Important tips and tricks for IV cannulation!

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This is a live demonstration of intravenous (IV) cannulation.
These are a lot of the things i wish i knew before inserting my first needle.
This was my first video recorded in 2012! unfortunately I didn't have all the usual set up so am using a full sterile set, when this is not needed.
Please focus on the technique rather than the specifics of Aseptic non touch technique that we all adhere to now.
Thanks for watching!!!
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29 сен 2024

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Комментарии : 726

@swood07413 3 года назад

Dude the "blunt portion of upper canula" pearl regarding flattening your needle blew my mind. Makes so much more sense, especially with the visual. Thanks!

@ABCsofAnaesthesia 3 года назад

I know right! Someone taught me that back in 2005 as a medical student and revolutionized my ‘cannulation career’ 😂

@swood07413 3 года назад

@@ABCsofAnaesthesia For sure! I'm an EM resident and we're fortunate to have great nurses at our shop for most IV's, but I definitely need these skills if I'm ever in the jungle or something... I look forward to watching the rest of your videos, and thanks for all your help and teaching!

@angelidez13 Год назад

YES!!! I'm so glad I came across this video, we're doing IV insertions in class and I feel like this will help me so so much

@flylee87 2 года назад

Thank you SO much for these tips. It’s helped immensely with my iv starts and finally I’ve found what I was doing wrong with your videos. Had to start an IV on a surgeon as if that’s not enough to make you nervous, used your tips and did it perfectly! This surgeon was like “A+ for that” and I couldn’t be cheesing more haha thank you 🙏🏼🙏🏼

@ABCsofAnaesthesia 2 года назад

Legend!

@MondolFarmecy 10 месяцев назад

hii

@Balta211 5 месяцев назад

I haven't done IV cannulation for a long time. This video refresh my skills. Thanks 👍

@ABCsofAnaesthesia 5 месяцев назад

Great to hear!

@11zen45 2 года назад

Thank you . This is the best cannulation video, in my opinion.😁

@ABCsofAnaesthesia 2 года назад

Thats so kind of you :) Thank you!

@navneetjuneja Год назад

Absolutely perfectly explained. Although I'm still scared of my actual patient encounter!

@LY43537 3 года назад

Could you do videos on cannulating w/ darker skinned patients, as well as edematous patients, and patients with fragile veins (elderly, dialysis patients, etc.)?

@eduardodiaz9354 3 года назад

that’s when you need ultrasound guided

@sampathabiman2939 3 года назад

Thats good question ?

@samahnasser87 3 года назад

I go by feel so not by look. So by that, a dark skin person would be no different. My skills are with the elderly. They can be rough. Their veins blow too. I am most successful when I keep their skin tight as I advance. They may need more attempts. If they are really skinny, there might be a delicious on in the bicep area.

@bndanto3207 2 года назад

Use 70% alcohol, put it on your compress and once your tourniquet is tight enough, apply the compress and tap over it. If you're really struggling because your patient is in a sepsis or even in shock, you still have the little wrist veins if you need emergency antibiotics or drugs. Btw if you can't have a peripheric vein, the doctor may have the skill to get a jugular catheter. My technique, if it is really difficult because of a sepsis or hypotension, is to watch on legs (if there is nothing on forearms, elbow, or biceps or shoulder), put a little catheter to use paracetamol and other medications (or even the time the person warms up), and then when the veins come back I can have it on the arms

@ozzya9977 2 года назад

Quick tip for cannulating the oedematous. Squeeze the site tightly for a few seconds with your the palm of your hand and milk out the fluid. You'll be surprised how well this moves the fluid away just long enough for you to spot a juicy vein.

@syed2694 2 месяца назад

I struggle most with advancing the tube in any cannula bigger than 22G. Confidence was really shot for a while.

@MathiasAllesson 10 месяцев назад

So, so good. Thank you so much!

@ABCsofAnaesthesia 10 месяцев назад

You're so welcome!

@ahmedalisalem 3 года назад

Thanks for the beautiful explanation

@ABCsofAnaesthesia 3 года назад

Thanks very much Ahmed :)

@_AlexTheMonke_ Год назад

I am watching this before my surgery (I am the patient :D), I AM IN SO MUCH MORE stress after seeing this video lmao

@thedarkside7508 2 года назад

Thank you, that was very informative!

@ABCsofAnaesthesia 2 года назад

Glad it was helpful!

@habibaloki751 7 месяцев назад

Thank you for the amazing tips, really helpful 🤩😍

@coconutsciencegirl9232 2 года назад

Wtf I want that tourniquet!!! I still gotta tie mine and they alone is an art

@dibyendudey8539 2 года назад

It's so much helpful for me... Thank you sir.... Thank you so much💙 Specially at 08:30 the way you explained cannula feature is awesome 😮👌🏻

@RemyRolo 4 года назад

I'm a paramedic and have had a bad run of cannulas. My biggest problem is having to anchor the vein but still keeping it visible as they tend to not protrude as much making them not as prominent. I've also had a couple of patients who have been difficult to actually penetrate the skin (too tough?) with the cannula until too much force is used causing the needle to go too far piercing the sidewall of the vein, any tips/advice is greatly appreciated.

@ABCsofAnaesthesia 4 года назад

really good questions and very common problems! If it's a vein that disappears when I anchor it, it is generally going to be a smaller vein. therefore more difficult. I still anchor the skin with the minimum force required to stop the skin moving as I puncture the skin with my needle. I care more that the skin doesn't move, than whether I can see the vein bulging. In my experience, it matters more that I keep the skin on traction. BUT for these very small veins, I keep my angle of entry VERY shallow. I enter SLOWLY, and as soon as I get a flashback of blood, I then angle up, and advance. The shallow angle of entry is my best tip to prevent going through the deep wall of the vein. With the tough skin patient, again it's the same solution. I anchor the skin as firmly as required to puncture with the needle. Providing you have a good quality needle, I have never had an issue going through even the toughest skin, as long as I anchor the skin. hope that helps :)

@dianne3471 3 года назад

@@ABCsofAnaesthesia I love the fact you pierce the skin and enter the vein slowly. I need to try that. Thank you

@ABCsofAnaesthesia 3 года назад

@@dianne3471 thanks! yeah for the trickiest veins, there's no room for error.... but I'm all for a fast approach for little needles in big veins... much more room for error and less chance of busting the other side

@dianne3471 3 года назад

So I tried today at work, ensuring the skin was anchored the way you showed in video, plus going in the vein slowly till flash back. OMG it worked amazingly. Especially on the hard veins. Thank you so much.

@ABCsofAnaesthesia 3 года назад

Di thats so great to hear! I’ll hopefully make some videos of the most difficult veins and some 14 and 12G cannula insertions soon :)

@sojajames6656 3 года назад

Thank u so much doctor.Thanks a lot.God bless u

@ABCsofAnaesthesia 3 года назад

So nice of you :)

@musicprasad9719 2 года назад

Throughly Demonstrated🙏 Sir,can you please demonstrate the cannulation in Edematous patients&in patients with fragile veins.

@bizuneshassefa6329 2 года назад

thank you u r the best

@Katthenurseee 3 года назад

Love this! Thanks so much !

@ABCsofAnaesthesia 3 года назад

thanks!

@vanassa-isabellarodriguezg1635 2 года назад

Thank you

@majidarasheed140 Год назад

Thanks for the video ❤

@tashtean 3 года назад

Best video! Thanks

@ABCsofAnaesthesia 3 года назад

Thank you :)

@OiVinn-eq1ml Год назад

Why isn’t blood flashback back you took out that other tool out?

@elle26426 3 года назад

Thankyou for a great video, explanation, & technique. As an individual with extremely difficult veins, is there anything further you would advise that might help for my future blood procedures? Despite the nurses' best efforts, I usually come away from blood appointments feeling like a bruised up pin cushion! At hospital they've even used ultrasound machine to help guide them but that was scary. Managing a chronic health condition is made more difficult due to my 'bad' veins. Thanks.

@sherithorson3496 3 года назад

Don’t make morning appointments as it will be more dehydrated. Drink plenty of fluids and skip the cup of coffee or any caffeine as that dehydrates. Always do a late in the day appointment. Apply warm packs. You can purchase the kind that you put in your mittens or boots. Do breath work and relax those vessels🌞

@elle26426 3 года назад

@@sherithorson3496 Thank you for those points. I will certainly take them on board :-)

@brandywine4000 3 года назад

I so identify! All of my appointments that require blood draws or (worse) IVs, are traumatic! I am never a one stick patient. My veins roll and collapse every time! I beg for the smallest available needles and cannula. This isn’t always optimal for some procedures but it is definitely more difficult to get the larger devices to “take.” I never know which vein to identify because they are always changing. I have found the heat packs help and I will always ask (as politely as possible) for the “best sticker” in the office. I no longer worry that I will hurt anyone’s feelings when I ask, it’s just that I already know I am difficult and want to make the experience better for all of us. I also HATE needles so more than 2 tries and I’m beginning to come a bit unhinged. I would love to know if there is anything else as a patient I can do to better help the staff. I have been told to drink much more up to 3 days prior to visits I know I will need to have an IV-especially if it is a “fasting required” procedure.

@kikishoshannacarter3089 Год назад

Thanks very good example

@mhamadibrahim4286 3 года назад

Superb

@emilyteng8095 3 года назад

What should we do when there’s no flashback of blood observed? How can we manuever the needle? Do we take out the needle entirely/partially and re-attempt?

@ABCsofAnaesthesia 3 года назад

great question! if there is no flashback, the needle is not in the vein. this is common and due to many things.... 1) the structure isn't a vein 2) the needle placement isn't correct 3) the vein has moved depending on the above, 1) check the structure (even use ultrasound if necessary) 2) re-angle the needle 3) remove needle and try a different point of entry I often just reinsert at a slightly different site just in case my impression of vein location was wrong with the initial needle insertion hope that helps :)

@alysynwonderland2616 3 года назад

If you know you are near a vein sometimes you just have to keep pushing needle in until flashback if not then you aren’t in the right spot and probably have to start again.

@pcrajvins8034 3 года назад

Hi,can you make video on emergency drugs and dosage/body wgt,n cover topics of ABG n it's interpretation!!

@ABCsofAnaesthesia 3 года назад

Thanks! It’s on the todo list

@ABCsofAnaesthesia 3 года назад

Check the video in the Viva boot camp playlist on critical inductions... I go through suggested dosing for the most difficult cardiac inductions

@digitale78 3 года назад

Periferic vein cannulation at his best👍

@nishatripathi6932 3 года назад

My veins are not visible easily, they have to do multiple attempts... When asked they say I have very small and thin veins, also they aren't straight. Any tips how can I make my veins large and big?

@ABCsofAnaesthesia 3 года назад

Fantastic question! I outline a few steps in this video... ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-H4DKVCV7sBQ.html Here are the basic steps 1) keep warm -dilated the veins 2) keep well hydrated 3) open and close fists a lot! Muscle work increases blood flow 4) keep the veins below the heart.. gravity makes it larger 5) tap the veins.. releasing chemicals that dilate the vein 6) use tourniquet correctly.. pressure above venous pressure and below arterial pressure.. sometimes I can use a manual BP cuff inflated to 80mmhg 7) try non typical veins ... leg, wrist.. back of forearm.. Sometimes with difficult veins, it may be simply getting the most experienced person to do the cannula.. some veins will be impossible for any junior people. Also try to preserve your veins... Minimize trauma Minimize failed attempts After a failed attempt or removal of cannula, keep pressure on for 5mins! Yes 5mins. You want to decrease the risk of the vein rupturing.. or clotting ... pressure is amazing at resealing the vein. Hope that helps!

@sarahtaylor7324 3 года назад

I have tiny veins as well. Try doing some arm curls with a 5kg dumbbell beforehand until your arm is really tired. Gets the blood really pumping coz that squeezing fist technique does nothing for people like us.

@micheleburr7145 4 месяца назад

Why no gloves when preparing everything?

@johnzaleski5182 2 года назад

Was successful in initiating an IV on each of my last 6 patients. I had your instruction playing in my head on each patient. Have really built my confidence. Half of these were medium to hard sticks, too.

@mkdau01 Год назад

I used to work post-op surgery and switched to intra-op (sedation) then back to pre/post-op, meaning that I have switched from being quite rusty in my IV skills to needing them basically 24/7.... I have to say, THIS video is the ONLY one I have found to be the most helpful and accurate. He literally includes every tip/trick a practitioner needs to refresh their IV skills rapidly. Thank you! Literally the BEST.

@EthiomerejaOfficial 3 года назад

The best IV cannulation technique I have seen. Keep up the good work Dr. Awesome 👏

@ABCsofAnaesthesia 3 года назад

haha, thanks :)

@adafung8789 3 года назад

Thank you SO much to share your expertise with us, your " low angle entrance , then flatten the cannula " makes so much sense, as we always end up poke through the vein and wasn't even aware!

@ABCsofAnaesthesia 3 года назад

thanks so much for the kind words and feedback :)

@bryanmunar7116 3 года назад

Potential IV lab partner: "Do you want to be partners for this lab?" Me: "So you've chosen death?"

@Atlas1198 3 года назад

Student paramedic here almost in my 3rd year , still needing advice , I really can’t get IV access , my biggest struggle . Thanks for the video! Hopefully my next victim won’t suffer .

@livinglegend2065 Год назад

Next "victim"?

@RamonQuiro7 Год назад

How did it go?

@jonchoi1233 3 года назад

I lower the arm before I apply the tourniquet to get even better engorgement of the veins.

@samahnasser87 3 года назад

Sweet tip

@sanjaysomari 3 года назад

Salute

@pippaclacherty7854 2 года назад

Thank you, does it help with dehydrated patients? I’m a nurse learning peripheral intravenous cannulation, and it’s something I want to become accredited in.

@elianefernandes4733 2 года назад

Nice tip!

@jieli206 3 месяца назад

I put warm blankets over the arm😂

@kayn9109 3 года назад

So helpful, your explanation of "flattening cannula" by using empty cannula plastic bag is just spot-on! Now I got it! The best IV cannulation teaching video. Thank you so much :)

@ABCsofAnaesthesia 3 года назад

Thank so much for the comment! When someone showed me that back as a Med student it changed everything! Happy to pass it on! All the best!

@edwardvenison8080 3 года назад

This is the best IV cannulation demonstration video I've seen on youtube - thanks for posting, I'm getting better already :)

@ABCsofAnaesthesia 3 года назад

Great to hear! very humbling to hear :)

@amoghdurgam5621 2 года назад

I’m a med Studnet and I was able to cannulate well my first try by following ur tips!

@ABCsofAnaesthesia 2 года назад

Thats so great to hear! Well done and keep it up!

@pverde9901 3 года назад

Would you please make another video with IV placement in the forearm or AC, please?

@ABCsofAnaesthesia 3 года назад

that's a great idea! I will put it on the list :)

@michaeltrubman 3 года назад

Yes AC would be great! I often need use the AC for CT angiograms and blood draws

@Dmoon1234 3 года назад

What an excellent explanation. Beautifully demonstrated and clear instructions and suggestions. Thank you

@ABCsofAnaesthesia 3 года назад

thanks!

@instituteofdiagnosis5238 3 года назад

It’s just one minute procedure and u have done it for 12 minutes and alarmist u have tied the tourniquet for more time Tie the tourniquet at lower arm so that u can see the veins more clearly

@valeriaesquivel3994 2 года назад

The best cannulation video I've seen, I now realize what I was doing wrong while practicing. Thank you!

@ABCsofAnaesthesia 2 года назад

So kind! Thank you

@hyperactivwp 2 года назад

why is this in my recommeded. i will never have to do this, i've never thought about doing this, i hate needles

@jingyun4323 2 года назад

IV cannulation gives me so much anxiety, I've tried to steer away from doing them, worsening the situation. This makes so much more sense when I'm not having a panic attack putting one in.

@mohamedsaleh8138 3 года назад

Clenching the fist to engorged the veins is not recommended in blood sampling though, can cause pseudohyperkalemia. Thanks for the video

@ABCsofAnaesthesia 3 года назад

thanks for the comment! that's an interesting recommendation, I've never observed hyperkalemia in this setting.... do you have any articles that I could look at. thanks again!

@RR-js5yx 3 года назад

Thank you very much. Always appreciate the ''out of books'' knowledge given by doctors. Decreases my anxiety of looking dumb in hospital. Subscribed

@ABCsofAnaesthesia 3 года назад

yeah! I used to love the doctors giving us their inside tips :)

@user-vw8jl9py6w 3 года назад

@@ABCsofAnaesthesia Great teaching

@qiwenzhang7855 3 года назад

A well-made video. Thanks for sharing your tips. We have an expected cannulation tomorrow morning. I will give it a try

@ABCsofAnaesthesia 3 года назад

Good luck!! How did it go?

@rosabelliu2745 Год назад

Thank you so much for this video! The slow demonstration with detailed explanations is exactly what I needed. Hope I can ace my IV cannulations soon!

@GlobbitsGaming 3 года назад

Yup, be watching this on repeat and trying it out on my next shift, thanks for the tip - Newby Student Paramedic :)

@ABCsofAnaesthesia 3 года назад

Best of luck! Such an exciting time being a student on this medical journey! well done!!

@Cosmystery 2 года назад

the tournikay?

@wobebrent143 2 года назад

Hello why your not using glove touching or holding something. Hehehehe you already touch the gauze and other stuff before you wear gloves and you said for infection control but you already finished preparing your stuff . I’m Sorry just saying

@ABCsofAnaesthesia 2 года назад

Yeah, many things to improve! This was my first video, and highly recommend adherence to strict ANTT and modern equipment and less wasteful packs

@tonybrodeur4766 2 года назад

Thank you! This video definitely makes a lot of sense and I see my mistakes now as new nurse doing iv access!

@ABCsofAnaesthesia 2 года назад

Welcome tony! Good luck!

@smxyg 3 года назад

I've always been afraid to do IV cannulation. I am a sophomore nursing student and we're trying IV insertion soon. This video helped me a lot. I hope I could get it right on my return demo. Thank you for sharing your tips! I'm a new subscriber.

@Harlem55 2 года назад

Another little trick is to make sure you select an appropriate gauge- rather, in patients with a history of problems that lend themselves toward collapsed veins, don't be above yourself and be willing to go down to a 24G if the vein itself requires it, provided that the gauge is large enough to pass the particular fluid type through it. (if the line you're inserting might be used for administering colloids such as whole blood, you're going to necessarily need a larger gauge). The trick is in figuring out the balance between the two sides- as using smaller bores where possible also decreases the risk of infection because both the skin puncture and the sterile tract then has less surface area from which microorganisms such as viruses, bacteria, fungi, etc. can enter.

@mkdau01 Год назад

@@Harlem55 Very good tips, indeed, sir! Also, if one uses TOO little a catheter for a bigger vein (for instance, a 24G in a large AC vein), the catheter will simply not stay put.

@Harlem55 Год назад

@@mkdau01 Thats where the conundrum lies - large veins that want to roll, where historically one might ask the MD to consider a cut down, though I hear that its not favored much in modern medicine.

@widyaardardiansyah7573 3 года назад

Dude you have to come and see how the nurses in Indonesia are very expert at cannulation even with patients with extrem obesity 😀

@meylinhernandez461 3 года назад

Everytime I go push in the catheter, i feel like my needle moves as well. Any tips on how to fix this problem?

@ABCsofAnaesthesia 3 года назад

great question! I find that anchoring the hand is useful... and practising feeding off the cannula a number of times to get the motion right might help :)

@nainars1021 3 года назад

You should secure the cannula once you successfully see a good backflow to avoid the needle from moving.

@abigailandino6251 2 года назад

WHAT IS WRONG WITH ME !? I can’t !

@lauramazzocchitti8509 3 года назад

Thank you for the really good visuals! The most important lesson was not to rush! And to angle down as soon as you get flash back !

@Daniel-C-Cc 3 года назад

I got this for operation because I ahd broken arm but I didnt get tourniquet

@frankfromupstateny3796 2 года назад

Great points all the way through.....though, I think with veins this nice...I could start blindfolded with Parkinson's...but all good points.

@ASMR-pp3hc 3 года назад

You really nail the explanation. You are a natural educator.

@ABCsofAnaesthesia 3 года назад

thanks!

@marwamirgani999 2 года назад

This is by far the best cannulation video I’ve ever seen, Thank you

@HamptonsStreetDoc Год назад

Just curious, as a paramedic I was taught to always pull back when flushing to make sure the line is patent. Or that a medic or US thing lol.

@ABCsofAnaesthesia Год назад

good question, do you mean aspirate prior to injecting anything? That's totally fine to do, but just know that hour cannula can be in a vein, even with a negative aspiration of blood. I use a range of measure to check the cannula is in the vein - check my iv cannulation playlist, theres a whole video on it :)

@HamptonsStreetDoc Год назад

@@ABCsofAnaesthesia thank you sir, what I mean is once I’m in the vein, have flash, I advance and I always use a extension set and a flush, and half way after flushing I draw back a bit to make sure there’s blood than flush the remaining half of the saline flush. Again, thanks for the videos, and I’ll check out the rest of them, appreciate it.

@chrislloydgungob7289 3 года назад

Don’t leave the tourniquet for more than 1 minute.

@ABCsofAnaesthesia 3 года назад

that's a great observation! In real life it would be on for seconds. But also I find that each patient has a variable tolerance for the tourniquet and I will mostly be guided by them to their levels of discomfort... always god to support patient centred care :)

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@zenakota7252 Год назад

Very well done..simplified and easy to follow...THANKS Hoping for more videos like this..

@shaibrry 2 года назад

i wish you did my iv back in 2019, they poked me 3 times in my hand because they couldn’t get a flashback and then started an arterial line and infiltrated my vein :/ and the flushes were the worst pain on earth, my hand felt on fire

@pennychurchward1481 3 года назад

Most chemo patients have poor veins. Bane of our lives

@The_thug_of_life 3 года назад

Sir I am ravish x-ray technician any job in usa

@InjusticeHater Год назад

Thank You! As nursing apprentice I was in anesthesia pre op for 2 weeks and tried several times. From like 12 times I could try during that time I was successful 5 times. I am happy my last try was a success. I watched several tutorials but I wish I had seen THIS video in advance. Pretty sure I would have been more successful. Oh and btw: We have Braun cannulas that stop bloodflow after extraction of the needles in hospital. Pretty convenient. Looking forward to get the chance to try again.

@aRedstepchild 2 года назад

YOU deserve the NOBEL PEACE PRIZE when you said FIRST ASK THE PATIENT IF THE HAVE A GOOD SITE THEY PREFER ( and listen for WHY), because they ABSOLUTELY know where other's failed. I had 3 techs, 5 failed attempts today. I told each one just anchor HERE, like you showed, poke here, the vein was bulging just under my skin. Finally they did. Thin skin. Painless. Quick. No bruising. The 5 other attempts are painful throbbing and definitely gonna be bad bruising. Im saving your video. Before someone draws my blood, im going to have them watch this. Because when they gouge me and stubbornly do otherwise, im going to document, note everything, and write letters to the licensing board. I will not be bullied or physically abused because the tech has THEIR preference. I tell them it's no good here, here, here. You poke, get a little blood, it rolls, you gouge some, vein blows, i bruise. Im not gonna be nice. You watch this, do this, we are good. You decide but don't say i didn't tell ya. 6 attempts and 3 techs later, they listened. It was so easy. But im in a lot of pain because they didn't listen to me before they started. You are a trained licensed professional. The patient knows where you will fail if you just ask them first.

@ABCsofAnaesthesia 2 года назад

Youre too kind… i really hope it gets better for you :)

@leeedwards7721 Год назад

Absolutely would WANT YOU to do BOTH Blood-Work or Putting in a Cannula BECAUSE ALL the times i have had the CORRUPT UN-Ethical Nurse take Blood, Or put a Cannula in my arm/Hand they have HURT Badly. They have NEVER ASKED where is the BEST Vein [WHICH IS MY RIGHT HAND] NOPE they have gone to the MOST Painful area and when i have gone into FULL Panic Attack i have had NHS Nurse SHOUTING at me to CALM DOWN. SOO sick of FILTHY Un-Educated NHS Nurses SHOUTING i have a Diploma in Nursing.

@Katan212 2 года назад

Wouldn't keeping the watch on the wrist not be considered bad practice? Plenty of unwashed space under there, plus there's clocks in most spaces anyway.

@HMS20th 2 месяца назад

Is the introducer needle partially withdrawn after seeing blood flash back only ? Or after both advancing the introducer needle for at least 1 cm coupled with seeing a blood flashback ? Today, I couldn't advance the catheter after partially withdrawing the needle despite seeing blood flashback 😅

@joetaylor486 3 дня назад

Thanks for posting this tutorial. It made me much more aware of the dynamics of the cannula tip and will change my practice. I have always been a very average cannulator and aspire to better.

@MegaPoliyo 2 года назад

The second you get flash back withdraw the needle. You shouldn't be advancin while your needle is intravascular is unnecessary. Second of all this slow technique of breaking the skin is really painful. Short authroative advancement through the skin results in almost no pain this softly softly approach is agony until the needle is in.

@matangola 2 года назад

Thank you for this great explanation. I’ve heard some say that going slow may be more painful to the patient and increases the risk of the vein rolling away from the cannula? Is it a misconception? My intuition says it’s better overall to go slow.

@ABCsofAnaesthesia 2 года назад

absolutely! most multi step processes/skills require deliberate rehearsal of steps... i definitely started slowly .. check out my playilst... i have some videos on why slow is better when you start out, and for difficult veins..or big needles

@ABCsofAnaesthesia 2 года назад

ru-vid.com/group/PLKoga8GNPk1VipzD8wDqvnIcVbHWgX5Qd

@vipvipvip1477 2 года назад

AS you guys stretch the skin,if patient is elderly, choose the UPPER site where you wanna start IV. It will prevent movement of vein!

@rachelliz4786 2 года назад

I've always been told faster is better but I tried this and was really happy with how little it hurt. This is an awesome video!

@WonderfulsVIP Год назад

Agreed someone once told me going slower hurts the patient more, but I’d rather go slower and be more accurate than to hurry in the process

@MondolFarmecy 10 месяцев назад

hii

@dr.fancyngandwe4129 2 года назад

Wow Our hospital only have gray canulas 😭

@ABCsofAnaesthesia 2 года назад

Oh dear.. our grey ones are very big.. hope you get a range at some stage

@mariannatheron7363 7 месяцев назад

Hi there,having the tourniquet on already before assembling all the equipment, the patients hand is about to go dead because of lack of bloodflow....

@jasonlib1996 Год назад

I've never understood the use of these kinds of cannulas. Here in the UK, we almost exclusively use winged cannulas, and often use winged and ported cannulas. The wings provide the ability to better secure the cannula to the patient, and the port provides the option to administer further medication whilst your infusion is still attached. The wings also provide a good location to hold the cannula whilst inserting without risk of touching the catheter of the cannula I've never understood the benefits of why you would use these kinds of cannula in the video

@lplegend2010chelsea Год назад

Dude you look maximum 30. If you've been doing cannulation for 18+ years, did you start when you were 12? 😅

@elijahjohn4482 Год назад

mediocre demonstration: - adaptor on syringe touched without gloves and left open - blue 'tourniquet' which is not a tourniquet, which is the most dirty part of the equipment touched the cloth - wristwatch big no-go - talking in front of the patients hand after using alcohol contaminates everything again But credit where credit is due, the technique of finding location and insertion is quite good

@peacefromgod6785 9 дней назад

I will put some gloves on after rubbing my hands with alcohol and after, opening the kit. Good technique, thank you!

@abdulrahmanalmahrouk9304 3 месяца назад

Perfect and helpful technique

@gisaninan3588 Год назад

What happens when there's primary flash back but no secondary flashback n encounter resistance while inserting cam anyone share suggestions, if no secondary flashing but able to flush is the cannula good 2 go

@crystal4941 Год назад

Love your videos. Just have a question? How are you allowed to wear a watch? At our trust we are not allowed any jewellery except a pure wedding band? Thank you in advance

@aroon3 2 года назад

Dude….the thought of all that plastic waste makes me cringe! You may want to consider being more planet friendly in your practice!

@SandraMcRitchie 2 года назад

great, thanks. dang I missed twice today.

@ABCsofAnaesthesia 2 года назад

Progress not perfection.. keep it up!

@hiboudeluxe 2 года назад

idk why youtube recommended this to me but I am transfixed... like for real, I'm not in the medical field AT ALL. i'm a freaking artist who works at a bank. why am I here? don't know. but I'm happy I found it.

@ABCsofAnaesthesia 2 года назад

Haha hilarious… maybe its a sign ;)

@girlie1357 3 года назад

That is a ridiculous amount of plastic waste just to put in an IV!! Lets kill the earth! Yey! Otherwise great video and thank you for making it.

@seleneboldrini7074 2 года назад

All the steril kits for stop the infection rare but he didn't use the gloves and touching everything without. High rate of contamination!!

@bdogg20101 28 дней назад

Excellent video. And great step by step instructions. And the visualization is amazing.

@Pa4QRS1cxT2dvn3y 3 года назад

That's so nice vedio doctor....waiting for such more informative videos❤️

@ABCsofAnaesthesia 3 года назад

More to come!

@bdogg20101 28 дней назад

For those patients that have a hard time seeing the vein, try using a vein finder or even using a instant heating pack to warm up the area. The heat pack will bring greater blood flow to the veins.

@bdogg20101 28 дней назад

Also got to remember that you do not want to go directly where the vein bifurcates. Go a little above it. You may hit a valve in the vein, which in turn will make it very hard to advance the cannula into the vein.

@waggingthroughlife Год назад

By far the best vid in IV cannu. THANK YOU!

@smzslider 3 года назад

I'm pretty good at IV insertions, but over the years I've used a 45-50 deg angle approach to the vein, then once I get a flash, then I flattened out, I might have to try this more perpendicular approach, see if it works better thanks.

@ABCsofAnaesthesia 3 года назад

Thanks for sharing!