Chemo nurse here. So nice to have an Aussie produced cannulating video. I’d add that it’s important to note your local policies and procedures for important differences. For example, our health service mandates use of sterile/surgical gloves, and you set up a cannulation kit on sterile field, much like a sterile dressing pack. But I highly prefer your way, utilising the mini sterile fields from the packaging to keep key parts sterile, and clean gloves. There have been times where having to feel the potential site many times without a glove means a bit of faffing and then regloving but taking your time really pays off. We use heat packs on pretty much everyone as they arrive if they’re to have peripheral IV access, which does help. But the tip about gravity- I seem to be one of very few using that principle. Yet for difficult veins, it can be a game changer, and I’ve often found barely touched nice size veins on the back of the forearm near the elbow this way. Annoying to insert but still much better than any other option. Our patients’ veins get bad pretty quickly on chemo and even very young patients’ veins suffer from some of the protocols. Thanks for your awesome work!
You did a beautiful job explaining and demonstrating the technique. You have a calm and soothing voice, perfect for teaching. Fantastic filming. Easy to visualize. Thank you!
Thanks for making these cannulation videos! I’m an RN reentering nursing after 7 years away from the bedside so I’ve been brushing up on my knowledge and skills. I was looking for a good IV insertion video and finally stumbled upon yours. You’ve got the best out there that I could find. Very thorough. I love the tips you give. I can’t wait to put it to use. One thing I wanted to say was I was surprised to learn that the policy at my hospital for peripheral IVs is that they can stay in as long as there is no sign of infection, phlebitis, swelling etc. we just change the dressing every 7 days. Surprising right?! Thanks again for putting your time and effort into this. -Gina
Thank you for these videos. I am needle phobic facing another IV sedation. Last one ruptured my vein. I'm binging on your videos and it is helping to overcome my panic response. Your voice is so calming. Took 10 videos of listening and now today I was able to watch the needle insertion with only a tinge of anxiety. :D
Thank you so much for these videos! I watched them after having a run of bad cannula days on ward cover, and your tips have definitely helped increase my success rate :)
Really appreciate this video. In two days I'm getting my first IV infusion at Mayo Clinic Rochester MN, and was pretty anxious about the IV cannulation insertion, which is the worst part according to online patient reviews. I needed to see what was involved to hopefully reduce some queasiness. Great video. Your demeanor is excellent/calm. Thank you!
Thanks that was really helpful and I really needed to learn those info in such a practical way that I've just seen in your video and now I've got my aim done of the visual learning of cannulation ✔️ ❤
You actually forgot the most important fact that made your original video so viral, which is the angle of insertion. You totally forgot to mention to insert with a 10-15 degree angle (and then go on until you see the flush, then flatten and move on for appr. 5 mm) This fact and the really really slow insertion of the needle, then showing the flush, then flattening and moving on is the best part of the old videos. I really hope you re-do this video with this one modification
Great video as usual! You techniques have helped improve my skills. I do not have to place IVs often but when I do, if it's been a while, I always review your videos to prepare. Thanks!
Thank you so much for making these great instructional videos Doc! I've watched (and "liked") all your cannulation vids and shared them with associates. Be well!
Thank you for these awesome tips and demonstration! Maybe in the future could you do difficult insertions for patients with ESRD or are fluid overloaded/obese and you must go for deeper veins that are hardly visible on the surface?
Interesting. I live in Canada and we are taught to always avoid articulating areas like wrists. When cannulating. Standard here is two finger widths above the articulation of the wrist we will go to the ACF if we can’t find any other vein, but does anybody know this is a nightmare area that is most likely to infiltrate and cause phlebitis. Also, more likely to get constant beeping for downstream occlusion as the patient moved their arm to eat, use their phone, etc..
Ive been a paramedic for a year now and there are times where i receive flash but my catheter just won't advance. I go back to check if any valves are near by but its more like the Pt's skin wont let me advance my catheter. Has any experienced this and if so do you have any tips. *I make sure my catheter isn't above the skin when I advance as well*
1) Part of lumen of flashback needle is in the vein but catheter is not 2) catheter is being advanced into the vein wall or the cusp of a valve. You will know this when you forcibly advance the catheter and the cannula tissues + unable to flush
Thanks iv insertion master. You're really good at what you do. How about patients with hard to be inserted veins ( overly fat, overly dehydrated with hard to palpate veins during emergencies. ) without doing cut down.
That precise nerve accupuncture, it needs precise skill such as that iv insertion mastery in a different level, would that be bilevel, spine and nerve physical and spiritual point stick precise. Like camels passing through the tiny needle hole or the needle hole entering the camel pathway in there.
Yeah good question… i find its all about tension on the skin with my other hand.. Stabilizing with your non dominant hand is mainly About skin tension not about stabilising the vein. Hope that helps!
@@ABCsofAnaesthesia yes I kind of figured that would be a good way, do you think it would be helpful to moisturize the skin previous or even put some warm wet heat for a minute or so before it gets cold?
@@ABCsofAnaesthesia I was thinking the same thing, but maybe moisturizing 10 minutes before and then giving it a quick scrub down with an alcohol swab on the site of puncture would prevent that? I don’t know, I’ve never tried it, but I thought about it and maybe I’ll give it a shot next time I have someone with skin like that.
The personality contrasts, the agents have book like compilation of codes and aliases, the G- types makes things a bit in conformity with the socialites, while I speak directly describing things as it is in reality precise to what Ive analyzed, studied and experienced, though I can be someone like James Bond 007, splicing things with insulations like in nerves to analyze the motives and the motive of my supposed leading lady partner.
A nurse put my Iv in and she hit a nerve sending me to the roof and also I just went to go home put ihadto stay because it was my first colonoscopy procedure! I was not to happy!I had ahalf dollar bruis,
Hello. Thank you for all the great vids. Just a question. When occluding the vein to remove the needle,do you occlude after the area where the cannulae would be or do u try to occlude the tip of the cannulae in the vein?
When I had my first colonoscopy procedure done the nurse put my Iv in and she hit a nerve send me oof the bed and she’s Kept pushing it in,? The Nursesaw me jerk andstartto cry and scream?😭😭😭😭
I keep getting just a little drop of blood in the primary flashback chamber and then no more. I'm going slowly and obviously hitting the vein...why doesn't more blood flow into that first chamber as it does for you Sir?
I am also a training pharmasist, in my experience when you enter the vein you can easily feel the floating of needle in vein it feels like something is loose then you should flat the needle and proceed. I know first few attempts going to be bad after time you will get experience 🤗 Penetrating veins since 8 months
1:30 while a medication can be given orally, the bioavailability is compromised because some of the medication is destroyed in the digestive process. In other words, I'd have to intentionally overdose myself on oral medication in order to get the full intended dose, which may carry more risk than the IV itself depending on the medication. I'd rather take the full dose in the vein.
You have no idea what the hell you’re talking about. Don’t pretend you know about medicine when you haven’t gone to school for it. If you have, this little essay is embarrassing.
For difficult IV's, I would always ask the preop nursing staff to wrap the arms with a bath blanket, "from the arm pits to the finger tips"......best tip for difficult IV's.
Love all the tips! Can you provide a link to the tourniquet used? So much more comfortable for patients! Hopefully you can get some amazon credit too in the process! 🪄❤️💉 Thanks for all you do!
Chemo nurse here. So nice to have an Aussie produced cannulating video. I’d add that it’s important to note your local policies and procedures for important differences. For example, our health service mandates use of sterile/surgical gloves, and you set up a cannulation kit on sterile field, much like a sterile dressing pack. But I highly prefer your way, utilising the mini sterile fields from the packaging to keep key parts sterile, and clean gloves.
There have been times where having to feel the potential site many times without a glove means a bit of faffing and then regloving but taking your time really pays off.
We use heat packs on pretty much everyone as they arrive if they’re to have peripheral IV access, which does help. But the tip about gravity- I seem to be one of very few using that principle. Yet for difficult veins, it can be a game changer, and I’ve often found barely touched nice size veins on the back of the forearm near the elbow this way. Annoying to insert but still much better than any other option. Our patients’ veins get bad pretty quickly on chemo and even very young patients’ veins suffer from some of the protocols.
Thanks for your awesome work!
All of your videos have brought the best success in my cannulation as a new IV infusion nurse.
You did a beautiful job explaining and demonstrating the technique. You have a calm and soothing voice, perfect for teaching. Fantastic filming. Easy to visualize. Thank you!
Thanks for making these cannulation videos! I’m an RN reentering nursing after 7 years away from the bedside so I’ve been brushing up on my knowledge and skills. I was looking for a good IV insertion video and finally stumbled upon yours. You’ve got the best out there that I could find. Very thorough. I love the tips you give. I can’t wait to put it to use.
One thing I wanted to say was I was surprised to learn that the policy at my hospital for peripheral IVs is that they can stay in as long as there is no sign of infection, phlebitis, swelling etc. we just change the dressing every 7 days. Surprising right?! Thanks again for putting your time and effort into this.
-Gina
What we follow at our place: it can stay for 72-96 hours then re-site or remove.
Best teacher I have ever seen
I think a 2nd Grader...could perform cannulation after watching this guy do it.
I know you are joking 😁😁
I think Michael J Fox or a geriatric Katherine Hepburn off her meds could stick stick a vein after watching this dude!
Lmao! You wish! 🤣🤣🤣
This was one of the best cannulation videos I've come across! Very simple and yet so detailed!
Thank you for these videos. I am needle phobic facing another IV sedation. Last one ruptured my vein. I'm binging on your videos and it is helping to overcome my panic response. Your voice is so calming. Took 10 videos of listening and now today I was able to watch the needle insertion with only a tinge of anxiety. :D
I'm doing JCCA after many years of ED and today I learned a few new things about cannulation.
great job demonstrating i.v cannulation with ease.Thank you putting so much effort explaining this procedure excellently.
Thank you so much!
amazing video. I'd recommend this to anyone that wants to improve their IV cannulation technique.
Thanks so much!
Thank you so much for these videos! I watched them after having a run of bad cannula days on ward cover, and your tips have definitely helped increase my success rate :)
Really appreciate this video. In two days I'm getting my first IV infusion at Mayo Clinic Rochester MN, and was pretty anxious about the IV cannulation insertion, which is the worst part according to online patient reviews. I needed to see what was involved to hopefully reduce some queasiness. Great video. Your demeanor is excellent/calm. Thank you!
You have the art of making anything looks so easy Keep up the good work
Thanks that was really helpful and I really needed to learn those info in such a practical way that I've just seen in your video and now I've got my aim done of the visual learning of cannulation ✔️ ❤
Great to hear!
You actually forgot the most important fact that made your original video so viral, which is the angle of insertion.
You totally forgot to mention to insert with a 10-15 degree angle (and then go on until you see the flush, then flatten and move on for appr. 5 mm)
This fact and the really really slow insertion of the needle, then showing the flush, then flattening and moving on is the best part of the old videos. I really hope you re-do this video with this one modification
Great video as usual! You techniques have helped improve my skills. I do not have to place IVs often but when I do, if it's been a while, I always review your videos to prepare. Thanks!
Incredibly interesting insight through David's statue. Thank you for that
Thank you. I really enjoyed your video. And I really appreciated your smile and being friendly.
Hands down, my FAV cannulation video on RUclips. Thanks for giving great instruction, but also the explanation of the physiology involved!
Glad it was helpful!
Great demo. Should be a good resource. Thanks for taking the time to make it.
Glad it was helpful!
Amo tus videos,son tan bien explicados que aprendo mucho mejor .....gracias , te envío un fuerte abrazo desde Tijuana BC MÉXICO.
Outstanding video and technique! Thank you so much for the videos!
Thank you so much for making these great instructional videos Doc! I've watched (and "liked") all your cannulation vids and shared them with associates. Be well!
Glad they’re useful!
Thank you for these awesome tips and demonstration! Maybe in the future could you do difficult insertions for patients with ESRD or are fluid overloaded/obese and you must go for deeper veins that are hardly visible on the surface?
👏🏽👏🏽👏🏽Great and detail-oriented explanation!👊🏽
Thank you!
Thank you for help! It's the best video! You are very kind doctor😊
Good video, nice improvement to quality
thanks doc, very informative and great video.
Thank you very much!
I have learnt a lot from this video
Beautifully explained, thanks for sharing
Bravissimo,,, many thanks for this video!
Hi, nice ,interesting video on cannulation. Thanks a lot. Is that iv bank need to be flushed out(to remove air) before connecting to cannula?
Interesting. I live in Canada and we are taught to always avoid articulating areas like wrists. When cannulating. Standard here is two finger widths above the articulation of the wrist we will go to the ACF if we can’t find any other vein, but does anybody know this is a nightmare area that is most likely to infiltrate and cause phlebitis. Also, more likely to get constant beeping for downstream occlusion as the patient moved their arm to eat, use their phone, etc..
Brilliant detailed demonstration
Ive been a paramedic for a year now and there are times where i receive flash but my catheter just won't advance. I go back to check if any valves are near by but its more like the Pt's skin wont let me advance my catheter. Has any experienced this and if so do you have any tips. *I make sure my catheter isn't above the skin when I advance as well*
1) Part of lumen of flashback needle is in the vein but catheter is not
2) catheter is being advanced into the vein wall or the cusp of a valve. You will know this when you forcibly advance the catheter and the cannula tissues + unable to flush
Thank you very much Sir
Well done dear 👏👏
Thank you very much
Thanks iv insertion master. You're really good at what you do. How about patients with hard to be inserted veins ( overly fat, overly dehydrated with hard to palpate veins during emergencies. ) without doing cut down.
Your soft voice doesn't conceal your animosity, for what?
You are the best!
I love the tips followed
love the demo, thanks doc
That precise nerve accupuncture, it needs precise skill such as that iv insertion mastery in a different level, would that be bilevel, spine and nerve physical and spiritual point stick precise. Like camels passing through the tiny needle hole or the needle hole entering the camel pathway in there.
Wow! U r cannulation God!!
Thank you so much for this helpful video!! 💜
Thank you
Thank you very much 😢
Thank you very much!
excellent video!!!
Thanks
Sir Galit, was that your Filipino version family name?
Great video but should avoid touching the bin with gloved hand to avoid cross contamination
Do you have any tips for those patients that have that leathery skin that basically just gets “pushed” by the needle when you try to insert it?
Yeah good question… i find its all about tension on the skin with my other hand..
Stabilizing with your non dominant hand is mainly About skin tension not about stabilising the vein. Hope that helps!
@@ABCsofAnaesthesia yes I kind of figured that would be a good way, do you think it would be helpful to moisturize the skin previous or even put some warm wet heat for a minute or so before it gets cold?
To dilate the skin, warmth definitely, i find wet isnt as helpful As it quickly cools down…
Ive never tried moisturiser when cannulating,mainly because i want more grip and maybe harder to keep aseptic
@@ABCsofAnaesthesia I was thinking the same thing, but maybe moisturizing 10 minutes before and then giving it a quick scrub down with an alcohol swab on the site of puncture would prevent that? I don’t know, I’ve never tried it, but I thought about it and maybe I’ll give it a shot next time I have someone with skin like that.
Professional apology, that method is a method of character deciphering.
The personality contrasts, the agents have book like compilation of codes and aliases, the G- types makes things a bit in conformity with the socialites, while I speak directly describing things as it is in reality precise to what Ive analyzed, studied and experienced, though I can be someone like James Bond 007, splicing things with insulations like in nerves to analyze the motives and the motive of my supposed leading lady partner.
I love it
I'm really worried when you touch the bin with your gloves on
Thanks sir
Thanks alot!
What happen if tha fluid is finished I don't see blood return
What the complications are there
Gd pm sir...can you give me some technique when i cannot see the patients vein,thank you....
A nurse put my Iv in and she hit a nerve sending me to the roof and also I just went to go home put ihadto stay because it was my first colonoscopy procedure! I was not to happy!I had ahalf dollar bruis,
When I had sepsis I had a cannula in for 7 days
Can you pls do a BD venflon cannula pls
Does it matter whether you release the tourniquet or remove the stylet sharp first?
Hello. Thank you for all the great vids. Just a question. When occluding the vein to remove the needle,do you occlude after the area where the cannulae would be or do u try to occlude the tip of the cannulae in the vein?
Thanks! Great question, im occluding where i think the tip of the cannula is
Thank you. I struggle with the back flow at times and you make it look so easy 😂
Don’t label date on the patient. Do that first before sticking it on the dressing.
My IPC brain is bursting when you touch the sharps bin
What if the veins are not visible??
When I had my first colonoscopy procedure done the nurse put my Iv in and she hit a nerve send me oof the bed and she’s
Kept pushing it in,? The Nursesaw me jerk andstartto cry and scream?😭😭😭😭
I keep getting just a little drop of blood in the primary flashback chamber and then no more. I'm going slowly and obviously hitting the vein...why doesn't more blood flow into that first chamber as it does for you Sir?
I am also a training pharmasist, in my experience when you enter the vein you can easily feel the floating of needle in vein it feels like something is loose then you should flat the needle and proceed.
I know first few attempts going to be bad after time you will get experience 🤗
Penetrating veins since 8 months
Cmon come as you are.
Is that a cadaver?
12:00
Sir aap Hindi me bhi explain karo please
20 steps in this video. 39 in another one I just watched, from the same channel. Just highlights how complex this "basic" skill really is..
1:30 while a medication can be given orally, the bioavailability is compromised because some of the medication is destroyed in the digestive process. In other words, I'd have to intentionally overdose myself on oral medication in order to get the full intended dose, which may carry more risk than the IV itself depending on the medication. I'd rather take the full dose in the vein.
You have no idea what the hell you’re talking about. Don’t pretend you know about medicine when you haven’t gone to school for it. If you have, this little essay is embarrassing.
Is your patient alive 😂
Aany
Sir pls improve your sound quality... You are not much audible even with ear pods
For difficult IV's, I would always ask the preop nursing staff to wrap the arms with a bath blanket, "from the arm pits to the finger tips"......best tip for difficult IV's.
Good thx
🤡🏸
Love all the tips!
Can you provide a link to the tourniquet used? So much more comfortable for patients! Hopefully you can get some amazon credit too in the process! 🪄❤️💉
Thanks for all you do!
Do u have instagram?
Yes :) abcsofanaesthesia
Thanks