Right PSA (Part 3)

Summary

In this video, the process of administering a PSA injection on the right side is demonstrated. The instructor explains the specific angles to consider, including a 45° downward angle towards the patient's shoulder. The injection is given distal to the second molar, with careful aspiration and the injection of 1/4 to 1/2 of a specified solution for peroneal debridement procedures. The detailed guidance ensures precision in the technique and highlights key considerations for proper administration.

Takeaways

• 😀 The injection is being performed on the right side of the patient.
• 😀 The angles for the injection are described relative to the acusal plane, with a 45° angle towards the practitioner and down towards the patient's shoulder.
• 😀 The insertion point for the injection is distal to the second molar.
• 😀 The injection technique requires aiming at a 45° angle from the acusal plane to achieve proper placement.
• 😀 The clinician emphasizes the importance of aspirating before depositing the injection material.
• 😀 The injection procedure involves depositing about 1/4 to 1/2 of the carpal material for peroneal debridement.
• 😀 The practitioner's position relative to the patient is considered to be important for accurate injection placement.
• 😀 The clinician's description of the procedure includes both horizontal and vertical angle adjustments for correct injection technique.
• 😀 The injection is administered with a focus on precision to ensure the proper delivery of the material.
• 😀 The injection procedure is part of a larger context of peroneal debridement procedures, which are not fully elaborated in this part of the transcript.

Q & A

What is the first step in administering the PSA injection on the right side?

The first step is to position the patient correctly by having them tilt their chin up slightly. The injector should then establish the appropriate angles for the injection.

What angles are important when administering the PSA injection?

The injection should be given at a 45° angle from the occlusal plane, which is directed towards the injector if they are sitting on the right side. The angle should also be 45° down towards the patient’s shoulder.

Where is the ideal insertion point for the PSA injection?

The ideal insertion point is distal to the second molar on the right side of the patient.

What direction should the needle be inserted for the PSA injection?

The needle should be inserted at a 45° angle from the occlusal plane and then directed downward towards the patient’s shoulder to reach the correct position.

What should be done after inserting the needle for the PSA injection?

After inserting the needle, the injector should aspirate to ensure they are not in a blood vessel. If there is no blood return, the injection can proceed.

How much of the carpal fluid should be deposited during the PSA injection?

The injector should deposit about 1/4 to 1/2 of the carpal fluid (likely referring to anesthetic or similar fluid) depending on the specific procedure being performed.

What procedure is being prepared for with this PSA injection?

This PSA injection is being administered in preparation for a peroneal debridement procedure.

What is the purpose of aspirating during the PSA injection?

Aspirating helps to check if the needle is in a blood vessel. If blood is aspirated, it indicates that the needle needs to be repositioned.

What is the significance of the 45° down angle towards the patient’s shoulder?

The 45° downward angle towards the patient’s shoulder ensures that the needle reaches the appropriate anatomical location for the injection.

Why is it important to use the 45° angle from the occlusal plane during the PSA injection?

The 45° angle from the occlusal plane is necessary to align the needle properly with the target area for the PSA injection, ensuring precise delivery of the anesthetic fluid.