital-acquired infection.
That 5% translates into a lot of deaths.
It translations into a lot of disability
and a lot of cost.
- But those percentage points,
even going up or going down,
is somebody's mom, somebody's relative,
somebody's grandparent, somebody's child.
So we've got to get it right.
- I did a series of debriefings
with our internal medicine and our family medicine
residents, and they actually were the ones
who brought up their concern
with our central line placement,
and they felt like they didn't have
the knowledge and the skills to do it safely,
and so we took that information,
then we started looking at our numbers
and started talking with the rest
of the doctors and really putting together
the big picture of what it meant
to place central lines in east LA.
- Our goal was to standardize the procedure.
We make sure everybody is following
the five steps in the IHI bundle,
and then the sixth step, which is to use
the ultrasound for vein location.
Sonosite was instrumental in helping us
develop that program.
- Sonosite was a great partner
because not only did they help us
with the equipment side of it,
but they also helped us make the IHI bundle real
for our physicians and helped us develop
our educational modules, really helped us
identify what measurements we needed to track
so that we'd know whether or not we were
really making a difference, then helped us
analyze our outcomes.
- That's what helped changed the culture,
Sonosite's passion to help us
have the tools and change the culture.
- The nurses are patients' advocates,
and if they see a doctor isn't washing his hands
or her hands, they see that they're not
donning on the gown the right way
and using proper sterile technique,
we have empowered them with the ability
to stop the procedure.
- As chief of staff, he looked at them and said,
"You know what?
"If you stop any doctor from doing something
"that you think is unsafe
"and he or she gives you a hard time,
"you call me, and I will back you."
(optimistic instrumental music)
- In our hospital, we have reduced mechanical
complications to zero.
- In 2012, here at White Memorial in our critical care unit,
we had a zero infection rate for central lines.
The more days here in the ICU,
the more it costs and the more
the hospital may or may not be reimbursed
for that care, so I think what's really been
important for us is having a good
central line program in our hospital
that limits the complications for patients.
- As we meet with our colleagues in other facilities,
often time we share our infection rate,
and I think they're a little jealous of us.
- Well, last year when Leapfrog released
the hospital ratings, we came in at a B.
Not real happy with a B, but I'll take a B.
So this year when they released the hospital ratings,
we had moved from a B to an A,
so I looked into the details behind why,
and a lot of them are right around
those safety indicators, one of them being
our bloodstream infections and those complications
associated with those type of procedures.
I think one of the great things
about having a project like this
is it changes your fundamental belief
about what's acceptable and what's unacceptable.
And now, for us at White Memorial,
central line infections and complications
are not acceptable.
- Anybody and everybody in health care
really has to believe that anything's possible.
You'll never get the outcome that you're expecting
if you never start to try to think
about the possibilities of changing your process.
And change is hard and difficult,
but if you never start, you'll never finish.

Brightcove ID

5508109935001

https://youtube.com/watch?v=KmSz8h2Rdp4

Value of Ultrasound in Sports Medicine

Read more about Value of Ultrasound in Sports Medicine

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Kim Harmon, MD, talks about the utility of ultrasound in sports medicine, and tells a story about how ultrasound saved the day for a young athlete.

Clinical Specialties

Physical Med & Rehab

Testimonial

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Other Videos

Media Library Tag

Family Practice Sports Medicine

Family Practice Sports Medicine Ultrasound

Kim Harmon

Kimberly Harmon

Locker Room Ultrasound

Sideline Ultrasound

Subtitles

- [Voiceover] Ultrasound has literally
transformed my practice.
I can get closer to the diagnosis, which is so important
figuring out what treatment you can do
to keep people active, to keep people doing
what they wanna do, it makes me a better doctor,
and patients are better off because of it.
I'm Kimberly Harmon, I'm a Team Physician
at the University of Washington.
I'm also the Director of the Sports Medicine Fellowship here
and so we train people who have finished their Family
Medicine residencies, to be Sports Medicine doctors.
Down in the athletic training room, on practice days
it can be a slower paced environment,
but it also depends what's coming up.
So if there's an important game or competition
that's coming up, the sort of urgency in terms of
getting somebody back to play, definitely increases.
The more information you can have about a situation
makes it easier to put people back in or to hold them,
so for instance if you know if something is fractured,
versus if it's just bruised, that's a different
set of decision making.
The real, sort of difference maker in terms of
it being such an important piece of equipment
was when we had our star player, who went down
and he had a contusion to his quad.
By Tuesday, the week before our game,
he wasn't any better, and in fact it was unsure
whether he could practice that day.
- I didn't know what we're gonna do, honestly, you know.
It was kind of getting to the point where
it didn't look like he was gonna be able to participate
at a very high level, and it was when we were first
sort of testing out the ultrasound,
and first getting used to that technology,
and Doctor Harmon was like, well let's check it out
in the ultrasound, let's see what we can see.
- I put the ultrasound on him, we saw this big hematoma,
this big collection of blood in the middle of his quad,
his thigh muscle, and we were like,
well there's your problem, and so just,
grabbed a needle, and drained about 85 cc.
- And that day he felt 100% better.
He was able to run around without a limp,
he felt fine, you know it was just a matter of
the traditional methods we were using,
we couldn't get that fluid out of there fast enough.
And I don't know if he could've played
if it wasn't for her stepping in and saying,
hey let's try this out, let's try this technology out.
- This was really a difference maker
in terms of getting this player back to play.
I think that it's going to become
an integral part of the way we practice
Musculoskeletal Medicine and Sports Medicine.
It's made a huge impact in my practice, my patients'
satisfaction, left less people out for advanced imaging.
- [Rob] There's no reason why every university
in the entire country shouldn't have
ultrasound in their training room.
It's affordable, it's extremely useful,
it allows us to do our job better.
I can't imagine going back now.
Having access to diagnostic ultrasound
in the training room for the past two years,
I can't imagine trying to go back to work without one.
- Medicine has maybe gone for more
paternalistic sort of delivery where me
telling you what you have and you saying okay doc,
and going and doing whatever to more of a
partnership in care, and you need to sort of buy-in
to what I'm telling you in terms of
that you're making the correct diagnosis
and you've got the correct treatment plan,
and that you've really got their best interests in mind
and that you move forward with that.
I've never gotten hugged by more patients in all my life.
When people get better, particularly when they're
not expecting to get better, they're really appreciative,
and it's a really good feeling.

Brightcove ID

5508105595001

https://www.youtube.com/watch?v=8k5xMHAudTg

Body

Kim Harmon, MD, talks about the utility of ultrasound in sports medicine, and tells a story about how ultrasound saved the day for a young athlete.

Advanced Needle Visualization for Primary Care

Read more about Advanced Needle Visualization for Primary Care

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Sonosite's Advanced Needle Visualization brightens the appearance of the needle at the touch of a button. This video discusses the technology from the perspective of a primary care physician.

Testimonial

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Subtitles

- Soon as we turn on the function of the
advanced neo visualization, the image quality stays the same
and we just see greater echos when we insert the needle.
So I haven't noted any decrement to the
image resolution and quality.
In my practice it's really added increased speed.
I'm getting to the target more directly with less time.
Getting in and out, which always makes the patient happier
and certainly it reduces the amount of pain
that might be involved in a procedure.
- So the ability to see the needle going through tissue
makes their clinical procedures safer,
makes it faster, obviously better for the patient.
- It appears maybe two, three, four times brighter.
Seems to have a better echo during the entire procedure.
- Basically, the enhanced visualization technology
is a softer grade, and it's very easy to use.
There's no extra equipment or specialty needles
that have to be part of the procedure.
Hard to close, it works with any needle out there,
and it's basically available at the push of a button.
- The beauty of it is that there really is no setup time.
It actually speeds up the procedure
'cause it's easier to see the needle.
So if anything it's a time saving technique.
I think it really can enhance learning
and becoming competent in performing aspirations
and biopsies and a variety of different
needle localization techniques
in a much quicker, safer fashion.
- There's really no other competitor that has
anything quite like what we're doing.
There's a few technologies out there
that try to help see the needle tip.
The bigger issue I see with those
is that they take a long time to set up,
and they're also expensive.
There's hardware involved.
This was a proprietary software algorithm
that we can upgrade any turbo or S system on the market.
- You get all the visualization that you really need
and you don't need to use any special needles,
you don't need to use a larger needle.
The larger the caliber of the needle,
the more painful and the more potential for complications
so I get great visualization with a 25 gauge needle.
- The reason we're excited is because now we can
for the first time say that stick needle angles
are no longer a problem for ultrasound imaging.
- I think it's one of our biggest
breakthroughs in a long time,
and again it meets the criteria.
It addresses a real problem that our customers
and our clinicians are dealing with every day.
It's inexpensive, it's simple, and it works.
- It is a game changer in the market
of ultrasound guided procedures.
It's the speed, the ease of use,
the reduction of time to completion of the procedure,
the safety features, all of those are
a win-win situation for doctor and patient alike.

Brightcove ID

5508117994001

https://www.youtube.com/watch?v=uScA7ilzdvM

Advanced Needle Visualization for Musculoskeletal

Read more about Advanced Needle Visualization for Musculoskeletal

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Sonosite's Advanced Needle Visualization brightens the appearance of the needle at the touch of a button. This video discusses the technology from the perspective of an MSK physician.

Clinical Specialties

Media Library Type

Media Library Tag

Glenohumeral Joint Injection

Needle Enhancement

Steep Needle Profiling

Subacromial Injection

Ultrasound Guided A Little Injection

Ultrasound Guided Bursa Injection

Ultrasound Guided Her Objection

Ultrasound Guided Injection

Ultrasound Guided Joint Injection

Ultrasound Guided Knee Injection

Ultrasound Guided Shoulder Injection

Ultrasound Of The Procedure

Subtitles

disappearing
needle phenomenon has been around for a while it is a problem when the
target is deep I'm into Steve
Neil use can see a doctor it's not there
June so the challenge that we but to our engineers was
solving the problem the embassy in a lil mining claims
but making a really simple to use and actually decreasing the amount of time
it takes you on examinations
improving the workbook what they came back with was a simple
technique to press a button Anthony magically appears at citibank is
in the tissue in our effort to provide better visualization for the meal
Adams deep knee length goals we do not compromise
any other system parameters that affect fishing spot with the the softer
enhancement
it really gives you a view of the Neil from entry into the skin
down into the structure that you're trying to target it's a very polite
paper coated wait long that the even troopers
consumes patience that it had an injection using the old software
would notice it took less time may be less painful even because we were the
target a structure
much more actually in my opinion the speed of the injection is something that
everyone appreciates
the softer surprisingly easy you just pushing one button
allows me to see the very very clearly
say makes it so easy to visualize the needle that the learning curve is
shortened significantly
thing has to do with race issue technology is a softer and brave
there's no extract equipment or specialty me does that have to be
after the procedure our technology works with any real out there
and is basically available at pushing the button when you question it as any
number of injections will notice an immediate improvement in their accuracy
a decrease in our patients pain
and those are things that are well worth any additional expense and it's a
marginal expense feeling
there's really no other competitor that has anything quite like
what we're doing most of the other products that I using that I'm familiar
with
a crier significantly more set up time there's more parameters that you have to
decide in this
a significantly longer learning curve is just not a simple everything in one
package is very hopeful
to not have to turn on or setup he'd issue
equipment is important to increase your accuracy in
it believed you get to choose that you normally wouldn't be able to
spray tan shirt also increases your potential business
for all those reasons it's the stable
I think for any clinician that's doing injections this is a critical
improvements
this is not one of the minor updates to software
that we see with other computer modalities in this is something is a
major change
three weeks I is because now weekend for the first time save that
Stickney learners are no longer problem Simon
my

Brightcove ID

5508121161001

https://www.youtube.com/watch?v=czUtOmbGgfU

Advanced Needle Visualization

Read more about Advanced Needle Visualization

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The advantages of Sonosite's enhanced needle visualization include no setup time, no need for new hardware or special needles, and straightforward on/off functionality.

Applications

Cardiology

Clinical Specialties

Anesthesiology (Regional)

Testimonial

Media Library Type

Other Videos

Subtitles

Advanced needle visualization

Brightcove ID

5508123511001

https://youtube.com/watch?v=o4qjgiBkuxY

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Dr Jonathan Masters Scans Patient with iViz Handheld Ultrasound

Dr Jonathan Masters Scans Patient with iViz Handheld Ultrasound

12 months, Zero Iatrogenic Pneumothoraces

12 months, Zero Iatrogenic Pneumothoraces

Sports Medicine and Hand-Carried Ultrasound - Sonosite

Sports Medicine and Hand-Carried Ultrasound - Sonosite

Zero CLABSIs: White Memorial Medical Center

Zero CLABSIs: White Memorial Medical Center

Value of Ultrasound in Sports Medicine

Value of Ultrasound in Sports Medicine

Advanced Needle Visualization for Primary Care

Advanced Needle Visualization for Primary Care

Advanced Needle Visualization for Musculoskeletal

Advanced Needle Visualization for Musculoskeletal

Advanced Needle Visualization

Advanced Needle Visualization

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