I failed my first because I didn't put pre-swab in clinical waste afterwards!! I am only qualified in peripheral IV. I think the most single cause is finding an appropriate vein. I was told do not be afraid of tightening the tourniquet up. Another reason is insertion at a far too acute angle, obviously the median cephalic and basilic veins, due to their location are more prone to this than metatacarpal.
you guys are really the best on the net hands down! It would be amazing if you guys would do a first aid series for medical students one day. That would be awesome with your clear style. ))
@@karoldanco2753 well it depends i asked for babys or chiled needle it is yellow color the smallest and thinest, didnt feel the thing. blue is second smallest but it looks scary if you are curios what color u will got if they say red, run run run for your life
@@zedara5364 Seconding this! Sometimes they just use the needle that's in front of them. You, as the patient, can request for a smaller one. The cannulas for surgery typically are bigger but if all you need is hydration and IV meds then a smaller needle is ok. And if you still need surgery, you can actually get the bigger cannula inserted during your surgery with anesthetic and with anesthesiologists who are supposed to be better at inserting a cannula. Plus with a smaller needle, you can get hydration which, if you were dehydrated prior, can make your veins bigger, making bigger needle insertions much easier during your surgery.
interesting since your cannula and techniques are so different to what we are taught at uni! good to learn and observe different techniques tho, awesome video :)
I don't know how many doctors are this meticulous whilst inserting a cannula... probably none that I have seen, maybe a new F1 till he gets confident around the wards😁..good video
Can you do a video which troubleshoots all the cannula related problems? As an intern a problem I faced was after the second blood flash, when you insert the cannula & push saline, it would generally bulge out or there would be resistance. Thanks
Personally i waited until the blood filled up the entire flashback chamber before i push in the catheter and pulled out the needle simultaneously with one hand.I am not sure how does letting bloodfilling it entirely first helps but I read from somewhere it does and from personal experience.
The cannula must have been inserted into the vein, but perhaps the cannula was further advanced without retracting the needle. The danger in this is that the needle might advance past the vein, hence the initial siting of blood but on pushing the saline a bulge appears along with pain. The cannula has essentially gone into the vein and past it into the surrounding tissue
I was dreading having a cannula inserted in my arm yesterday, but the nurse did it without me even feeling anything! I was aware that she was cleaning the site with a swab and that was that! Im a complete baby when it comes to needles. Bless that nurse, Gina at Derriford Hospital, Plymouth.
Yep, really depends on the person inserting your cannula! My veins are very small, so I already know which specific people in the hospital I frequent are good at cannulation and what their position in the hospital is. The best one I ever got was from a Senior oncology nurse. Barely felt it! He was going to use a big needle but noticed how tiny my veins looked and switched to a smaller one. It was so quick! I owe him my life. I'm so grateful, I'd give him my kidney if he asked. I got way too many bad experiences with cannulation that I make sure to remember the good ones. When I watched this video, I was like "Lies! It is painful!" But then i remembered that oncology nurse and realized maybe i just had poorly skilled people doing my cannulation.
@@KatJ3st Same! Mine was a hospitalist who put it in too deep i think cuz it hurt A LOT. I got a doctor who was recommended by my anesthesiologist to do it (unclear if she's also an anesthesiologist or an experienced resident) She used the same size of needle as the hospitalist. She inserted it twice since the first one wasn't successful and both were not as painful as the hospitalist. I wrote her name down and would specifically ask for her after that. If a doctor can insert a needle in me twice without me being in a lot of pain, that means she got skill. I also think it's also because she showed restraint. When she was unsuccessful, she immediately took the needle out instead of forcing it to work by needling my vein like a sewing project. Needling usually HURTS A LOT. That and blowing a vein.
At 2:21 , the hand holding the introducer is hidden from the video. The crucial step of displaying how to hold on to the Introducer and how to slide the sheath in the vein is missing . I guess every beginner should learn this step and make it a perfect art.
I have a cannula in and keep in mind I'm 11 so this might be normal but my bandages are THICK like as if I broke all the bones in my hand is this so I don't pull it out because its covered in bandages and tape.
OkAY! Great video as always. ^^ Questions?- 1. If.. Per-say... That after we remove the introducer needle.. then suddenly we flush the cannula then there's a bump in the patient vein. Why did that happen? 2. Most appropriate cannulation site for peadeatric patient is where? 3. How many times a nurse can cannulate on the same patient.. per-say if they already failed 2-3 times? Do we change to another nurse or call the doctor?
+Stefanie Alison Hi Stefanie! It's difficult to help with questions 2 and 3, it would be best to follow your own hospital guidelines. However a bump in the vein after flushing a cannula sounds like the cannula might not have gone in properly, meaning it has "tissued". This is where the fluid goes into the extravascular space rather than the vein, and it forms a bump under the skin. In these cases the cannula should be removed and discarded. Hope that helps!
Haha won't be painful... try putting in a "grey"/ 16g cannula in someone 😂👍😉 I did like this video though! (i like all these videos) - it's a great aid! (skin prep could have been better though) I liked the disclaimer but I think you could have put more detail in with some emphasis on ANTT and "key parts". It was brilliant that you found an actual volunteer... I actually thought you were going to skip to a "dummy" arm but it was brill that you didn't! xx
+Heva Kins Yes indeed, large cannulas can be quite painful, but for a grey cannula the advice would generally be to use local anaesthetic if possible due to the level of discomfort without. Thanks for the feedback regarding ANTT also, we may do a video discussing ANTT in more detail at some point, it's on the list! Hope the video was useful Heva.
Hi i am so like your work you are professor in this but i wanna ask you how can i be control on my hand when but cannula 😭 because when i but it for someone i failure plz someone help me 💔💔
He is using what i believe ( looking at the cannula anyway) is a modern cannula from Braun with a passive safety shield, once the needle/ introducer is withdrawn completely it closes preventing flash back of blood, it opens when it comes in contact with a syringe tip or the connector point of an IV line. It helps minimize / eliminates blood loss and also reduces the risk of infection.. Imagine a bicycle valve..
Farvaz -Gob Yes, they say it’s just a pinch or scratch but it does hurt going in, at least for me when I get it done. Once it’s in it’s fine as long as you don’t bend it the wrong way.
I think it varies based on people's individual tolerances. I wouldn't call it pain, I would call it slight discomfort but then again I do have a thyroid condition so I'm probably more than used to the sensation of a needle in my veins
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I appreciate that u did not add unnecessary background music at all. just pure demonstration on how it's done. great video. thanks!
Watching this after I failed so many times with IV insertion😔
Same here
Hello, were u able to do it? I'm a new nurse and struggling with inserting IVs too 😭
Practice make a man perfect
I failed my first because I didn't put pre-swab in clinical waste afterwards!!
I am only qualified in peripheral IV. I think the most single cause is finding an appropriate vein. I was told do not be afraid of tightening the tourniquet up.
Another reason is insertion at a far too acute angle, obviously the median cephalic and basilic veins, due to their location are more prone to this than metatacarpal.
Thank you guys I just want to say I graduated from med school you were with me since the beginning you are doing great job ❤️❤️
Congratulations! That’s so lovely to hear :)
Same here. Congratulations
I know its been a year since you posted this, but congratulations dear! All the best in the field; be safe.
Congs bro
Those lovely 27 yr old fully hydrated veins. You make it look easy. 🤣
His birthdate is exactly the same as Taylor Swift omg?💓
Pure demonstration and zero waffling. Great job!
you guys are really the best on the net hands down! It would be amazing if you guys would do a first aid series for medical students one day. That would be awesome with your clear style. ))
That's a lovely thing to say :) You've made our day!
Watching this trying to get over my fear of having an IV put in. Thank you!
Hope it helped you because its made me 10x worse i should not of watched 😂
It doesnt hurt i just got one
@@karoldanco2753 well it depends i asked for babys or chiled needle it is yellow color the smallest and thinest, didnt feel the thing. blue is second smallest but it looks scary if you are curios what color u will got if they say red, run run run for your life
@@zedara5364 Seconding this! Sometimes they just use the needle that's in front of them. You, as the patient, can request for a smaller one. The cannulas for surgery typically are bigger but if all you need is hydration and IV meds then a smaller needle is ok. And if you still need surgery, you can actually get the bigger cannula inserted during your surgery with anesthetic and with anesthesiologists who are supposed to be better at inserting a cannula. Plus with a smaller needle, you can get hydration which, if you were dehydrated prior, can make your veins bigger, making bigger needle insertions much easier during your surgery.
13th December 1989?! James is a Swiftie
13 December 1989 that's Taylor Swift's birthday 🤣
I am currently in paramedic school and this video is awesome, really helps me see the different techniques that everyone uses.
When is your next video? :D Please keep going, one day you make it big
They'll be more released over the next few weeks :)
Here is he now!
ouch that looks painful. thank u james for the sake of this video
it's actually not, :D just dont look at the needle and it won't be painful
I appreciate the teaching that it is a sterile procedure
interesting since your cannula and techniques are so different to what we are taught at uni!
good to learn and observe different techniques tho, awesome video :)
I don't know how many doctors are this meticulous whilst inserting a cannula... probably none that I have seen, maybe a new F1 till he gets confident around the wards😁..good video
Straight to the point 👍🏼!
This is simply comprehensible.💕
Can you do a video which troubleshoots all the cannula related problems? As an intern a problem I faced was after the second blood flash, when you insert the cannula & push saline, it would generally bulge out or there would be resistance. Thanks
Personally i waited until the blood filled up the entire flashback chamber before i push in the catheter and pulled out the needle simultaneously with one hand.I am not sure how does letting bloodfilling it entirely first helps but I read from somewhere it does and from personal experience.
Not in the vein in that case.
The cannula must have been inserted into the vein, but perhaps the cannula was further advanced without retracting the needle. The danger in this is that the needle might advance past the vein, hence the initial siting of blood but on pushing the saline a bulge appears along with pain. The cannula has essentially gone into the vein and past it into the surrounding tissue
very helpful for nursing students like me😇 thank you
I have reached the point where I can cannulate successfully, but I often end up making a huge mess with the blood! Any advice for me?
I was dreading having a cannula inserted in my arm yesterday, but the nurse did it without me even feeling anything! I was aware that she was cleaning the site with a swab and that was that! Im a complete baby when it comes to needles. Bless that nurse, Gina at Derriford Hospital, Plymouth.
I wish I was that lucky! The anesthetist left a huge bruise on my upper wrist for canula insertion and the same in my arm for the saline drip!!!
I'm dreading putting my first cannula in a patient....
really? i have a huge fear of needles and im dreading the day i’ll need to have one of these in me.. my apple purchases after this video 📈
Yep, really depends on the person inserting your cannula! My veins are very small, so I already know which specific people in the hospital I frequent are good at cannulation and what their position in the hospital is. The best one I ever got was from a Senior oncology nurse. Barely felt it! He was going to use a big needle but noticed how tiny my veins looked and switched to a smaller one. It was so quick! I owe him my life. I'm so grateful, I'd give him my kidney if he asked.
I got way too many bad experiences with cannulation that I make sure to remember the good ones. When I watched this video, I was like "Lies! It is painful!" But then i remembered that oncology nurse and realized maybe i just had poorly skilled people doing my cannulation.
@@KatJ3st Same! Mine was a hospitalist who put it in too deep i think cuz it hurt A LOT. I got a doctor who was recommended by my anesthesiologist to do it (unclear if she's also an anesthesiologist or an experienced resident) She used the same size of needle as the hospitalist. She inserted it twice since the first one wasn't successful and both were not as painful as the hospitalist. I wrote her name down and would specifically ask for her after that. If a doctor can insert a needle in me twice without me being in a lot of pain, that means she got skill. I also think it's also because she showed restraint. When she was unsuccessful, she immediately took the needle out instead of forcing it to work by needling my vein like a sewing project. Needling usually HURTS A LOT. That and blowing a vein.
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At 2:21 , the hand holding the introducer is hidden from the video. The crucial step of displaying how to hold on to the Introducer and how to slide the sheath in the vein is missing . I guess every beginner should learn this step and make it a perfect art.
𝚃𝚑𝚊𝚗𝚔𝚜 𝚏𝚘𝚛 𝚝𝚎𝚊𝚌𝚑𝚒𝚗𝚐 𝚝𝚑𝚒𝚜 𝚙𝚛𝚘𝚌𝚎𝚍𝚞𝚛𝚎 🙏. 𝚅𝚎𝚛𝚢 𝚞𝚜𝚎𝚏𝚞𝚕
Thank you for the presentation so helpful
I just searched this bc I work in a hospital as a medical interpreter and I keep seeing the procedure so I was curious great demonstration thank you.
1:00 ah yes Don Apron and Don Gloves, the rival families in The Godfather.
very good. refreshing my memory as its been a while i did this on a patient x|D...now
This is a very helpful, informative tutorial video!. Thanks for sharing! All the Best.
After millions of replays, James be like, "what do you think I am a pin cushion? haha. brilliant video Guyz
Cheeky check during F1, not done one since 3rd year uni
Every time james 😊😊😊😊
This is so great and helpful for my return demonstration tomorrow ❤
I was wondering can a PCT do this kind of procedure? & this is a good video keep up the great work!! (:
Bravo et bonne continuation 🇲🇦🇲🇦🇲🇦
Watching this coz I have a return demo today😭
I don't know how to feel what I saw.... goodness I'm still scared of the needle...... my GOSH.....
Good
♥️♥️😍😍🏅🏅🏅💪💪
I've been watching this Andrew guy on off for months... I wonder how he's getting on as a Dr :D
I have tried ..but I can't do properly
Little bit of confidence and concentration will suffice. U will do it properly in ur next try.
Is helpful for Medical students Thank you 😊
tbh when im starting an IV I prefer to use the 10ml so i got some room to play with if i gotta float pasta valve
This video assist me to review the main concepts of intravenous cannula setup. Thank you for sharing. 😊
I have a cannula in and keep in mind I'm 11 so this might be normal but my bandages are THICK like as if I broke all the bones in my hand is this so I don't pull it out because its covered in bandages and tape.
OkAY! Great video as always. ^^
Questions?-
1. If.. Per-say... That after we remove the introducer needle.. then suddenly we flush the cannula then there's a bump in the patient vein. Why did that happen?
2. Most appropriate cannulation site for peadeatric patient is where?
3. How many times a nurse can cannulate on the same patient.. per-say if they already failed 2-3 times? Do we change to another nurse or call the doctor?
+Stefanie Alison Hi Stefanie! It's difficult to help with questions 2 and 3, it would be best to follow your own hospital guidelines. However a bump in the vein after flushing a cannula sounds like the cannula might not have gone in properly, meaning it has "tissued". This is where the fluid goes into the extravascular space rather than the vein, and it forms a bump under the skin. In these cases the cannula should be removed and discarded. Hope that helps!
Thank you. :)
Haha won't be painful... try putting in a "grey"/ 16g cannula in someone 😂👍😉 I did like this video though! (i like all these videos) - it's a great aid! (skin prep could have been better though) I liked the disclaimer but I think you could have put more detail in with some emphasis on ANTT and "key parts". It was brilliant that you found an actual volunteer... I actually thought you were going to skip to a "dummy" arm but it was brill that you didn't! xx
+Heva Kins Yes indeed, large cannulas can be quite painful, but for a grey cannula the advice would generally be to use local anaesthetic if possible due to the level of discomfort without. Thanks for the feedback regarding ANTT also, we may do a video discussing ANTT in more detail at some point, it's on the list! Hope the video was useful Heva.
Geeky Medics all sounds great to me!! x
I've missed the "skin prep" part. can you give detailed info please?
Hi i am so like your work you are professor in this but i wanna ask you how can i be control on my hand when but cannula 😭 because when i but it for someone i failure plz someone help me 💔💔
This is so relaxing to watch
fones jessica definitely not for the patient 😂
Very Helpfull Thank you ❤️
Thank you for this video🙏
How much of the needle do you withdraw when observing for secondary flashback
Thank you
This helps a lot thank you!❤
What’s Andrew the legend up to nowadays?
Great
good
13th Dec 1989?! yeah i smell a swiftie
thanks😭better than the video from my school resource
Difficult
Blood
great job
For the life of me I suck at this thing
Cleanest video I found on this topic ❤️
You need to include where the needle face(hole) is, whether it's facing up or down.
James, what a legend...
Good ❤️❤️
I need to do this today and I’m terrified
Is it dangerous to have two cannula in two hand at the same time ?? Plz reply sir ...
no
Good job you are the one and only respect bro ❤
Thanku for this video
Thanks a lot bruv
Nice technique ivf most method.
Lovely ❤
Thank you so much
Thank you....🎉
why no blood coming out after remove the needle, did u press on the vein?
He did exactly that. It's routine.
He is using what i believe ( looking at the cannula anyway) is a modern cannula from Braun with a passive safety shield, once the needle/ introducer is withdrawn completely it closes preventing flash back of blood, it opens when it comes in contact with a syringe tip or the connector point of an IV line. It helps minimize / eliminates blood loss and also reduces the risk of infection.. Imagine a bicycle valve..
MBBS 12/13 CUCMS ii
Thank you
Good
very nice thankyou 🙏😊
I'm a nurse 💞
good
Thanks
Thanks
Very good
Nice job.👍
Nice
A succinct video. Thanks.
❤
👍👍👍
Thank you sir ♥️
Is that painful?
Farvaz -Gob Yes, they say it’s just a pinch or scratch but it does hurt going in, at least for me when I get it done. Once it’s in it’s fine as long as you don’t bend it the wrong way.
I think it varies based on people's individual tolerances. I wouldn't call it pain, I would call it slight discomfort but then again I do have a thyroid condition so I'm probably more than used to the sensation of a needle in my veins
Great video. Thank you!
Very good vidio
james is a good patient
Nice one, simple and short 👍🏽
Good act
Good
if James is ok, why did he came here?
Routine check ups exist, plus this video is only for educational purposes