Intravenous (IV) cannulation compilation with demonstration of 14 procedures
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- เผยแพร่เมื่อ 1 เม.ย. 2022
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This video was directly a result of one of our viewers requesting a compilation video of iv cannulation.
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I hated nursing school because of this. I skipped clinical rotation in nursing school because of this.. but after watching your videos i became confident and now I'm pro in iv cannulation... Thanks man. You saved my life..❤❤
I'm an FY-1 in Vascular (England). I used your special technique of holding and threading the cannulas. Now the SHOs call me for the difficult cannulations 😁👍 Thank you for teaching us Dr. Lahiru!
You made IV insertion so smooth, speedy accurate. Real Pro.
This video saved me today! I never would have thought to tilt the needle up like that after getting flash, but it worked so well on a very fragile patient with itty bitty veins.
Awesome! So good to hear 😊😊
On the moment in video, please🙏
Fantastic to see them back to back! Thank you!
You're a superstar master of IV insertion sir, I've never seen anyone who can insert IV to difficult and not so difficult to be inserted veins like the speed and accuracy you have. Whoaa!
I can watch these all day
That 14ga in the intern vein is very impressive to me as an emt, partly for your ease and skill, but also for your volunteer's willingness to participate and endure for the cause.
Thanks! My volunteer is a good mate whos been volunteering his body to science since 2012 😂
I came here to find this comment! I saw that orange cath and about dropped over. Your volunteer is a true champ for taking that 14 slow and steady. I drop these in a trauma or Stemi. 😮 Love your videos.
This is great! Love the montage, very satisfying!
Love from Brisbane
Aaah brissie! My home town :)
In Filipino, galing mo pre.
I love iv cannulation and this video is so satisfying ❤
Thank you so much Dr.❤
Your video was so helpful thank you so much
This video is so helpful! Thank you so much!!
Welcome!
Great job! Subscribed!
I enjoy watching all your tutorials for IV cannulation. I even mastered and use a comfortable technique as seen in your videos but in a way I know I'll have success.
Same here! So grateful!
Great to hear!!
Thanks Doc for this compilation video of cannulation.
Most welcome!
Great skills. You make it look easy!
Haha thanks… so much practice
Highly recommended video for cannulation 101. Pls follow his steps one by one. Each steps are super crucial for a successful cannulation. I just realized it after i failed so many times.
Thank you!
Thank you for such a great video and guidance
You are so welcome!
Thank you, Mr.L. I'm struggling with catheters as an ER nurse. 😢 Started 1 month ago, and it gives me anxiety.🤦♀️
keep going! its all about intentional practice, feedback, slow improvements. you can do it!
Thank you very much!
You make this look so easy. The antecubital fossa vein I have missed when it is easily palpated. The position of the fossa may bend and not allow the cannula to advance. We need IV's fast due to patients have STEMI's and strokes. Still new to IV's .
A skillful employee like that should be kept as asset of a Company.
Thank you
thankyouuu doc.. im saving this🥰
You're welcome 😊
Ure so good at iv cannulation 😳😳😳😳💯
Thanks a lot
Love your videos & techniques!
Could you doe videos on how to heal the veins in people who undergo frequent vitamin C & nutritional IV therapies at an average of 2-3 IVs per week regularly for various purposes.
Some veins esp the AC which used to be prominent has gone into “hiding” & painful.
Also some videos on why during IV somewhere midway the drip stops on its own while it had been on at slow speed.
Your video production is to the roof!!!! What camera/lens are you using
Sir, you are an expert in cannulization. Please teach me the art of cannulating a patient. You are so confident, how is that even possible??
Thanks :)
Thank u
do you have any exemples of cannulas for children or infants? Thank you, great examples for adult young and old patients
Amazing id love to try this but not a doctor yet
Great video as always! Would it be possible to create a tutorial video with tips and tricks for arterial puncture for blood gas/arterial lines?
Its def on the way!
Thank you doctor 💐💐💐
Love from 🇱🇰 🇱🇰 🇱🇰
I wish you showed us the flashback chamber as well in these camera angles!
If you are having difficulty finding a site, try using either three torniquets or a esmark bandage. Even when I see veins and they look small I use the three torniquet technique and I usually can get a larger catheter in the vein.
great video! When do you use purple, pink, green IV catheters according to fluids :)
Thanks for your video
The intern vein video for neonatus pleas...
You make it look easy, but when I try, boom! Blood everywhere 😔👌
Love your videos. What brand cannula are you using?
Thanks for the vidoe. I'm finding it hard to anchor/taut the patient's skin when I'm trying iv cannulation on the forearm... do you have any suggestions?
Great video. When you're initially approaching the vein, and have your small finger resting to the side for stabilisation, is the cannula advanced into the vein by moving your arm forward or by using your fingers or wrist or all three subtly? thanks for the great content
Great question! I just tried now and i move my fingers/ a bit of wrist movement forward.
My arm and hand overall seem stable
Thanks for all this video. Do you have tips on how to avoid veins to roll during cannula insertion? I find it easy to avoid with butterfly needles but the same doesn't apply with cannula
Great question..
1) tension on skin
2) look at where it rolls and reangle needle
3) remove needle from skin and reinsert very slightly toward the direction it rolls
4) accept that they may roll no matter what you do… and dont persist at same location.. reinsert re angle, try completely different site
Expert
A tip - put a couple steri strips on the canula before your tegaderm/ opsite. That tegi will not hold in the long term, especially if a patient goes for a shower / physio / mobilising post op. As a surgical nurse I can't tell you how many canulas have been accidently dislodged due to a lacking dressing. I often redress them straight away with steris and iv3000. For even more reinforcement loop one steri around the canula and then stick it down.
Great to hear peoples tips on this! Thank you :)
Completely agree. The ones inserted by docs tend to not always have been placed with longevity in mind, which is understandable considering surgery, codes, etc. Before I was allowed to do my cannulation competency module, I’d also redress these cannulas and do the steri strip or sterile tape strips (like the ones in IV3000, unfortunately Teggies don’t have them) around the hub with the ends crossed over each other, kind of like 🎗️, with a Teg on top.
These days I’m in Day Chemo, so no need to worry as much about making it crazy secure for days. Though many of our patients have terrible veins from the chemo.
Please where do you prick the cannula,directly in the vein or belowe 1-2 cm and what about deeper vein,is the tehnique the same?
At what angle does the needle go in the skin?
How do you disinfect your tourniquet between patients? Is it a woven material?
Hey, you should wait for alcohol to dry off before insertion or it will cause burning sensation to patient
Is it better to avoid touching the distal opening of the cannula with the second finger, when pushing it inside the vein?
3:43
(by alternatively pushing on the lateral parts of the cannula ? )
this is awesome, wish some brachial vein , sometimes it's just can't be seen by the naked eye
Tysm for the life-saving tutorials :’))) Tips on choosing what gauge to use?
Hey! thanks so much! I have a whole course here anaesthesia.thinkific.com/courses/ivc. Use IVC50 for a massive discount :)
Omg thank u!! 🥹
When you cannulate a very superficial vein (say one you can see in the forearm but can't feel) or a small hand vein, do you advance the needle a little more after flash or just advance the cath right away? I ask because I normally advance a little more on the superficial or smaller veins after flash but end up blowing them quite often. Any tips?
You have mentioned about vein stability, something spark into my mind as an idea speaking about the 4 Horsemen. I think there's a great possibility they aren't Kings. Because Kings were enthroned in their areas. The real 4 Horsemen and not the assuming fake 4 Horsemen who want to be famous and be feared upon, could always be on the move, riders or something using the active transport of the Positive Feedback Mechanism but could be not pure positive in being and they have real influence other than the Arab Kings. Could be using parallelism to distance themselves just like Lucifer and Abaddon always have covers and doubles. Even Nimrod, Alexander the Great, King Solomon, and Zeus head of the Greek wisdom mentioned in the time of Antiochus always want to operate behind the screen and camouflage.
Wow wish I could do this, ur pretty good looking as well 😅
Whats the purpose of "level out"? Thank you
We always use vein viewers to guide us in IV insertions for higher chances of being successful 😅
With enough insertions, I hope to insert IVs like this someday without having to depend on using the viewer 🤞🏻😊
I have a question: I have noticed that when I put in peripheral IVs, I usually indent the wall of the vein quite a bit before puncturing it. By the time I get primary flashback, I also frequently have secondary flashback in the cannula itself. At that point, I just thread off the cannula and it seems to work just fine. Watching all these videos, I never see that happen to you. I wonder if I'm doing something different or wrong that's causing this issue? 🤔
Hello! Paramedic here, some catheters (cannulas) have a mechanism to where you see flash in the cannula and the flash chamber around the same time. So I wouldn’t worry about that, as for the indent, it’s important to use traction to hold the skin taught before puncturing, this can make the needle pierce far easier especially through stretchy and loose skin. If you’re doing all this already there’s a chance your hospital or agency may be using cheaper IV start equipment that has dull needles! Cheers mate best of luck
Thanks for the reply! I appreciate it! I have some people tell me that I don't stretch the skin taut enough and insert the needle too slow; also some told me to jab quickly to pierce the vein
Is there nothing else to cannulate than peripheral veins? Maybe we can move on to other cannulations
With veins that are only palpable and not visible, how do you remember the location/trajectory of the vein? Do you remember landmarks or anything of the sort?
I always have to re-palpate and then insert the needle proximally, where the area is still aseptic 😅
I agree it’s hard to remember the exact spot after sanitising the skin. I try to keep my eye on a freckle or skin crack, but another nurse showed me how she uses an alcohol swab as an indicator! You point one corner of the square swab a few ml from the planned insertion point
Thank you so much! I am a 1 year plus nurse and now I have so much improvement in cannulating, 5 months ago I m still so unconfident but I was relieved that I am eager to try and although failed a lot of times, I also success a lot of times! I will keep on learning until one day I m an expert in inserting and people can learn from me❤ but now some of my colleagues are starting to call me when they need to insert cannula I
And I was so happy! But I hope they also can learn, I don’t want to rely on Medical officers to insert😊
I notice you use like an upward angle or upward pressure often
Hi yhere..
Can you do IV cannulation in Edematous patient and dehydrated patient ..
As well S old aged...
🤗☺😊
All tough situations! I use exactly the same techniques i use in my detailed iv cannulation vids.. check my iv cannulation playlist..
Also released this very detailed course
anaesthesia.thinkific.com/courses/ivc
Use the code IVC50 for a huge discount
❤❤❤❤❤❤❤❤❤❤
How many tries on a hard stick before calling someone else? Ever done scalp feet or IO?
You cannulate very EASY ones with all YOUNG patient.
Try to do Cannula in 97 years old with Atherosclerotic veins, thin skin, no muscles, vein moves when try to insert needles.
Yes thank you so much Sir. Two questions: how can I look at where I'm going with the needle, and down at the primary flashback chamber at the same time? And does it help to 'loosen up' the hub of the cannula by twisting it just a bit while on the needle just before insertion? I've seen some do that and wondered what the manufacturer intended. Thanks.
As youre inserting as long as your fingers aren't in the way its quite easy to notice the flashback. Just pushing the cannula up a tiny bit to "loosen it" and then returning back is done by some docs as it can make pushing the cannula forward easier, but remember to ensure the end of the needle is poking out still , if after loosening it you return it back to normal should be g.
Ouch
I've timed your iv insertion to fat patients with almost no visible veins, the longest time was 2 seconds, the mid time was 1 and a half seconds and the fastest was 1 second to a very fat patient. I think in the category of experienced IV inserters you will be very difficult to beat by them, you can beat them with your inborn skills, unless there's another one as fast as you do that.
Iam a fresher nurse just started work and I was successful in cannulization as a student but now i don't know why i can't do it properly i got yelled by patients two time in a row Iam feeling so helpless rn
anaesthesia.thinkific.com/courses/ivc
This is my course… it might be the right intensive program you need :)
Thanks
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Why would you use a hand when there is a nice juicy vein in the forearm? Hands are a terrible spot to use.
Youre right! If theres a great forearm
Vein.. they are i think the best option all round..
My boy put in a 14 boss lol and boss patient to let you do it
That intern taking the 14G cannula almost killed me. Sounds painful.
He's actually a fantastic GP/friend... but he's donated his body to science a few times now! what a legend!
@@ABCsofAnaesthesia amazing!
1 pushup everytime he says canula
no touch technique! hygiene, man!
Thanks, that was so helpful ❤ Can you please make a video showing the risks of wrong cannulation and how to solve the problems caused by it ❤️🩹