Unknown facts about iv cannulation

tips and tricks of iv cannulation

1. Unknown Facts About IV Cannulation Dr. Tushar Chokshi M.D. (Anesthesiology)

2. Intravenous  ( IV )  Cannulation   Is a technique in which a  cannula  is placed inside a vein to provide venous access

3. Scalp vein cannula .

4. Scalp Vein sets

5. Length of Cannula

6. No 26 violet IV Cannula No 17 white IV Cannula Recently Introdeuced

7. IV Cannula with integrated three way

8. Parts Of IV Cannula

9. Anatomy of Veins in Upper Limb

10. For IV cannulation radical

11. for IV cannulation

12. Tips and Tricks for IV Cannulation Introduction And Overview Vein Selection Making the Vein More Visible For Insertion of the IV Catheter Securing the IV Line Special Considerations for IV Therapy Post-Cannulation

13. Introduction And Overview Introduce Yourself Explain the Procedure Stay calm and be prepared Get your confidence Assess for needle phobia Observe Infection control measures Assess the vein Feel rather than look Ask your patient any previous experience Use appropriate cannula size Consider the use Insert at the non-dominant hand first

14. Vein Selection Start with distal veins and work proximally Hand should be lower than the patient’s heart Use a BP cuff rather than a tourniquet Apply the tourniquet correctly Puncture without a tourniquet in adequately filled but fragile veins Making the Vein More Visible Gravity is your friend Use warm compress Do not slap the vein Flick or tap the vein Feel the vein Fist clenching and Release Use the multiple tourniquet technique ( Arm & Forearm) Vein dilation using nitroglycerine Flow where you want it to go ( Alcohol Swab) Clean vigorously and widely Use a vein finder if needed

15. For Insertion of the IV Catheter Stabilize the vein Insert the IV catheter directly atop the vein Prevent kinking Twirl the catheter hub Bevel up Make the shot at a 15-30 degree angle over the skin Feel for any resistance The Flashback (backflow of blood) Don’t go all in Do not pass cannula through valve, as it is very painful Don’t rush into starting the IV fluid Release the tourniquet first Securing the IV Line Limbs in motion inside an ambulance On taping the IV tubing Go with the flow when taping Stress tape to prevent accidental yanking between cannula and IV fluid tubing If it leaks, change taping Do not probe for a vein also called “fishing” or “vein searching”, it will damage surrounding muscle and tendon

16. Special Considerations for IV Therapy For older patients and pediatric patients For patients who have dark skin tone For veins with valves, use the floating technique Bifurcating veins (highest success) Call the “vein whisperer” or experts,   after some reasonable unsuccessful attempts to insert the IV catheter On the use of restraints Do not shave site, shaving can cause micro abrasions, just remove hair with scissors or clippers only Post- Cannulation Labelling with date-time, type-length of catheter, rate calculation & initials

17. Common Problems During Cannulation

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21. IV cannulation in Pediatric One of the most difficult tasks Determine the child’s developmental stage Perform cannulation in a neutral place Avoid applying restraints as much as possible or Restraining using Papa or Mummy wrap Use creative forms of distraction or Learn the art of distraction for children IV cannulation Use a tourniquet appropriate for the size of your patient Choose age-appropriate IV sites Let the parents be with their child Don’t give false expectations Choose the smallest gauge catheter Protect the IV site to prevent dislodgement with transparent protective devices or stockinette bandages  

22. CoolSense Local anesthetic device Hand-held device that anesthetizes the site of injections by a Cryo system with no chemicals and no after effects Numbs the site of injection within 3-5 seconds suitable for babies, children, adults and the elderly For painless injection procedures in Clinics, Hospitals and at Home

23. Loacal Spray

24. IV cannulation in Very Fragile Veins Say NO to tourniquet as much as possible Use the smallest catheter available Use “bevel-up”, “low angle” and “slowly but surely” approach Secure the catheter with a paper-type tape Provide health education to improve patient’s condition Patient with fragile veins  only use gauge 20 or 22 for cannulation

25. IV Cannulation in Geriatric Patients Can be extremely challenging Avoid applying too much friction when preparing the skin Use the smallest catheter workable Know the vein’s depth If possible, do not use a tourniquet, if needed, only use those that are made of soft materials Stabilize the vein and insert the catheter ON TOP of the vein Insert the catheter “slowly but steadily” Hypoallergenic tape Apply pressure , after you have removed the needle, you may need to apply pressure long enough until the bleeding stops Immobilize the catheter properly

26. IV Cannulation in Obese/ Edematous Patients Biggest challenges and can turn the simple IV cannulation  procedure into a Herculean task Use warm compress Use multiple tourniquet Use palpation techniques Use longer cannula and an illuminating equipment Know the anatomy If available, use visualization devices, Vein Finder Once in a while, you will experience a “dry spell” with IV Cannulation . If it’s not your day, let it go and ask help from your colleagues

27. Ultrasound-Guided IV Cannulation   Be Prepared Position the Patient and the Ultrasound Use a Waterproof Transparent Dressing to Cover the Ultrasound Probe Place the Tourniquet High and Tight, or Possibly Place Two Place the Ultrasound on Shallowest Depth for the Vascular Probe Short Axis Versus Long Axis Approach Do the Math Be Cognizant of Compression Look Before You Leap Verify Your Success

28. Different types of IV Canuula Fixators

29. Different types of Vein finders

30. Vein Finder Used in Elderly people Patients with dark skin tones Obese people Patients who undergo many diagnostic or intravenous therapeutic procedures People who were burn victims Patients who are restless, agitated, or won’t stay still Oncology patients undergoing chemotherapy Drug abusers

31. Vein Finders A Vein Finder Is exactly what it sounds like, It is a device that is used to reduce the amount of time it takes to find a vein on a patient How Do Vein Finders Work? An infrared vein finder uses a specific type of light, which is able to penetrate the skin by a few millimetres to illuminate the targeted veins Other types of vein finders, usually in the form of glasses, which work by altering the color of the light visible to the eye Types of Vein Finders Passive and Active Passive Vein Finders called passive vein finders because they do not require any power to work Active Vein Finders most popular vein finders, use infrared light, they can be battery-operated or run with electricity movie

32. https://www.youtube.com/watch?v=OkbobnEHy0s

33. 3 D Goggles Vein Finder

34. OptiVein

35. VeinSeek App  

36. HaemoBot Robotic IV Catheter Insertion

37. Portable robot for autonomous venipuncture using 3D near infrared image guidance

38. Complications of IV Cannulation