INTRAVENOUS CATHETER INSERTION IN CHILDREN WITH CEREBRAL PALSY
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- เผยแพร่เมื่อ 3 มิ.ย. 2024
- This video describes a technique that substantially facilitates IV access in children with cerebral palsy. Dr Hadzic guides the viewers through a technique he has used for years in near-impossible to find veins in children with contractures due to the cerebral palsy. Insertion of an IV catheter or drawing blood in these children, who are often traumatized by multiple needle sticks, is stressful to children, parents, and health care providers. However, using this simple, reverse Esmarch technique can turn a near-impossible mission into a successful IV placement.
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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.
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The god of cannulation smites another difficult cannula 😍😍😍and also validates not wearing gloves for the toughest cases! Sometimes I get weird looks from the next of kin or other staff when I do that but you gotta do whatever's necessary to save that patient!
I can recommend using a heat source, like a simpel glove filled with warm water, on the cannulation site. Works wonders aswell.
In addition to this undoubtedly valuable tools, l would recall here simple heating of patient's palm under hot tap water. I personally very happy to get acquainted to this simple and useful trick
As a trainee in pediatrics I absolutely love your cannulation videos. keep them coming :) Maybe you can make one about spots for "blind" cannulation? As you know often times kids under 2 years of age are sometimes just a pile of subcutaneous tissue without any visible or palpable veins.
Keep up your great work :)
Thanks for the tips 👍👍🙏
Hi Chaitanya! Glad you like the video!
Thanks a lot for making this. Great tips, very helpful!
Glad it was helpful!
Another great tip, Thanks
Hi SCROOGE1111! Thank you for watching
This is quite helpful to me as a registered nurse with cerebral palsy who is surprisingly normal looking, but a hard stick. Also having hypogammaglobulinemia, hypoglycemic seizures, type 1 diabetes, and frequent infections means I need iv infusions regularly, making me very appreciative of this review. I almost always go for long, straight forearm veins away from flexible joints.
Thank you! 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!
Great tips, thanks.
Glad it was helpful!
Thank you doctor for sharing your knowledge with us.
Hi Murtadha! Thank you! Your comments are much appreciated!
Great tips 👍
Glad you like them!
agreed!
Thank you sir 😇
Keep watching
excellent
Thanks!
Thanke You Dr Hadzic!
I never thought that Iv Access Video will be also amazing and helpful so 😊
Also i discoverd german word in watching........" Fingerspitzegefühl 😍"
Thanks for sharing!
This is such an overlooked population when practitioners discuss IV access, many of these tips can also be applied to stroke survivors who don't necessarily need a central access.
Hi Larae! Thank you for commenting.
Thanks alot
Pleasure!
Good.
Great technique, but no gloves though?
Does using EMLA cream help? Of course if it is available, for the purpose of a painless IV access procedure.
Totally Goran. Unfortunately, sometimes we get involved too late in the game when the OR is ready and waiting and the health care providers before you already exhausted their efforts - then there is simply no time for EMLA. Greetings and thanks for watching!
Thank you very much indeed for great video. Just one question: isn't it a better to cannulate a deep arm vein under ultrasound to establish a more reliable vein access in such kind of difficult patients? I'm afraid that 24 g catheter could be easily displaced or simple not enough in some cases for toddlers.
Hi there. In some situations yes. In this one - now because of the contractures that would make it difficult/impossible to position the arm for vascular access as you describe. Greetings.
@@DRBLUESNYC Thanks. waiting for another incredible video, they are so helpful.
@@Bloodrunner2020 Thank you for watching- a lot more is coming soon! Meanwhile, you can watch another useful video here th-cam.com/video/CGaMWDI6Vxk/w-d-xo.html And do not forget to SUBSCRIBE and never miss new releases. Greetings from NYSORA!
Please do video cannulation externa jugular
Hi Filip! Thank you, this is a great suggestion. We will definitely put this on our list. Greetings to you and all your colleagues and make sure you subscribe to our channel so you don't miss these upcoming videos. Greetings from NYSORA!
The one and only helping tip is to not getting pressurized.
Hello. What is the blue material called please? Couldn't tell from the audio. Thanks
Hi Chris! That is called "Esmarch bandage".
An
Great work maybe next time try to get some gloves
Hi Osama! Thank you for the comment. Stay connected for more videos!
Can you FORCE their arm straight?