NEAR IMPOSSIBLE IV ACCESS: FOOT
ฝัง
- เผยแพร่เมื่อ 10 ม.ค. 2025
- The video describes nearly impossible IV access. Even with ultrasound assistance, only large central venous access was possible. In short, the medical team was between a rock and a hard place trying to obtain peripheral venous access in the foot (upper extremity not available) and avoid central venous cannulation for a short surgical procedure. The video features an extremely useful reverse Esmarch technique, to turn failed IV access into satisfactory IV for the short case.
Join this channel to get access to perks:
/ @nysoravideo
🖥 Start your 7-day free trial on the NYSORA LMS today and see why it is the go-to resource to master Regional Anesthesia at bit.ly/3rmvkwH
📱 Download the NYSORA Nerve Blocks app !
iOS: apple.co/2WUqoi7
Android: bit.ly/NYSORAMApp
Where else to find us:
Web- www.nysora.com
Twitter- / nysora
Instagram- / nysora_community
Facebook- / nysora
TikTok- / nysora_community
---------------------------------------------------------
#nysora #regionalanesthesia #anesthesia
Disclaimer:
Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's TH-cam channel is accurate.
I recently used the cephalic access approach you described in another video to get access on a patient in our ED. Thanks for teaching me another technique to shine :). though I did give you credit and recommended this channel!
Oh wow! Thank you for the feedback bawki! Greetings and feel free to share.
Thanks so much for your amazing support and comments! If you or your nurses or colleagues are facing tough IV access, the new NYSORA IV Access App has got your back. Try it free for 7 days and share your thoughts with us. Let's ace IV access together! www.nysora.com/iv-access-app/
YESSS DR HADZIC JOINS THE FOOT IV GANG 😂
Lol. Not my favourite. But you’ve got to do what you’ve got to do. Not always pretty but life and patient care must go in. So sharing honestly. Greetings!
We’re excited to share that NYSORA’s Difficult IV Access App is now available on the Apple Store and Google Play. Written by anesthesiologists, it’s packed with countless tips and clinical videos on how to successfully access tough veins.
We warmly invite you to test drive the app for one week for free and let us know what you think. We believe this app will be immensely helpful to you and your colleagues. Download the app for free, share it with your colleagues, and let’s all improve our IV skills together www.nysora.com/iv-access-app/
Nothing’s ever perfect, but this was slick to get the job done. We should all video record ourself and watch the videos - I bet we would all cringe… great video, thank you!
Thank you for your support! If you or your nurses or colleagues are struggling with IV access, the new NYSORA IV Access App can make it easier. Enjoy a 7-day free trial and share your experience with us. Together, we'll become IV access pros! www.nysora.com/iv-access-app/
I love the " should be using gloves" quote
Thank you for all your fantastic comments and support! If you or your nurses or colleagues are struggling with IV access, be sure to check out the new NYSORA IV Access App. Try it free for 7 days and share your feedback! Let's master IV access together! www.nysora.com/iv-access-app/
Thanks for this series of IV access! Really Helpful!
Glad to hear this! Thanks!
Your incredible comments and support are much appreciated! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is here to assist. Try it free for 7 days and give us your feedback. Let's master IV access together! www.nysora.com/iv-access-app/
Thank you Dr..God bless you
Wish you..more astonishing success
Hi Basma, Thank you so much for your kind words. Greetings from NYSORA!
Your incredible comments and support are much appreciated! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is here to assist. Try it free for 7 days and give us your feedback. Let's master IV access together! www.nysora.com/iv-access-app/
great tips and tricks. Thanks! I love the esmark idea. I often use 2 tourniquets when I am struggling...
Hi Anna! Glad it was helpful! Greetings from NYSORA!
Thanks so much for your amazing support and comments! If you or your nurses or colleagues are facing tough IV access, the new NYSORA IV Access App has got your back. Try it free for 7 days and share your thoughts with us. Let's ace IV access together! www.nysora.com/iv-access-app/
Love your channel. Watching many. Certified IV RN, 1 year extra, schooling. We needed Md ok to access, foot. Excellent presentation. Same principles apply. I always used indirect approach. Looking for bifurcation. If very small, direct approach, lowering angle very low. As you are well aware, smaller needles have to be used. I preferred 22 gauge ( usually) for foot cannulation. Thank you
Hi Robert! Glad you like the video. Thank you for watching. Do subscribe to this channel and share with your colleagues; a lot more videos are coming up - let's share our clinical experience! Cheers!
We’re excited to share that NYSORA’s Difficult IV Access App is now available on the Apple Store and Google Play. Written by anesthesiologists, it’s packed with countless tips and clinical videos on how to successfully access tough veins.
We warmly invite you to test drive the app for one week for free and let us know what you think. We believe this app will be immensely helpful to you and your colleagues. Download the app for free, share it with your colleagues, and let’s all improve our IV skills together www.nysora.com/iv-access-app/
Great video. Coming from the PICU world, we would use the feet all the time and save the greater saphenous for possible cutdown access.
Hi Sana0489! Thank you so much for your kind words; we really appreciate your feedback.
We’re excited to share that NYSORA’s Difficult IV Access App is now available on the Apple Store and Google Play. Written by anesthesiologists, it’s packed with countless tips and clinical videos on how to successfully access tough veins.
We warmly invite you to test drive the app for one week for free and let us know what you think. We believe this app will be immensely helpful to you and your colleagues. Download the app for free, share it with your colleagues, and let’s all improve our IV skills together www.nysora.com/iv-access-app/
Thank you. This video is very helpful 💉
Your wonderful comments and support mean a lot to us! If you or your nurses or colleagues are struggling with IV access, check out the new NYSORA IV Access App. Try it free for 7 days and give us your feedback. We'll master IV access together! www.nysora.com/iv-access-app/
I put a 20 in a foot today for a crani when the pt was lateral and they turned the table super far from us. The foot was literally a foot or two from the anes. Machine. Perfecto! Patient had crap veins and IVs on the arms anyways.
We appreciate all your fantastic comments and support! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is the answer. Try it free for 7 days and let us know what you think. Let's conquer IV access together! www.nysora.com/iv-access-app/
Thanks 👍
This video is helpful 👍
We truly appreciate your awesome comments and support! If you or your nurses or colleagues are struggling with IV access, the new NYSORA IV Access App can help. Enjoy a 7-day free trial and let us know how it goes. Together, we'll excel in IV access! www.nysora.com/iv-access-app/
Excelente explicación gracias
Thank you for your amazing comments and support! If you or your nurses or colleagues are struggling with IV access, the new NYSORA IV Access App can make it easier. Enjoy a 7-day free trial and share your experience with us. Together, we'll become IV access pros! www.nysora.com/iv-access-app/
It is common in practice in the cancer hospital where I work, especially infants. In them we sedate them slightly with anesthetic steam and we decreased the suffering of cannular awake to this I have added and taught the staff the five tips and it has gone well.
Es frecuente en la práctica en el hospital oncologico donde trabajo, en especial infantes. En ellos los sedamos levemente con vapor anestésico y disminuimos el sufrimiento de canular despiertos a esto le he sumado y enseñado al personal los cinco consejos y me ha ido bien.
This video is very helpful
This is what it's all about. Thank you for sharing your feedback :)
Your wonderful comments and support mean a lot to us! If you or your nurses or colleagues are struggling with IV access, check out the new NYSORA IV Access App. Try it free for 7 days and give us your feedback. We'll master IV access together! www.nysora.com/iv-access-app/
necesito comprar esa venda azul elástica, dígame dónde la puedo comprar
About the reverse esmarch method: Doesn’t that require venous insufficiency, or create it were there were no insufficency beforehand? Or do the venous valves hold tight in spite of the esmarch compression and the way the method works is that it presses blood from poorly perfused arterioles and capillaries over to the venous side. I would rather go for ultrasound and use a slightly longer needle/catheter and I work in pediatric anesthesia and PICU. There are needles that are a little bit longer without being central lines.
Great question. Reverse Esmarch indeed works through all methods you mention: it is much more effective in creating venostasis than a single or even 3-ple tourniquet, it squeezes blood from arterioles and capillaries over to the venous side, it "milks" the blood from the deeper veins distally and peripherally to their tributaries into the more superficial veins. Agreed with US guidance. Generally, if there is enough time, it is usually possible to identify a deeper peripheral vein for cannulation. However, in a clinical situation where one needs venous access for a short case, blood draw, or short IV infusion as a carrier for medication, a small peripheral vein, as described, is often faster and simpler. Keep in mind , this was under operating room schedule pressure. Greetings, and thank you for watching and commenting.
@@DRBLUESNYC What I meant is that it might be causing injury to the venous valves. Is that what you’re agreeing with? Is that injury reversible? Or is it just a leakage created in those small valves without them being injured? An interesting subject for someone to study. Meanwhile I’d rather use a method that doesn’t cause the patient to have a greater risk of venous insufficiency in the future, and we have an ultrasound machine in every operation theatre so the extra time is negligible.
We truly appreciate your awesome comments and support! If you or your nurses or colleagues are struggling with IV access, the new NYSORA IV Access App can help. Enjoy a 7-day free trial and let us know how it goes. Together, we'll excel in IV access! www.nysora.com/iv-access-app/
As usual, helpful insightful educational video.
It’s a medical myth that IV’s cannot be placed ipsilateral to mastectomy and/or lymph node dissection. Time to dispel this once and for all.
Certainly if the arm has edema, it’s going to be much more difficult. But it is no longer even a relative contraindication.
Hi Gabe! We are glad you enjoyed the video. Greetings!
We’re excited to share that NYSORA’s Difficult IV Access App is now available on the Apple Store and Google Play. Written by anesthesiologists, it’s packed with countless tips and clinical videos on how to successfully access tough veins.
We warmly invite you to test drive the app for one week for free and let us know what you think. We believe this app will be immensely helpful to you and your colleagues. Download the app for free, share it with your colleagues, and let’s all improve our IV skills together www.nysora.com/iv-access-app/
sometimes, due to the difficulty of access per op, I prefer a jelco in the external jugular vein...
We truly appreciate your awesome comments and support! If you or your nurses or colleagues are struggling with IV access, the new NYSORA IV Access App can help. Enjoy a 7-day free trial and let us know how it goes. Together, we'll excel in IV access! www.nysora.com/iv-access-app/
Thsnks a lot, really helpful
Glad it helped!
Thank you for all your fantastic comments and support! If you or your nurses or colleagues are struggling with IV access, be sure to check out the new NYSORA IV Access App. Try it free for 7 days and share your feedback! Let's master IV access together! www.nysora.com/iv-access-app/
love the videos
Hi Bilal, Thank you so much! Greetings from Nysora!
Big thanks for your fantastic comments and support! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is here to help. Enjoy a 7-day free trial and tell us what you think. Together, we'll nail IV access like pros! www.nysora.com/iv-access-app/
Not all hospitals allow to use the leg veins for IV.
Thanks for your awesome feedback and support! If you or your nurses or colleagues are facing tricky IV access, the new NYSORA IV Access App has you covered. Get a 7-day free trial and share your experience. Let's conquer IV access together! www.nysora.com/iv-access-app/
Taking this knowledge with me
Thanks for your awesome feedback and support! If you or your nurses or colleagues are facing tricky IV access, the new NYSORA IV Access App has you covered. Get a 7-day free trial and share your experience. Let's conquer IV access together! www.nysora.com/iv-access-app/
Hi! Thanks for a interesting video, it was very helpful! But... Why you didn't use the V. jugular exterior to catheterise with the ultrasound technique?
Also an option. Some patients prefer not to have a "needle in their neck". Regardless, IJ is often a good option with a 20G, longer catheter - I prefer a 20 gauge arterial catheter for this - for short use. Greetings.
@Admir Hadzic yes. I agree. Needle in the neck causes even more trauma. Often, those who perform never experience.
On another vein (lol) it was suggested that during training, student medics should experience a BMA, LP so they can be more empathetic with patients' fear. Not that empathy should get in the way of going, safe and efficient practice. What do you think?
Big thanks for your fantastic comments and support! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is here to help. Enjoy a 7-day free trial and tell us what you think. Together, we'll nail IV access like pros! www.nysora.com/iv-access-app/
Благодарю!
Thank u sir
Welcome
We truly appreciate your awesome comments and support! If you or your nurses or colleagues are struggling with IV access, the new NYSORA IV Access App can help. Enjoy a 7-day free trial and let us know how it goes. Together, we'll excel in IV access! www.nysora.com/iv-access-app/
I know its hard to do an US IV if the vein is
Thanks for your awesome feedback and support! If you or your nurses or colleagues are facing tricky IV access, the new NYSORA IV Access App has you covered. Get a 7-day free trial and share your experience. Let's conquer IV access together! www.nysora.com/iv-access-app/
You always excuse the non using of gloves 😀
We appreciate your amazing comments and support! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is here to help. Enjoy a 7-day free trial and let us know your thoughts. Together, we'll become IV access experts! www.nysora.com/iv-access-app/
Never an excuse to not use gloves. Your behavior encouraged the assistant to also not wear gloves. Also, the angiocath skimming along the skin surface encourages infection. The after effects of our actions must be considered.
I hope when you are experiencing personal pain because of your poor access, you agree to being poked multi times all over your body with an operator with gloves than "allowing" a less painful and reduced number of pokes by a sensitive and scrubbed operator.
Guess you'd prefer a central line, anyway...
There are valid reasons to not wear gloves. I would rather get stuck once without gloves, then multiple times with them. I am sure other patients agree with me.
Thank you for all your fantastic comments and support! If you or your nurses or colleagues are struggling with IV access, be sure to check out the new NYSORA IV Access App. Try it free for 7 days and share your feedback! Let's master IV access together! www.nysora.com/iv-access-app/
When in doubt, EJ it out.
Thanks
This video was helpful.i learn a lot from you
Hi Chn S390, So kind of you, and we are really glad you are enjoying our work. Greetings!
Thank you for your amazing comments and support! If you or your nurses or colleagues are struggling with IV access, the new NYSORA IV Access App can make it easier. Enjoy a 7-day free trial and share your experience with us. Together, we'll become IV access pros! www.nysora.com/iv-access-app/