Difficult IV in Cancer Patients - Do not Depend on Ultrasound

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  • เผยแพร่เมื่อ 22 ธ.ค. 2024

ความคิดเห็น • 43

  • @TDalmagro
    @TDalmagro 9 หลายเดือนก่อน +11

    Very interesting! Thank you for spreading knowledge, I already purchased the IV Manual and I’m very impressed by the quality of images and tips!

    • @nysoravideo
      @nysoravideo  9 หลายเดือนก่อน +5

      That is great to know. We would LOVE to hear about what you think about the the manual. Which additional videos would you like to see here? THank you for watching\!

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน +1

      Your wonderful comments and support mean a lot to us! If you or your nurses or colleagues are struggling with IV access, check out the new NYSORA IV Access App. Try it free for 7 days and give us your feedback. We'll master IV access together! www.nysora.com/iv-access-app/

  • @alexbondarev8986
    @alexbondarev8986 9 หลายเดือนก่อน +2

    תודה! זו באמת שיטה יוצאת דופן. אתה, דוקטור, מדריך נפלא. לא חשבתי שמשהו עוד יכול להפתיע אותי.

  • @888167
    @888167 9 หลายเดือนก่อน +13

    why the paravenous entry instead of straight into the vein?

    • @sorenjorgensen5334
      @sorenjorgensen5334 9 หลายเดือนก่อน +9

      My guess is that the vein has hardened on the top, from being extensively punctured from that angle prior to this cannulation. Puncturing it from the side, helps avoid this "scar tissue". Also, when the vein tends to roll a lot, choosing to puncture it from a specific side can be helpful, because you kindda know where the vien would roll towards. That would be especially helpful, when you cannot see the vein.

    • @DRBLUESNYC
      @DRBLUESNYC 9 หลายเดือนก่อน +14

      @@sorenjorgensen5334Indeed. Most practitioners go for the routine - they do not keep on mind various options. Multiple punctures on the top of the vein - result in scarring and thickening of the top wall - making it challenging to cannulate. Therefore, paraveneous with an entry from the lateral side is often better/more successful. Greetings

    • @nysoravideo
      @nysoravideo  9 หลายเดือนก่อน +5

      Agree with Dr Blues comments above!

    • @sorenjorgensen5334
      @sorenjorgensen5334 9 หลายเดือนก่อน

      @@DRBLUESNYC Aha, a car channel. Interesting :)

    • @flavio339
      @flavio339 8 หลายเดือนก่อน

      @@sorenjorgensen5334 makes sense.

  • @Mus-Doc
    @Mus-Doc 9 หลายเดือนก่อน +38

    Why are all the "difficult" IV videos have patients that actually don't have difficult veins. Please make videos of patients with really difficult veins that cannot be seen or palpated.

    • @cnghiem67
      @cnghiem67 9 หลายเดือนก่อน +9

      Look at his other videos. His techniques are amazing, especially with the reverse esmark

    • @nysoravideo
      @nysoravideo  6 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/

  • @veronicamergen5555
    @veronicamergen5555 9 หลายเดือนก่อน +4

    I'm interested in the IV stabilization device with the velcro strap. I need it in my ASC. Would you please tell me the name of the product?

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน

      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/

  • @janemcdonald7870
    @janemcdonald7870 หลายเดือนก่อน

    Does the guide have any tips on difficult access for patients on Heparin?

  • @jihadserraji293
    @jihadserraji293 9 หลายเดือนก่อน +1

    Where can I buy the Esmarch tourniquet?

  • @lisagreen7778
    @lisagreen7778 8 หลายเดือนก่อน +1

    A manual BP cuff inflated to 70 or 80 mmHg will achieve a similar effect to that extra long tourniquet - less discomfort and easily released

    • @nysoravideo
      @nysoravideo  6 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/

  • @Propofol1234
    @Propofol1234 9 หลายเดือนก่อน +1

    Where can we find the bandage for the reverse eschmarc technique? And can we use any substitute? Thank you

    • @Nevy722
      @Nevy722 9 หลายเดือนก่อน +3

      blood pressure cuff, set just at diastolic blood pressure (usually 50-70mmHg).

    • @Propofol1234
      @Propofol1234 9 หลายเดือนก่อน +2

      @@Nevy722 Does this work as well as the esmarch technique? I feel with the reverse eschmarc technique there is the added benefit of progressive wrapping, thereby progressively pushing blood distally in a marching fashion with each wrap

    • @3rdCultureAussie
      @3rdCultureAussie 9 หลายเดือนก่อน +2

      You could try the triple tourniquet technique, or cut up one of those thick physio elastic bands (clean it of course). Most Philips BP monitors have a tourniquet function when in acute settings.

    • @nysoravideo
      @nysoravideo  6 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/

  • @charlieneu1054
    @charlieneu1054 9 หลายเดือนก่อน +1

    why do you use local anaesthetic?

  • @hammoudalesbonsplans1522
    @hammoudalesbonsplans1522 9 หลายเดือนก่อน

    Thanks Doc i did not understand why the para sagital insertion

    • @Rainer-tn8cw
      @Rainer-tn8cw 9 หลายเดือนก่อน

      To maximise the distance from the accespoint from the skin to the accespoint of the vein in order to minimise the chance of an infection by Skinn bacteria resulting in the loss of the IV.

    • @nysoravideo
      @nysoravideo  6 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/

  • @renaudclg4526
    @renaudclg4526 9 หลายเดือนก่อน +1

    Will the book be available soon on Amazon ? Only E-book 😢

    • @nysoravideo
      @nysoravideo  6 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/

    • @nysoravideo
      @nysoravideo  4 หลายเดือนก่อน

      yes

  • @celestine4141
    @celestine4141 9 หลายเดือนก่อน +1

    is there a kindle version of tehe book

    • @nysoravideo
      @nysoravideo  6 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/

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน

      Yes!

  • @Santosh-yb1oy
    @Santosh-yb1oy 9 หลายเดือนก่อน +1

    Most of the videos of iv Cannulation have easier veins compared to what the name suggests, Reality wise few of the cancer patient veins are almost invisible... Need help in those and needed those videos...

    • @nysoravideo
      @nysoravideo  9 หลายเดือนก่อน +5

      \Greetings! Not so - it is the methods used to enlarge these veins and techniques used to cannulate them that makes the venous access in the examples you mention decevably easy. Just need to follow. Also, a great way to learn is to film yourself or your colleagues and watch those videos - it can be painful to watch.

    • @3rdCultureAussie
      @3rdCultureAussie 9 หลายเดือนก่อน

      He does show a few good cases. Maybe where he lives the population is healthier than where you live? Where I live we have a massive obesity crisis. Very difficult. So I found prepping for IVC is equally as important. Convenience for administration, Purpose of IVC (gauge size), Assessment and investigation using different techniques for veins for the best possible outcome, The right type of products to use for the desired function, and the duration of intended IV therapy as well as future use. I prefer to use the BD Nexiva devices as they tend to accommodate many functions and provide comfort for health professionals and (as they are thin/flat and have lower risk of pressure injury) for the patient.

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน

      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/

  • @rishiraj2548
    @rishiraj2548 9 หลายเดือนก่อน +1

    Good day greetings

  • @Gegemon100
    @Gegemon100 9 หลายเดือนก่อน

    If there is no outflow of blood from the veins at all, and the feeling that it is 100% and visually as well

    • @nysoravideo
      @nysoravideo  9 หลายเดือนก่อน

      Agreed! Greetings and thank you for watching! How do YOU check the vein for the outflow?

    • @nysoravideo
      @nysoravideo  6 หลายเดือนก่อน

      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/