I also never was told specifically about applying pressure before connecting extension tubing but I have been noticing it now on alot of example videos. Appreciate the emphasis on this
Upcoming procedures are another determining factor for best IV gauge. For example, if your patient is about to undergo All-On-4 Surgery, an 18 gauge would be recommended. An All-On-4 Surgery is a procedure to replace missing teeth by slicing the gums open and placing 4 screws into the jawbone that will connect to a denture. If the dentist is having difficulty controlling hemorrhage while the patient's under deep sedation, the anaesthetist may need to transfuse blood very rapidly, hence the 18 gauge IV.
In dentistry, the 22 gauge is only really preferred in children. My favourite size for standard dent-surg anaesthesia and IVF/ABX is the 20 gauge pink line. I use this size pretty standardly for a lot of dental procedures, ranging from wisdom teeth to root canals to implant placements of 4 teeth or less. If the procedure is longer, bloodier, involves more than 4 extractions/implant sites or requires significant bone removal from the mouth, I may place an 18. 16 and 14 are reserved for egregious, bloody dental trauma involving skull fractures and deep oral/facial lacerations where the patient may require multiple units of blood really quickly. I could go on about the implications and reasoning for peripheral IV selection in the dental world. Let me know your thoughts on infusion therapy in a dental situation.
Only thing id mention is the initial 30-45° angle thing is a textbook way but in practice its awful imo. Especially in small veins it makes blowing the vein a much higher risk
The ordering of those beginning steps are more personal preference than anything. And, perhaps, that's what some schools/faculty prefer/taught. However, assuming I've performed hand hygiene, regular gloves are no cleaner then my hands. The gloves are there to protect me from blood and bloodborne pathogens. That's why after cleaning the site, we don't touch it again - even with a gloved hand. - Ellis
Hi there! If you are looking for a review on hand washing, please see our video dedicated to hand hygiene. In the interest of brevity, this specific video assumes the viewer completes hand hygiene prior to the intervention. Thanks for watching!
@@LevelUpRN You did great. Thank you. I was just confused about the initial angle of insertion. Are you sure it's 30-45 degrees? We were taught that the initial angle of insertion is 10-15 degrees and then you flatten the needle parallel to the skin.
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Thank you for sharing Ellis, and amazing tips you provided!
My pleasure!
I also never was told specifically about applying pressure before connecting extension tubing but I have been noticing it now on alot of example videos. Appreciate the emphasis on this
Thank you for the video however the way in which the camera is situated makes it hard to see what you are doing.
When you do videos, just a suggestion, please have the camera closer to you because we cannot see what you are doing, thanks! Awesome tips
Thank you so much . I’ve been terrified to start IV’s .
Upcoming procedures are another determining factor for best IV gauge. For example, if your patient is about to undergo All-On-4 Surgery, an 18 gauge would be recommended. An All-On-4 Surgery is a procedure to replace missing teeth by slicing the gums open and placing 4 screws into the jawbone that will connect to a denture. If the dentist is having difficulty controlling hemorrhage while the patient's under deep sedation, the anaesthetist may need to transfuse blood very rapidly, hence the 18 gauge IV.
Thanks so much! you are such a great teacher.
You're very welcome!
Need a close up of supplies and procedure.
In dentistry, the 22 gauge is only really preferred in children. My favourite size for standard dent-surg anaesthesia and IVF/ABX is the 20 gauge pink line. I use this size pretty standardly for a lot of dental procedures, ranging from wisdom teeth to root canals to implant placements of 4 teeth or less. If the procedure is longer, bloodier, involves more than 4 extractions/implant sites or requires significant bone removal from the mouth, I may place an 18. 16 and 14 are reserved for egregious, bloody dental trauma involving skull fractures and deep oral/facial lacerations where the patient may require multiple units of blood really quickly. I could go on about the implications and reasoning for peripheral IV selection in the dental world. Let me know your thoughts on infusion therapy in a dental situation.
Thank you!!!
Welcome!
I really enjoy your videos Ellis, thank you
Glad you like them!😊
Yes to the wink! 😉 😄
Thank you ❤❤❤
You're welcome 😊
thank you
Very welcome!
Awesome video !!!!
Glad you enjoyed it😀
Is it safe/possible to use a vein just above the crook of the elbow if there's isn't a good vein lower down on the arm?
Only thing id mention is the initial 30-45° angle thing is a textbook way but in practice its awful imo.
Especially in small veins it makes blowing the vein a much higher risk
Thanks for the video but It would help if the camera was closer to see supplies etc
How am i supposed to see the procedure and the camera is 1 light year far away from the patient hand!!??
Man the tourniquet is so hard to remember!! I never actually flushed on a person with a tourniquet still on but it's come close 😬
That is BY FAR the most common error I see with students and at the bedside. It gets easier to remember! - Ellis
😉
i had a nurse dug into my hand bone my hand swoll up so bad
Should wear gloves when cleaning. Clean after supplies are prepared.
The ordering of those beginning steps are more personal preference than anything. And, perhaps, that's what some schools/faculty prefer/taught. However, assuming I've performed hand hygiene, regular gloves are no cleaner then my hands. The gloves are there to protect me from blood and bloodborne pathogens. That's why after cleaning the site, we don't touch it again - even with a gloved hand. - Ellis
This video is poorly done. You cannot be seen from.a distal angle.
Sorry you didn’t wash your hands prior to touching the patient!
Hi there! If you are looking for a review on hand washing, please see our video dedicated to hand hygiene. In the interest of brevity, this specific video assumes the viewer completes hand hygiene prior to the intervention. Thanks for watching!
@@LevelUpRN You did great. Thank you. I was just confused about the initial angle of insertion. Are you sure it's 30-45 degrees? We were taught that the initial angle of insertion is 10-15 degrees and then you flatten the needle parallel to the skin.