When I do it, I usually give a wheel of lidocaine with a tiny needle first because the patient has often already been stuck many times. I also use an 18 because they show up better on ultrasound and then you have a better IV. Plus the patient is already numb so they don’t care about the big needle. I don’t take the needle out of the catheter until the needle is all the way in the vein. I only use out of plane. The trick is to slide the ultrasound forward until you don’t see the needle then slide back until you see the tip. Adjust the tip so it’s in the middle of the vein then keep sliding with the probe and advancing until the needle is all the way in. You’ll get a nice big juicy 18G 99% of the time that way.
Thank you for all your 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/
Usually when I need to get the US, there is no way Im finding any descent sized veins. I usually end up carefully threading a 22g into a tiny superficial vein using the “creep-up” technique. After hydration, I try again for a larger IV. Its key to use the probe to track the course of the vein by sliding proximal-distal then adjusting the angle of the probe to be in-line with the course of the vein.
I would like a video for the placement of a peripheral insertion central venous catheter. Me gustaría un video para la colocación de un catéter venoso central de inserción periférica.
I did a lot of ultrasound guided iv lines and NOT ONCE did i achieve a in plane view that good. Bravo!
Hi MrWeirdoh! Thank you for your comment. Greetings from NYSORA!
Did you use a sonosite US?
Now that's what I call an expert
Thank you!
That was a CLEAN insertion, bravo
Glad you liked it!
Bravo! I have always used out of plane and didn't think about rotating the probe and converting to in-plane view. Thank you!
Hi Stick2011, Glad it was helpful!
Very good demonstration
Glad to hear this!
That is a beautiful in plane view !
When I do it, I usually give a wheel of lidocaine with a tiny needle first because the patient has often already been stuck many times. I also use an 18 because they show up better on ultrasound and then you have a better IV. Plus the patient is already numb so they don’t care about the big needle. I don’t take the needle out of the catheter until the needle is all the way in the vein. I only use out of plane. The trick is to slide the ultrasound forward until you don’t see the needle then slide back until you see the tip. Adjust the tip so it’s in the middle of the vein then keep sliding with the probe and advancing until the needle is all the way in. You’ll get a nice big juicy 18G 99% of the time that way.
Dear Andrew, Thank you for sharing your experience. Greetings!!
Thanks
Thank you Dr. Vandepitte! Very important tips
Glad it was helpful!
That’s an excellent ultrasound view of the PIV needle and catheter. I’m very interested what brand of ultrasound was used and the PIV catheter used.
Sonosite
Yes! I love working with that one never a miss. Some catheters you can't see or the machine isn't as good as ss
Very beautiful demonstration of video 👌👌👌👍
Thank you! Cheers!
Great Video! One question: was the tourniquet sterile? We don't use them in my hospital
Master level work
Thanks!
Amazing view!
Wow perfect👏🏻👏🏻👏🏻👏🏻👏🏻👍🏻👍🏻👍🏻
Thank you!
I keep trying to improve my US IV skills.
Thank you for all your 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/
how did you get such a clear view? is there a special mode for it?
Blast the gain!
Masterful.
State of Art!
super easy access
Yes, thanks
Which gauze canula used.length of canula
Usually when I need to get the US, there is no way Im finding any descent sized veins. I usually end up carefully threading a 22g into a tiny superficial vein using the “creep-up” technique. After hydration, I try again for a larger IV. Its key to use the probe to track the course of the vein by sliding proximal-distal then adjusting the angle of the probe to be in-line with the course of the vein.
Great tip!
I would like a video for the placement of a peripheral insertion central venous catheter.
Me gustaría un video para la colocación de un catéter venoso central de inserción periférica.
Thank you for your great suggestion. We will definitely put this on our list. Greetings from NYSORA!
How much for that procedure?
👍👏👏
I'm like 0 for 21 on IV peripheral lines. Could really use a win but I NEVER get ultrasound views like these!