u/sleepidoc

I'm an anesthesia resident but I'm frustrated with still not being able to confidently place a CVC. The problem is almost always I lose my intravenous placement when I go for the guidewire so that I realise a resistance when I push it through. I usually try to go at a 45° angle through the skin and try to flatten it once I aspirate with the hope of avoiding a posterior wall puncture.

Hence I would really appreciate tips on this issue, I have seen so many videos and all so far and I really feel incompetent with this matter. Does it at some point get better with repetitive execution or should i just change my field :/

I'm an anesthesiology resident based in Europe and I actually love my job very much but people make it unbearable sometimes. It seems like whatever you do, you are always doing something wrong and somebody always comes to criticize you. I'm not talking about medical things, the medical challenges are surely stressful but it's what I signed up for.

What I didn't consider was how lacking of manners and logic people would be. Do not get me wrong I can also handle respectful critique in my opinion and I have to be criticized obviously at this stage of my career so that I can develop my skills. The critique is mostly about organization and extreme time pressure which leads to no net benefit and is from time to time leading to poor medical practice in my opinion. Hence when I do things the safe way I get complaints. One would think, the other person would be able to see this doesn't happen everyday so they should be able to come to the conclusion something extraordinary happened. And when it's commented it's with terrible and respectless words, very very rude with cursing from time to time. Does anybody really think this would lead to enhanced performance and efficiency ? Why do we keep giving psycopaths roles in management?

One feels like a robot and the natural swings of a human performance is not calculated into daily life at all. I really don't know how much longer I can survive in this system, as much as I love what I do it breaks my heart to say this. I'm sick and tired of being scolded like a child, although I think I am on my way to become a fairly good anesthesiologist who advocates for their patients.

Rant over.