DIFFICULT IV: TIPS FOR US-GUIDED IV ACCESS

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  • เผยแพร่เมื่อ 21 พ.ย. 2024

ความคิดเห็น • 47

  • @Eman1900O
    @Eman1900O 6 หลายเดือนก่อน +10

    I’m more impressed with that IV catheter securing device lol. That’s awesome. Never seen that

    • @rfross64
      @rfross64 6 หลายเดือนก่อน

      Love them. We used the same device, but it was called Grip-Lok, to help hold neph tubes in place.

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน

      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/

  • @Bee-Kind-Baker
    @Bee-Kind-Baker 6 หลายเดือนก่อน +11

    Every doctor and nurse should be required to take advanced training on IV placement . Too many patients are literally tortured, by multiple insertion attempts. At Children’s Hospital, Cincinnati , they have a VAT team. For patients that appear to be a difficult stick, they are always called. They are the best of the best. Success first time, every time.

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน +2

      Totally agree! Are you a medical persons or a patient? thanks for watching!

    • @Eman1900O
      @Eman1900O 6 หลายเดือนก่อน +1

      Never heard of a hospital that didn’t have an IV team, even the smallest hospitals

    • @rfross64
      @rfross64 6 หลายเดือนก่อน

      @@Eman1900O we have an IV/VAT team but it’s only for adults. 👎

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน

      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/

  • @Dave_Barrett77
    @Dave_Barrett77 6 หลายเดือนก่อน +3

    I went through a phase of relying more and more on ultrasound for difficult access and slowly deskilled in normal placement. I eventually realised this after a couple hundred ultrasound placements and tried hard to get back the normal skill. These days i probably only use it for 1 in a 100 patients rather than 1 in 5 when I was more reliant on it. Its certainly helpful for those near impossible patients but too slow in an emergency.

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน

      So true! Thank you for pointing this out. "Deskilling" is a key word.

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน

      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/

  • @Bulldog75stp
    @Bulldog75stp 6 หลายเดือนก่อน +5

    I like that IV securement tape that was placed after the Tegaderm. What's it called?

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน +2

      Its called EZ-FIX by MedXpress.Pro

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน

      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/

  • @rfross64
    @rfross64 6 หลายเดือนก่อน +3

    Always awesome! Loving the book and look forward to those videos as well. Appreciate it!

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน +1

      Glad you like them! Best regards and thanks for watching!

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน +1

      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/

  • @jgkanaesthesiology
    @jgkanaesthesiology 6 หลายเดือนก่อน +1

    Ultrasound guided IV is a must learn skill for difficult IV access. Out of plane approach, selecting peripheral veins of at least 5mm diameter and not more than 1.5 cm deep, using the M-mode cursor to orient needle to the midline, using long length catheters, advancing needle with “chasing the dot” or Ueda technique are some pointers. In infants & smaller children, ultrasound guided saphenous vein cannulation should be mastered.

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน +1

      M-mode cursor is a good pointer - not often mentioned. Do you always use it? Greetings!

    • @johngeorgedon
      @johngeorgedon 6 หลายเดือนก่อน

      @@nysoravideoM-mode cursor can accurately mark the midline location and be used to guide the needle precisely, use it a lot! Manufacturers should create a midline target box/marker for IV access in ultrasound machines.

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน

      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/

  • @cane523
    @cane523 หลายเดือนก่อน

    I took the UGPIV class but still haven’t used it on a live person yet 😭

  • @carroserose
    @carroserose 4 หลายเดือนก่อน

    So If you think you’re in the vein via US but don’t see flashback are you continuing at the current angle ? Was there ever a point that you lowered your angle ?

  • @joshualeifer3335
    @joshualeifer3335 6 หลายเดือนก่อน

    Hi Doc: Which IV catheter brand, length do you use?

  • @rfross64
    @rfross64 6 หลายเดือนก่อน +1

    Do you have a link for the tourniquet used?

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน +1

      We will get that info 4 you

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน

      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/

  • @bellefeu4933
    @bellefeu4933 4 หลายเดือนก่อน

    you know what I want, a spring needle system that pushes the needle/cannula no more than 1mm at high torque, much like a lancet without recoil. Imagine the ease of cannulating thick wall vessels

  • @chennakesavulamadhukar4991
    @chennakesavulamadhukar4991 6 หลายเดือนก่อน +2

    Sir thanks a lot 🙏

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน +1

      Most welcome

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน

      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/

  • @zakalobi80
    @zakalobi80 6 หลายเดือนก่อน +1

    It's a skill difficult to master. I keep trying to improve my technique.

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน +1

      Yes. Gotta use a simulator. This is one of the best: www.valkyrie-simulators.com/

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน +1

      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/

  • @marinanatsvlishvili8558
    @marinanatsvlishvili8558 6 หลายเดือนก่อน

    I live in Georgia.How l can buy this book ?

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน

      "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/"

  • @jenniferwilliams4983
    @jenniferwilliams4983 หลายเดือนก่อน

    I’m ultrasound trained and this looks like a super easy vein to access, not difficult at all. Some people are really difficult even with ultrasound, that is not someone who’s hard at all

  • @Sami-Nasr
    @Sami-Nasr 6 หลายเดือนก่อน +1

    Nowadays I use US for difficult iv, just I want to get the experience

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน +1

      That is a good strategy. In plane or out of plane? Thanks for watching!

    • @Sami-Nasr
      @Sami-Nasr 6 หลายเดือนก่อน

      @@nysoravideo
      Out of plane
      Thank you

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน +1

      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/

  • @TomBreazeal
    @TomBreazeal 6 หลายเดือนก่อน +1

    Bro hates US lol

  • @medic13601
    @medic13601 6 หลายเดือนก่อน +1

    Just by looking at the pt you could tell she would be a difficult access. Maybe should have just gone to using ultrasound and saved the patient extra sticks.

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน

      Indeed. And agree. Is US your first-go-to technique? thanks for watching!

    • @medic13601
      @medic13601 6 หลายเดือนก่อน

      @@nysoravideo I'm a paramedic in the field so unfortunately US isn't an option.

    • @bigtuna4037
      @bigtuna4037 6 หลายเดือนก่อน

      I always think I'm going to get the vein till I don't....

    • @nysoravideo
      @nysoravideo  5 หลายเดือนก่อน

      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/