DIFFICULT IV: TIPS FOR US-GUIDED IV ACCESS

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  • Опубликовано: 27 дек 2024

Комментарии • 47

  • @Bee-Kind-Baker
    @Bee-Kind-Baker 7 месяцев назад +12

    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  7 месяцев назад +2

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

    • @Eman1900O
      @Eman1900O 7 месяцев назад +1

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

    • @rfr64
      @rfr64 7 месяцев назад

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад

      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/

  • @Eman1900O
    @Eman1900O 7 месяцев назад +10

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

    • @rfr64
      @rfr64 7 месяцев назад

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад

      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/

  • @Dave_Barrett77
    @Dave_Barrett77 7 месяцев назад +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  7 месяцев назад

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад

      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 7 месяцев назад +5

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад +2

      Its called EZ-FIX by MedXpress.Pro

    • @nysoravideo
      @nysoravideo  7 месяцев назад

      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/

  • @rfr64
    @rfr64 7 месяцев назад +3

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад +1

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад +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/

  • @joshualeifer3335
    @joshualeifer3335 7 месяцев назад

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

  • @rfr64
    @rfr64 7 месяцев назад +1

    Do you have a link for the tourniquet used?

    • @nysoravideo
      @nysoravideo  7 месяцев назад +1

      We will get that info 4 you

    • @nysoravideo
      @nysoravideo  7 месяцев назад

      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/

  • @chennakesavulamadhukar4991
    @chennakesavulamadhukar4991 7 месяцев назад +2

    Sir thanks a lot 🙏

    • @nysoravideo
      @nysoravideo  7 месяцев назад +1

      Most welcome

    • @nysoravideo
      @nysoravideo  7 месяцев назад

      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/

  • @CurlyRose21
    @CurlyRose21 5 месяцев назад

    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 ?

  • @cane523
    @cane523 2 месяца назад

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

  • @jgkanaesthesiology
    @jgkanaesthesiology 7 месяцев назад +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  7 месяцев назад +1

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

    • @johngeorgedon
      @johngeorgedon 7 месяцев назад

      @@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  7 месяцев назад

      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/

  • @marinanatsvlishvili8558
    @marinanatsvlishvili8558 7 месяцев назад

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад

      "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 5 месяцев назад

    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

  • @zakalobi80
    @zakalobi80 7 месяцев назад +1

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад +1

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад +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/

  • @jenniferwilliams4983
    @jenniferwilliams4983 2 месяца назад

    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 7 месяцев назад +1

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад +1

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

    • @Sami-Nasr
      @Sami-Nasr 7 месяцев назад

      @@nysoravideo
      Out of plane
      Thank you

    • @nysoravideo
      @nysoravideo  7 месяцев назад +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 7 месяцев назад +1

    Bro hates US lol

  • @medic13601
    @medic13601 7 месяцев назад +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  7 месяцев назад

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

    • @medic13601
      @medic13601 7 месяцев назад

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

    • @bigtuna4037
      @bigtuna4037 7 месяцев назад

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

    • @nysoravideo
      @nysoravideo  7 месяцев назад

      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/