The way I personally like to secure an IV catheter in human dentistry is by placing a single transparent bandage over the catheter hub and puncture site where I cleaned with my chlorhexidine and alcohol, leaving the junction of the extension accessible in case it needs to be replaced. I then secure the junction of the extension and hub with a chevron, looping up and overtop the transparent bandage. I then will place one or two additional pieces to restrain the extension set to the arm. The number of pieces I pull depends on how long my extension is and the duration of the procedure. The number one rule in human IV therapy is to never directly touch a puncture site with tape, especially from an open roll, as it is not sterile. A single transparent bandage that is delivered on a sterile paper backing will keep the site aseptic and allow for ongoing investigation and monitoring of integrity of the puncture site through the clear window of the bandage. Nonsterile tape CAN still be used to restrain the tubing outside or over top the bandage. As far as flushing, I will attach my primed extension right away upon placement of the catheter, pull on my syringe to check for blood return in my tubing, then administer a small "test flush" to make sure I'm officially in the vein. Once I'm done taping and dressing, I'll flush the majority of the remainder in my syringe to ensure I haven't migrated or hit a valve while taping and to clear the line of any residual blood return before connecting fluids or clamping off as an intermittent lock. Most of the patients in the dental chair are hooked to fluids right away, but I still like to attach an extension with an intermittent lock to provide flexibility at the insertion site and to allow for easy removal later. When intermittently locking an IV, I will flush with a majority of the 10 ml flush syringe in a push-pause motion, clamping the extension and removing the syringe at the last 1/2mL to create positive pressure in the lock and extension that will prevent clots from forming in the patient's indwelling catheter between uses. That is my technique and the reasoning behind it. Hope you find it interesting!
I don’t have a video currently but I can certainly get one. I prefer to do jugular catheters in the young ones, because their veins are so small and often you can also sample from jugular catheters.
Love your intros your cats are so:cute. Very informative videos too. Thank you!
Thank you so much! The cats are the stars 🤩
Can you do some pharmacology videos?
I will add that to my list!
The way I personally like to secure an IV catheter in human dentistry is by placing a single transparent bandage over the catheter hub and puncture site where I cleaned with my chlorhexidine and alcohol, leaving the junction of the extension accessible in case it needs to be replaced. I then secure the junction of the extension and hub with a chevron, looping up and overtop the transparent bandage. I then will place one or two additional pieces to restrain the extension set to the arm. The number of pieces I pull depends on how long my extension is and the duration of the procedure. The number one rule in human IV therapy is to never directly touch a puncture site with tape, especially from an open roll, as it is not sterile. A single transparent bandage that is delivered on a sterile paper backing will keep the site aseptic and allow for ongoing investigation and monitoring of integrity of the puncture site through the clear window of the bandage. Nonsterile tape CAN still be used to restrain the tubing outside or over top the bandage. As far as flushing, I will attach my primed extension right away upon placement of the catheter, pull on my syringe to check for blood return in my tubing, then administer a small "test flush" to make sure I'm officially in the vein. Once I'm done taping and dressing, I'll flush the majority of the remainder in my syringe to ensure I haven't migrated or hit a valve while taping and to clear the line of any residual blood return before connecting fluids or clamping off as an intermittent lock. Most of the patients in the dental chair are hooked to fluids right away, but I still like to attach an extension with an intermittent lock to provide flexibility at the insertion site and to allow for easy removal later. When intermittently locking an IV, I will flush with a majority of the 10 ml flush syringe in a push-pause motion, clamping the extension and removing the syringe at the last 1/2mL to create positive pressure in the lock and extension that will prevent clots from forming in the patient's indwelling catheter between uses. That is my technique and the reasoning behind it. Hope you find it interesting!
They do make the transparent bandages in VetMed but not every company will spring for them. Thanks for sharing!
I noticed in the catheter placement video that the tech used the same gauze square to wipe the area several times instead of only wiping once.
Thanks for the correction! It’s definitely appropriate form to not pass over the same spot twice with one gauze.
I have questions do you have any videos of putting iv in a 5 week old kitten ?
I don’t have a video currently but I can certainly get one. I prefer to do jugular catheters in the young ones, because their veins are so small and often you can also sample from jugular catheters.