DIFFICULT IV: FIND MISTAKES!

Seemingly easy IV access turns into a nightmare and multiple failures when the operator hesitates and does not recognize that the veins are thick-walled. Take a part in voting what went wrong in this multi-attempt at IV cannulation. Join this channel to get access to perks: https://www.youtube.com/channel/UCaJ9YC4Zp5Rs7JL61J1BlBQ/join 🖥 Start your 7-day free trial on the NYSORA LMS today and see why it is the go-to resource to master Regional Anesthesia at https://bit.ly/3rmvkwH 📱 Download the NYSORA Nerve Blocks app ! iOS: https://apple.co/2WUqoi7 Android: https://bit.ly/NYSORAMApp Where else to find us: Web- http://www.nysora.com Twitter- http://www.twitter.com/nysora Instagram- https://www.instagram.com/nysora_community/ Facebook- http://www.facebook.com/nysora TikTok- https://www.tiktok.com/@nysora_community --------------------------------------------------------- #nysora #regionalanesthesia #anesthesia Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Youtube channel is accurate. DIFFICULT IV: FIND MISTAKES! Greetings! In this video, we're going to see some mistakes that are made during IV catheterization in patients who have well visible peripheral veins. but their veins have thick walls and I will point out some of the mistakes but some mistakes will be left to the community to figure out. feel free to leave the comments with your suggestions. However, in a follow-up video, I will disclose all mistakes made and how to avoid them. so be sure to subscribe to the channel and not miss the video with the answers. Let's get started First attempt-what happened, what is wrong with this one? Second attempt-what is wrong here? Is the needle catheter system now in the vein? we clearly don't have a flashback and yet, the operator is trying to withdraw the needle to see whether he has passed through and through in order to get the flashback. What would you do? Clearly we are having blood return in a catheter but also we can see the hematoma formation as well as the blood flow is not adequate. meaning the blood coming back into the needle catheter system is from the perianal hematoma and not from the intravenous catheter placement. Attempt number three What is wrong with this technique?Is the catheter in the vein? Clearly this has been a failure but let's see now what we can do to fix that. Here's a more experienced operator who then takes over and let's see what happens. Let's look at the stabilization of the vein and the speed at which the catheter is being introduced and here we go. All right, I hope you find this video useful and what made a difference between unsuccessful attempts and a successful placement of the IV catheter is- Number one- lack of hesitation Number two- greater speed of catheter insertion which was required for the veins with the thicker wall And three- sufficiently deep insertions of the Catherine needle system into the Lumen of the vein before attempting to feed the catheter of the needle. I would love to get some feedback from you on what mistakes were made during the first three unsuccessful attempts and be sure to subscribe to the channel so you don't miss the follow-up video with answers. Until next time!