Ultrasound-Guided Vascular Access in Pediatric Cardiac Electrophysiology Dr Ahmed El Khateeb Dr Mostafa Abdelnaby.

Objectives:

• Equip participants with knowledge of pediatric vascular anatomy relevant to electrophysiology procedures.

• Demonstrate sterile techniques and ultrasound-guided vascular access.
• Enhance skills in real-time visualization of vessels to improve success rates.
• Reduce complications associated with vascular access in pediatric patients.

Workshop Structure:
1. Introduction & Rationale
• Importance of ultrasound guidance in pediatric vascular access
• Benefits over landmark techniques
• Special considerations in children (small vessels, patient cooperation)
2. Pediatric Vascular Anatomy & Ultrasound Basics
3. Principles of Ultrasound-Guided Vascular Access
• Overview of neck and femoral vasculature
• Ultrasound machine setup and probe selection
• Modes: B-mode, Doppler
• Optimizing image quality in pediatrics
• Out-of-plane vs. in-plane techniques
• Needle visualization strategies
• Confirming vessel identity

• Preventing complications
4. Step-by-Step Procedural Technique
• Patient positioning
• Aseptic preparations
• Local anesthesia considerations
• Ultrasound-guided needle insertion
• Wire advancement
• Catheter placement
• Troubleshooting common issues
Hands-on Practice Session 1:
• Simulated models or phantoms for vascular puncture
• Live demonstration
5. Hands-On Workshop
• Participant skill stations rotating through: o Ultrasound probe handling
o Needle insertion under ultrasound guidance
o Wire and catheter insertion
• Supervised practice with feedback
• Post-workshop resources and follow-up plan