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Letter to the Editors

Letter to the Editors The Journal for Vascular Ultrasound 38(2):99, 2014 To the Editors, I always look forward to receiving and reading the Journal for Vascular Ultrasound, but I was disappointed and surprised when I read the article in the March 2014 issue on pages 34–40, entitled “Venous Insuffi ciency Evaluation with Duplex Scanning”, by Brian Fowler et al. I appreciate that ergonomics was not the main pur- pose of the article, but it was referenced many times. Figure 1 in this article was far from a picture of good ergonomics. This vascular procedure is the most injury producing of all ultrasound procedures. With over 90% of sonographers injured and scanning in pain, we can- not afford to teach vascular technologists the incorrect way to scan the leg for venous insuffi ciency. On the Journal editorial board, you have Marsha Neumyer and, in your organization, Anita Harrington and Tish Poe Figure 2 who can certainly advise about good and bad ergo- nomics. Below are some pictures of good ergonomics The safest way to perform venous studies of the calf is to raise the while performing this type of study. table to its maximum height, lower the control panel to its lowest height and have the top of the monitor level with the sonographer’s eyes. Turn the monitor to minimize the need to turn your neck to Sincerely, view it. Place the patient’s leg on a towel on your thigh. Note your Joan P Baker, MSR, RDMS, RDCS hands are free, your shoulder is not abducted and your non scan- Bellevue College ning arm is not over reaching. A cable brace traps the transducer Bellevue, WA chord and prevents the torque on the sonographer’s wrist. Sound Ergonomics LLC Kenmore, WA Figure 3 Figure 1 The table is in step Trendelenburg (70 degrees). The patient is hold- Note the patient is in steep reverse Trendelenburg and is in a non- ing onto the side rails of the bed and should they feel faint a foot weight bearing position. The footboard is split and all the patient’s switch can lower the bed from reverse Trendelenburg to 15 degrees weight is on their right leg. The patient is safely strapped to the Trendelenburg very quickly if needed. The sonographer is sitting table. The sonographer’s head is straight and the neck is not twisted. on a low post chair her head is straight and her neck is not twisted. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal for Vascular Ultrasound SAGE

Letter to the Editors

Baker, Joan P
Journal for Vascular Ultrasound , Volume 38 (2): 1 – Jun 1, 2014
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Publisher
SAGE
Copyright
© 2014 Society for Vascular Ultrasound
ISSN
1544-3167
eISSN
1544-3175
DOI
10.1177/154431671403800208
Publisher site
See Article on Publisher Site

Abstract

The Journal for Vascular Ultrasound 38(2):99, 2014 To the Editors, I always look forward to receiving and reading the Journal for Vascular Ultrasound, but I was disappointed and surprised when I read the article in the March 2014 issue on pages 34–40, entitled “Venous Insuffi ciency Evaluation with Duplex Scanning”, by Brian Fowler et al. I appreciate that ergonomics was not the main pur- pose of the article, but it was referenced many times. Figure 1 in this article was far from a picture of good ergonomics. This vascular procedure is the most injury producing of all ultrasound procedures. With over 90% of sonographers injured and scanning in pain, we can- not afford to teach vascular technologists the incorrect way to scan the leg for venous insuffi ciency. On the Journal editorial board, you have Marsha Neumyer and, in your organization, Anita Harrington and Tish Poe Figure 2 who can certainly advise about good and bad ergo- nomics. Below are some pictures of good ergonomics The safest way to perform venous studies of the calf is to raise the while performing this type of study. table to its maximum height, lower the control panel to its lowest height and have the top of the monitor level with the sonographer’s eyes. Turn the monitor to minimize the need to turn your neck to Sincerely, view it. Place the patient’s leg on a towel on your thigh. Note your Joan P Baker, MSR, RDMS, RDCS hands are free, your shoulder is not abducted and your non scan- Bellevue College ning arm is not over reaching. A cable brace traps the transducer Bellevue, WA chord and prevents the torque on the sonographer’s wrist. Sound Ergonomics LLC Kenmore, WA Figure 3 Figure 1 The table is in step Trendelenburg (70 degrees). The patient is hold- Note the patient is in steep reverse Trendelenburg and is in a non- ing onto the side rails of the bed and should they feel faint a foot weight bearing position. The footboard is split and all the patient’s switch can lower the bed from reverse Trendelenburg to 15 degrees weight is on their right leg. The patient is safely strapped to the Trendelenburg very quickly if needed. The sonographer is sitting table. The sonographer’s head is straight and the neck is not twisted. on a low post chair her head is straight and her neck is not twisted.

Journal

Journal for Vascular Ultrasound – SAGE

Published: Jun 1, 2014

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