As a paramedic this technique has really helped me ensure I hit nearly all my cannulations. Works fantastically on any vein. I now routinely teach this to our students with great results.
Nick Osgood - wow that’s amazing! So once u see flash then how much do u have to lift before advancing again? As much as the guy did in the video or can it be less? 🙏🏼🙏🏼🙏🏼
@@hammypie i lift it a fair amount, it doesn't seem to cause any extra pain and I've even had patients state that I'm a 'light touch'. Often I'm cannulating very sick people, or cardiac arrests, so i really don't want to miss!
@Omar Alnemer that's how I used to to do it. Now I just go in at the most horizontal angle I can, get flash, lift and progress without flattening out. If it can work with. 22g on a 2 year old kicking off with a hypo it can work with anyone!
Thank you Dr Chung for unselfishly sharing your technique, this will not only benefit nurses like me but especially our patients too. Salute to you Dr Chung
makayla bellamy ok well I’m in the hospital and I have a bone marrow disorder and I got a bone marrow transplant so what they have to do is put ports in your chest 2 of them and u get admitted to the hospital they give u some fluids and then Ifyour counts or low they will give you a transfusion in to u vein the they have to do radiation to kill the lymph-nodes then u wait till your donor will give you the stem cells you will wait like 14 to 18 days for engraftment then when they see engraftment they will discharge you then u go home with your family
Some good points. We should be mindful that the tourniquet isn't too tight (it must allow venous filling via arterial flow) this is especially important if BP is low, skin is fragile, etc. Rubbing or gently tapping a vein is effective and far less painful than slapping them on the back of the hand like a naughty toddler. There is often a good vein to be found between the middle and ring fingers, proximal to the knuckle. Once you've wiped the area with the alcohol or IV swab, no more touching or tapping the area with anything (but the cannula). If cannulating into the back of the hand, come a little more proximal than demonstrated here. You need to consider the length of the cannula cap and where it with end up after cannulation. As you can imagine, if the cap protrudes past the knuckle there is a greater likelihood of it being dislodged. If the vein bifurcates, aiming between the branches helps. Don't surprise the patient, especially a nervous one. Talk to them confidently, win them over with reassurance and warn them e.g. "This part doesn't hurt I'm just cleaning the area and looking for a good vein". "OK, just a moment or two of pain now, I'll be quick, don't flinch or it'll take longer", etc. Acknowledge their pain afterward. with a "Well done, you did well". Secure that cannula like the precious resource it is. You don't want to do it again! Learn from others & be confident. Good luck!
Of course this technique is gonna work when the patient is young and healthy and not 77 years old dehydrated with hx of CHF, HF and blown veins from being admitted 4 days agp
@@cawdblessyou8374 and paramedics, lol. At least his environment is brightly lit and stable and he's not bouncing down the road 50+ miles an hour trying to do it. It's hell but we make it work.
I thought this was over the top and crazy.....but I tried it and it works like a dream. haven't missed since. As a student I was missing left and right now I'm getting the hard to get IV's that the experienced RN's are missing.
What kinds of patients have you successfully tried this technique on? I am just wondering if this works just as well on the older patient population, like patients 65-75 years old.
@@waterfall3 yes sure. Only paramedics get it hard and sad. you would not survive 36 hours of continued duties in a hospital on your feet with hardly time to pee. How much does your shift last 8 hours? How many patients you handle in that time? 8? Or even 10?
This technique does not hurt anymore than other techniques. The patient cannot feel you lift up the needle/catheter because you are using the blunt side of the needle.
Great technique!!! I never miss now - and with the older folks I rarely even use a tourniquet. This was a great addition to my bag of tricks in the back of an ambulance!!!
Great tip! I just started doing IVs at work and any help I can get I appreciate. So far I’m batting 0 out of 2. Your method makes a lot of sense from an anatomical perspective and it explains how I “blew” my IVs.
Great method. Thank you for explaining it so well and for making this video. It has increased my success rate dramatically and I've shared it with other nurses.
Chesca Domingo I got the iv 3 months ago for surgery and fuckk it hurt I tried you stay still but then as soon as she put the needle in me I flinched she grabbed my hand and said “No!! Don’t move!!” Fuck me it hurt 😣
Got my first IV ever with this technique. I never struggled with getting the vein (phlebotomy is easy) it was just knowing what exactly to do after the flash was my hard-to-do part.
This is a DAMN GOOD demonstration! I've been watching IV insertion videos for a one day class I'm taking soon (I'm an LVN). This video REALLY helped me understand the specifics of why it's done this way. I'm going to watch this video every day until I take my class. Thank you so much!
Brilliant. Started to use this technique and so far so good. Feel a lot more secure now, the vein indeed doesn't get damaged by lifting it up and I now know exactly when I can slide the plastic safely towards the vein.
I’m trying this tomorrow!!! We are taught to see the flash, so you know you’re in the vain and then withdrew. Idk how many I messed up like that. I’m definitely trying this!!!!
I 100% have to try this as a nursing student. I figured out a nice method of flash>flatten>1mm>cath, but this seems super nice on young pts with hard veins. A frail 80yo will still have to be the tried and true.
Praying is good, I'd be happy with a nurse who prays before they do a technique on me. I'm not bothered what religion the nurse is. And I always pray/meditate before pushing my doses, as it gets my mind in the right place for the experience.
IV team member here. One suggestion, I know this IV is to be used for short term use, I would still not occlude the cannula with my thumb. The thumb just contaminated the site that will be under the dressing near the opening in the skin. If it were to be used for a longer term, that dressing may not be changed for a few days. I suggest pulling the needle back half way after the cannula is advanced. Then pop the tourniquet. Slide the gauze (as you did) under the hub. Remove the needle and quickly attach the tubing or syringe. 40+ years experience here.
Thank u doc .. I'm a nursing student .. persuing first year ...and this technique is going to be really helpful when I have to give I/ V channel to my patient
At last someone who at least tries to give a good advise. Everyone else of the 1000s of youtube uploaders is just showing the same standard technique on perfect veins, which helps you exactly 0% in real life. However even in this video, the teqnique shown will be hard to pull off in tough patients.
saya dari indonesiaa dan mengambil kuliah perawat dan saat ini sedang praktek lab cara infus melalui intravenna dan ini sangat jelas dan mudah dimengerti terimakasih sehat selalu❤❤
Thank you so much, Dr.Chung! I always come back to your video whenever I doubt on my skill and falter. Your technique is very useful and I am so thankful for your tip. Best regards, 😊
I used to be afraid of having needles inserted into me. Now, after a few experiences where they did not miss, I’m not afraid anymore so I could watch this video.
Marisol Alonso Yes it helped because I often had the problem that I hit the vein and there was blood coming back but most of the time I couldn't push the plastic part forward (sry for the missing vocabulary, non native speaker). Either it didn't go forward at all and I hurt the patient or a hematoma formed or it did go in, but the place got swollen when I tried to inject sodium chloride. That was like 80% of my tries. I thought it would get better with more practise but I wasn't really able to get an error feedback, I didn't know, what exactly I was doing wrong or needed to change. After watching this video I realized that I was too careful not to penetrate the back wall of the vein so that most of the time the plastic part wasn't placed inside of it at all when I tried to push forward. With that technique, I don't have to be as careful and can give the needle a good push before I shove the plastic part. Since then, all cannulations were successful. I also tried to pull the skin under the cannulation spot down to fix the vein when inserting the needle and I started to punch the vein an few times with my fingertips to relax the muscles. This might have helped, too. I don't pull the skin up as high as in the video, though. It still looks scary to me^^
JaneDoe OMG, everything you just said summed up the reasons why my IVs fail! I always get flash but then end up blowing the vein, and I never know what I’m doing wrong. Seriously this video is a blessing. I’m gonna start trying it and see how it goes! Hopefully I successfully start an IV soon :)
Great description, sir I m an Art student, but i love to watch the videos and study human ailments, surgeries, traumatic surgeries, operations. These kind of processes are really astonishing as the medical sciences in today time has bcom so vast, and surgery is not a matter of mental pressure anymore as it used to put patients first into fear. Weather or not to proceed for treatment. Thank for sharing
Wow! Thank you, that was an amazing demo. I'm taking an IV certification class for LVN. I was gonna say, "wouldn't lifting the needle do damage to the vein?" Then you answered my question with showing us that the bevel up side is dull. Thank you doctor! 😁👏👏
I like the idea of this method. I am going to trial it tomorrow and report back on my success. Had a bad week last week trying to insert IVCs into pre-op patients so this is much needed.
I had an I.V. catheter done on me last night and the nurse told me « I’m pretty proud of myself because I never miss » and I noticed he used this very technique. When he lifted up, i didn’t feel anything most likely because it was the blunt side of the needle that was pressuring the upper wall of the vein.
I am only 18 years old..And I have a lot of interest about medical science.. I want to be a cardiologist.. This video is one of the real motivation for me
Thanks Dr Chung! I use to start IVs all night long throughout the hospital (big). I was a one man show and if the anesthesiologist couldn’t get it- I could! . i also started picc lines as well. I cannot wait to get back to the hospital to work in holding... I have had enough of the executive RN bs- ready to get back in the swing of things! Can’t wait to use this technique. This was great!
It's probably pretty much the same thing, but the way I'm being taught is to insert the needle at around 30 degrees, advance until you get a flash, lower the angle, advance the needle 1/8", and then advance the catheter. So rather than lift up on the entire needle and putting tension on the tissue, I just decrease how aggressive the angle is and point more inline with the path of the blood vessel (not completely level, but more shallow). I've just started with my training, but so far it's worked pretty well. I think it would probably create a little less stress for an anxious patient too since you wouldn't be bending the needle and tenting the skin like with this method. It might not be painful, but you can feel when tension is created (even when you aren't looking at the injection), and I could see that bothering someone who is already fairly nervous about getting an IV
I wish we used these IVs at my job. I feel like such a terrible nurse we use the BD double lumen IV system at my job and I can't insert them to save my life. Too many dangling parts sometimes when I go to tape them the IV dislodges it's so annoying.
Question: Once you get the flash of blood, what about immediently stopping and sliding the catheter down the lumen? That way you are inserting the catheter only?
I’m gonna give this method a try. I’ve always used the technique of simply dropping the angle of the needle, but I still often find myself blowing the vein on small, dehydrated veins
Oooooo I will try this. New ED nurse here! Does this work well in AC location also? Also, I somehow have a tendency to hit valves lately and idk why. Any tips on avoiding those? Your patient’s hand being is a DREAM BTW!!
![โฮ่ง! (SUGOI) - LYKN [ OFFICIAL MV ]](http://i.ytimg.com/vi/nFp4zjAARFs/mqdefault.jpg)
Whos watching this before bedtime like me....u guys psycho too💀💀
1:53am
@@andersongarcia9932same 1:53am when i saw ur comment💀
2:45 am
Me, but i have return demo tomorrow 😭
3:15 am
As a paramedic this technique has really helped me ensure I hit nearly all my cannulations. Works fantastically on any vein. I now routinely teach this to our students with great results.
Nick Osgood - wow that’s amazing! So once u see flash then how much do u have to lift before advancing again? As much as the guy did in the video or can it be less? 🙏🏼🙏🏼🙏🏼
@@hammypie i lift it a fair amount, it doesn't seem to cause any extra pain and I've even had patients state that I'm a 'light touch'. Often I'm cannulating very sick people, or cardiac arrests, so i really don't want to miss!
@Omar Alnemer that's how I used to to do it. Now I just go in at the most horizontal angle I can, get flash, lift and progress without flattening out. If it can work with. 22g on a 2 year old kicking off with a hypo it can work with anyone!
me too. ever since I tried this method, it rarely fails.
Does this method work with AC location too?
Thank you Dr Chung for unselfishly sharing your technique, this will not only benefit nurses like me but especially our patients too. Salute to you Dr Chung
I’m trying to face my fear of needles. I almost fainted
makayla bellamy ok well I’m in the hospital and I have a bone marrow disorder and I got a bone marrow transplant so what they have to do is put ports in your chest 2 of them and u get admitted to the hospital they give u some fluids and then Ifyour counts or low they will give you a transfusion in to u vein the they have to do radiation to kill the lymph-nodes then u wait till your donor will give you the stem cells you will wait like 14 to 18 days for engraftment then when they see engraftment they will discharge you then u go home with your family
umm.. im here for fun...
MelyCorn same. I find it quite satisfying to watch
Same. I feel your pain.
Tiila Spencer same
Some good points. We should be mindful that the tourniquet isn't too tight (it must allow venous filling via arterial flow) this is especially important if BP is low, skin is fragile, etc. Rubbing or gently tapping a vein is effective and far less painful than slapping them on the back of the hand like a naughty toddler. There is often a good vein to be found between the middle and ring fingers, proximal to the knuckle. Once you've wiped the area with the alcohol or IV swab, no more touching or tapping the area with anything (but the cannula). If cannulating into the back of the hand, come a little more proximal than demonstrated here. You need to consider the length of the cannula cap and where it with end up after cannulation. As you can imagine, if the cap protrudes past the knuckle there is a greater likelihood of it being dislodged. If the vein bifurcates, aiming between the branches helps. Don't surprise the patient, especially a nervous one. Talk to them confidently, win them over with reassurance and warn them e.g. "This part doesn't hurt I'm just cleaning the area and looking for a good vein". "OK, just a moment or two of pain now, I'll be quick, don't flinch or it'll take longer", etc. Acknowledge their pain afterward. with a "Well done, you did well". Secure that cannula like the precious resource it is. You don't want to do it again! Learn from others & be confident. Good luck!
Garth Thomson how many days can the cannula stay? For example in hospital. Do u hv to change it?
@@zai4booc you have to change it. iv good for 72 hours
@@tatto9001 That is not true unless you are administering an irritant or vesicants (vesicants should be rotated every 48hr)
@@zai4booc I'm a nurse in Thailand. My hospital is usually changed every 72 hours or sooner if a patient is hurt.
@@zai4booc 72 hours or 3 days..... ( Also a nurse here)
I have been an ICU nurse for years and never learned this trick, I can't wait to give it a try. Thank you so much for sharing!
Of course this technique is gonna work when the patient is young and healthy and not 77 years old dehydrated with hx of CHF, HF and blown veins from being admitted 4 days agp
Astronomical 1 exactly.
true haha
yeh.
Only nurses understand this and it’s 100% accurate. Even worse when that 77 yr old is frustrated and uncomfortable 😩
@@cawdblessyou8374 and paramedics, lol. At least his environment is brightly lit and stable and he's not bouncing down the road 50+ miles an hour trying to do it. It's hell but we make it work.
I thought this was over the top and crazy.....but I tried it and it works like a dream. haven't missed since. As a student I was missing left and right now I'm getting the hard to get IV's that the experienced RN's are missing.
Kartracer6 - wait really?? So after flashback you lift the whole thing up, then advance again? Do u have to lift as much as he does in the video?
Try doing it in the back of a rickety moving ambulance driving code 3
What kinds of patients have you successfully tried this technique on? I am just wondering if this works just as well on the older patient population, like patients 65-75 years old.
@@waterfall3 yes sure. Only paramedics get it hard and sad. you would not survive 36 hours of continued duties in a hospital on your feet with hardly time to pee. How much does your shift last 8 hours? How many patients you handle in that time? 8? Or even 10?
@@V1Pin What does that have to do with what he said though? Im currently a nurse but was a medic before. Intubate someone and then you can talk shit
My whole body go weak when I watch things like this😵😵😭😂😭
shaking :((
Tbh it's not that bad. I was fearful at first but when it went in, it wasnt as painful as it seems ;-;
@@vi9648 mine hurt, I scream like a goat that about to be butched.
Looks like you people haven’t been pregnant and had a baby lol
I have an iv in my arm rn
Man, I wish I could have seen this about 30 yrs ago. The animation and explanation is AWESOME!!! Makes so much sense.
This technique does not hurt anymore than other techniques. The patient cannot feel you lift up the needle/catheter because you are using the blunt side of the needle.
Myung Chung does it work with a regular seringue needle?
Good point
The patient can feel the needle being lifted up.
@@wansangoh4951 definitely. it probably won't be painful but you can feel tension in your skin when it's getting pulled on
Your wrong we can feel it
It's 12:05am and im 17 years old with no interest in becoming anything in the field of medicine what am I doing here
Gerard Garcia preach
That’s when you know too much time on TH-cam has been spent.. you end up in the dark side of TH-cam
Career Window shopping 😂
Gerard Garcia this is weird bc it’s 12:05 right now to lol
Gerard Garcia same dude
Thank you 😊 soooo very much! I’m a RN and trying to gain more knowledge in IVs…grateful for your valuable knowledge
he’s like “lightly tap the area” while smacking and flicking her
😂😂😂😂😂😂
🤣🤣
Yes, haha. But he does that because it helps with the blood flow.
Great technique!!! I never miss now - and with the older folks I rarely even use a tourniquet. This was a great addition to my bag of tricks in the back of an ambulance!!!
Great tip! I just started doing IVs at work and any help I can get I appreciate. So far I’m batting 0 out of 2. Your method makes a lot of sense from an anatomical perspective and it explains how I “blew” my IVs.
Danijel Danicic same here
Lagranarob - couple months later I’m not “the iv guy” keep at it and don’t give up.
@@speedjunky01 Are you "the iv guy" yet?!
@@Swollenraspberry that is hilarious because I actually am now 😆 kids dialysis patients geriatrics etc always getting calls!
@@speedjunky01 Great to hear! Still using this technique when applicable? 😊
Great method. Thank you for explaining it so well and for making this video. It has increased my success rate dramatically and I've shared it with other nurses.
Can we thank the patient for not being scared omg that hurts so much I don’t know how she did not do anything 😳
For me it doesn't hurt i have got a lot of IV till now i can't feel the needle anymore 😂😂😂😂😂
@@lmusic7465 sameee
I think if i were the patient i would literaly faint
Chesca Domingo I got the iv 3 months ago for surgery and fuckk it hurt I tried you stay still but then as soon as she put the needle in me I flinched she grabbed my hand and said “No!! Don’t move!!” Fuck me it hurt 😣
Laya Ali !!
Got my first IV ever with this technique. I never struggled with getting the vein (phlebotomy is easy) it was just knowing what exactly to do after the flash was my hard-to-do part.
after a yrs of not practicing iv insertion. im not that confident to do it.. this is very helpful to refresh my memory. thanks for the technique.
I just start using this technique and have gotten all of my patients on the first try!! Old and young, good and bad veins.
Thanks so much Dr. Chung. This technique helped me become successful in starting a patent IV on my patient.👍🏾
Chineze Madu 8
Cinema songs
Thank you for teaching us.
I tried it today and didn't miss a vein.
curious being o
Now, pls teach us on older (90 yrs old). This is easy, those are hard.
This is a DAMN GOOD demonstration! I've been watching IV insertion videos for a one day class I'm taking soon (I'm an LVN). This video REALLY helped me understand the specifics of why it's done this way. I'm going to watch this video every day until I take my class. Thank you so much!
Hi Doctor, thank you for this video. The most informative one I’ve seen so far. You made IV cannulation so much easier for me!
Brilliant. Started to use this technique and so far so good. Feel a lot more secure now, the vein indeed doesn't get damaged by lifting it up and I now know exactly when I can slide the plastic safely towards the vein.
I’m trying this tomorrow!!! We are taught to see the flash, so you know you’re in the vain and then withdrew. Idk how many I messed up like that. I’m definitely trying this!!!!
I 100% have to try this as a nursing student. I figured out a nice method of flash>flatten>1mm>cath, but this seems super nice on young pts with hard veins. A frail 80yo will still have to be the tried and true.
I have fear of needles. When I watched this. My heart rate increased my body began to shake
Ya'll are weak. Is this what the human race became?
@@suspicious-channel have you ever been injected in the veins before?😒
@@suspicious-channel ever heard of phobias ??
@@suspicious-channel Stupid! We have the Trypanophobia
@@suspicious-channel I dont think humans evolved to withstand a fear of needles
Looks like an extremely useful technique for a student nurse, thank you, doctor
if I use this method instead of what I've been taught will I fail?
As long as you maintain sterility and get the IV you should not!
This is a technique I have never seen before!! Great explanation and demo. Thanks for sharing!
im a nursing student and holy cow, that was nuts to watch, I loved it! Thank you Dr.Chung!
Awesome. Thank you. Now show starting bad veins, please.
Lol.... stick 4 times and repeat o dominant arm next.
J DACOSTA Hell no as a patient I want you to get it right the first time.
Lol! I know and I usually do, I did not know regular people would watch this...ooops. :()
J DACOSTA Luckily I got a hook up with someone who has been sticking people with IV's for 31 years.
You get I.V. Hydration therapy?
I don't know why my heart hearts after watching this
Whenever I insert an IV, I pray my technique doesn't fail 🙏 (9/10 times it doesn't fail)
Rip to the 1 patient
HEHE.....pray works miracles.......
Praying is good, I'd be happy with a nurse who prays before they do a technique on me. I'm not bothered what religion the nurse is.
And I always pray/meditate before pushing my doses, as it gets my mind in the right place for the experience.
As a random dude with no medical experience aside from a two week first aid course this was actually quite interesting
IV team member here. One suggestion, I know this IV is to be used for short term use, I would still not occlude the cannula with my thumb. The thumb just contaminated the site that will be under the dressing near the opening in the skin. If it were to be used for a longer term, that dressing may not be changed for a few days. I suggest pulling the needle back half way after the cannula is advanced. Then pop the tourniquet. Slide the gauze (as you did) under the hub. Remove the needle and quickly attach the tubing or syringe. 40+ years experience here.
Thank u doc .. I'm a nursing student .. persuing first year ...and this technique is going to be really helpful when I have to give I/ V channel to my patient
At last someone who at least tries to give a good advise. Everyone else of the 1000s of youtube uploaders is just showing the same standard technique on perfect veins, which helps you exactly 0% in real life. However even in this video, the teqnique shown will be hard to pull off in tough patients.
This is how I do my IVs since I saw this video two years ago and it's the best
I'm not even a medecine student but this was pretty interesting
Merci!
This was one of the best videos i have seen. I am in AEMT school getting ready for IV section. Thank you for this.
Just wanted to say this worked flawlessly on an old 90y geriatric with edematous arms.
saya dari indonesiaa dan mengambil kuliah perawat dan saat ini sedang praktek lab cara infus melalui intravenna dan ini sangat jelas dan mudah dimengerti terimakasih sehat selalu❤❤
Best technique I've seen yet
Used this technique today and I LOVE it
It freaking worked!!! never missed Iv yet. one stick
Thank you so much, Dr.Chung! I always come back to your video whenever I doubt on my skill and falter. Your technique is very useful and I am so thankful for your tip.
Best regards, 😊
i almost lost my mind. I knew what I was going to see but i felt as though i were about to faint
i had to look away
thank goodness your not a nurse!
Same omg 😭
lol just from that??
I used to be afraid of having needles inserted into me. Now, after a few experiences where they did not miss, I’m not afraid anymore so I could watch this video.
Seeing the needle bend like that gave me anxiety as a phlebo 😂 Going to start on my IV certification next
I’ve done this so far on older and younger patients and it’s been so helpful! Thank you! I like to take different tips and try them:)
This type of taping make collapse the vein
THANK YOU!!!! I already thought I was a hopeless case. This helped me so much!
Did this help you??? I just started doing them and I suck at them
Marisol Alonso Yes it helped because I often had the problem that I hit the vein and there was blood coming back but most of the time I couldn't push the plastic part forward (sry for the missing vocabulary, non native speaker). Either it didn't go forward at all and I hurt the patient or a hematoma formed or it did go in, but the place got swollen when I tried to inject sodium chloride. That was like 80% of my tries. I thought it would get better with more practise but I wasn't really able to get an error feedback, I didn't know, what exactly I was doing wrong or needed to change. After watching this video I realized that I was too careful not to penetrate the back wall of the vein so that most of the time the plastic part wasn't placed inside of it at all when I tried to push forward. With that technique, I don't have to be as careful and can give the needle a good push before I shove the plastic part. Since then, all cannulations were successful. I also tried to pull the skin under the cannulation spot down to fix the vein when inserting the needle and I started to punch the vein an few times with my fingertips to relax the muscles. This might have helped, too. I don't pull the skin up as high as in the video, though. It still looks scary to me^^
JaneDoe OMG, everything you just said summed up the reasons why my IVs fail! I always get flash but then end up blowing the vein, and I never know what I’m doing wrong. Seriously this video is a blessing. I’m gonna start trying it and see how it goes! Hopefully I successfully start an IV soon :)
It's 2 am watching this for our return demonstration. Je suis shookt.
That technique is difficult for pediatric patients specially the toddlers.. lol. Thanks for the video..
lyn Lynn
😍😍😍😍😍
Great description, sir I m an Art student, but i love to watch the videos and study human ailments, surgeries, traumatic surgeries, operations. These kind of processes are really astonishing as the medical sciences in today time has bcom so vast, and surgery is not a matter of mental pressure anymore as it used to put patients first into fear. Weather or not to proceed for treatment. Thank for sharing
thank you so much for this technique I am a med student and i have performed my first ever iv successfully thank you sir
Wow! Thank you, that was an amazing demo. I'm taking an IV certification class for LVN. I was gonna say, "wouldn't lifting the needle do damage to the vein?" Then you answered my question with showing us that the bevel up side is dull. Thank you doctor! 😁👏👏
Man… that a hell of a method. Thanks v v much foe sharing that
wow i am 18 and i’m scared of needles. thank you youtube for recommending this to me.
I like the idea of this method. I am going to trial it tomorrow and report back on my success. Had a bad week last week trying to insert IVCs into pre-op patients so this is much needed.
Robinah Juru did you try it ? How did it do ?
That is a great technique, looks like it might pinch a little to start but better than blowing a vessel out.
I had an I.V. catheter done on me last night and the nurse told me « I’m pretty proud of myself because I never miss » and I noticed he used this very technique. When he lifted up, i didn’t feel anything most likely because it was the blunt side of the needle that was pressuring the upper wall of the vein.
It HURTS!
I am only 18 years old..And I have a lot of interest about medical science.. I want to be a cardiologist.. This video is one of the real motivation for me
Motivation ??!!
Pretty weird to get motivated by this :')
That flash was so satisfying
Thanks Dr.. ever since I tried your method with also avoiding tight tourniquet, make success rate increased a lot
Thanks Dr Chung! I use to start IVs all night long throughout the hospital (big). I was a one man show and if the anesthesiologist couldn’t get it- I could! . i also started picc lines as well. I cannot wait to get back to the hospital to work in holding... I have had enough of the executive RN bs- ready to get back in the swing of things! Can’t wait to use this technique. This was great!
does it work???
Im not on a field of medicine but i want to learn IV technic so i can do it by my own and this is the detailed video I've ever seen.
i personally wouldn’t put the iv so close to the knuckles since there is a lot of movement but you probably know more about this than i do
just used this technique on an elderly patient. Worked great!
Its a good technique but not all patients have veins like this
It's probably pretty much the same thing, but the way I'm being taught is to insert the needle at around 30 degrees, advance until you get a flash, lower the angle, advance the needle 1/8", and then advance the catheter. So rather than lift up on the entire needle and putting tension on the tissue, I just decrease how aggressive the angle is and point more inline with the path of the blood vessel (not completely level, but more shallow). I've just started with my training, but so far it's worked pretty well. I think it would probably create a little less stress for an anxious patient too since you wouldn't be bending the needle and tenting the skin like with this method. It might not be painful, but you can feel when tension is created (even when you aren't looking at the injection), and I could see that bothering someone who is already fairly nervous about getting an IV
О какой "вспышке" Вы говорите в начале текста? Может это такой перевод....
Dang if I could ever get anyone to hold that still while I’m inserting one I’ll have to try it
Thank you doctor! I've had 100% success on the first try using this method. My last placement was for an 80-year-old burn patient.
I'm interested in medical and this made me feel pain
Thank you. Best video ever.
Like a month ago a nurse tried to place an IV on my hand 8 times :')
Well thanks to her i fainted for my first time in my life 😂
I wish we used these IVs at my job. I feel like such a terrible nurse we use the BD double lumen IV system at my job and I can't insert them to save my life. Too many dangling parts sometimes when I go to tape them the IV dislodges it's so annoying.
I feel kinda sad for that phlebotomist for that pain she went through. Thanks for being a great volunteer!
Question: Once you get the flash of blood, what about immediently stopping and sliding the catheter down the lumen? That way you are inserting the catheter only?
Awesome technique! Thanks for sharing this video
I tried this technique, works everytime. Thank you@ Dr. Chung.
I have been watching these videos for no reason I know I don’t gonna be a doctor cuz my IQ is probably like 36 or smt
If you want to do It go for it🥰
Good video wouldn’t necessarily go for the hand though
I’m gonna give this method a try. I’ve always used the technique of simply dropping the angle of the needle, but I still often find myself blowing the vein on small, dehydrated veins
Great method! Thanks for the explanation!
Thank you
Good technique but it would not help with 14G ou 16G on the cubital median vein, because these are deeper veins.
Oooooo I will try this. New ED nurse here! Does this work well in AC location also? Also, I somehow have a tendency to hit valves lately and idk why. Any tips on avoiding those? Your patient’s hand being is a DREAM BTW!!
Can you clarify, pointed side of needle should face up or down?
Thank you Doctor, this is obviously good for any location for IV placement correct? Such as in the forearm, AC, etc?
Usually I can’t watch this kinda stuff but at the end, I will have to face my fears so I’ll watch
Does lifting the tip result in more pain for the patient?
axxenm no it doesn’t.
Yes
hello from peru, thank you this video really helped to remember how to put an iv
Am 23 years old...doing my masters in power engineering...and only god knows why am watching this 😅😅
I'm RN and this is my favourite things to do in healthy and young patient.
My neel phobia just shot though the roof😭😭😱
Awesome and thank you to the woman graciously allowing a live demonstration 💜
I’m not a dr. I don’t have anything to do with the medical field. WHY AM I HERE
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Thank you doctor you added something good to me and I will teach my colleagues
Every time he says “one” Arya stark comes in my mind
Thank's for the demonstration, Sir. It's really help me to face the next exam. Marvelous demonstration.