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[Music] my most recent research was on an ultrasound survey the title of this publication of the research results is a survey of ultrasound-guided peripheral intravenous practices a report of supply usage and variability between clinical roles and departments the publication came out in the journal of the association for vascular access and its open access ultrasound is being used by physicians by nurses by techs we had approximately 1475 respondents who completed the survey vascular access specialists emergency departments intensive care rapid response teams radiology and home care were finding that the number of difficult access patients is increasing in some cases its more than 50 percent of the patients who have chronic diseases have many comorbidities are obese or have other challenges like renal failure these patients have had many different types of ivs and their veins have been depleted or they were just hard to find anyway with the advent of ultrasound were able to find th