I’ve never heard of leaving the cannula in until you find another vein… this is very helpful in patients on thinners

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

There are much better options than the 2 you presented.. I have done strictly outpatient joints for almost 3 years.. I use neither, our patients do incredibly well.. no urinary retention and no problems with hypotension

7387 Alfreda Skyway

I do not like the cannula that is used in the video but some good tips. I have never in my life felt the need to bend the needle. The best needle is the BD venflon. (Neuro Anaesthetist with 20 years experience)

I clean at the company who makes this

1:15 “advance the catheter after flash back” Aren’t we supposed to do it in this fashion: Flash back -> lower angle --> advance the needle slightly --> thread the catheter

Awesome

Swaniawski Valley

I made the mistake of smoking weed before a small procedure. Needless to say, I was so baked that when I got to the hospital, I started to freak the hell out and ran away from the hospital lol. Had to reschedule and come back. Doctor was pissed.

kzbin.info/www/bejne/hpW9oXRjebF0l6Msi=CdLZPKxPRTOVE7P_

What a pro, doing it on himself

I always wear medium gloves but when starting IVs I use small to get a better grip and feel on everything

Why aren’t you wearing gloves??😷

In the video, it appears bevel is face down. |/. I thought it should always be face up?

Best neonat IV line video I have seen in my life… thanks a million 🎉

Bergstrom Pass

As someone with GAD, I occasionally have hand tremors when I'm <1ft proximity to strangers who fidget and make sudden movements towards me. How would this affect my aspirations towards being an anesthesiologist?

Alanna Loaf

I'm beyond a hard stick. It scares me to death going to hospital only because I know the pain that awaits me while they fish around as if it doesn't hurt. It hurts sooooooo bad. Thank God for hospitals that have the ultrasound tech. They Al should. Cuz one day they might need to save me and won't do it in time.

Thank you so much. Thanks to your vídeos, i could improve my technique and i feel more confident while performing de procedure.

I have this. Used to be perfectly semetrical. The intense pain happened for a few weeks only between the hours of 1-5am. Then I noticed my right front delt, lats, and serratus anterior were gone. Just gone. Can't actively raise my arm all the way. It SUCKS. Been 3 years.

I should’ve just took the pain and didn’t get this stupid shit broooooo

I always enjoy and I have learned a lot from you and your videos, but this one. Has a lot of ... Safety issues moreover to choose a 23 g is too much.

i'd try to avoid wrist veins cause thayare extremely fragile....

Extravasation vs infiltration and best worst sites with occurrenes

I personally have not been impressed. I have personally used it on a small series of healthy patients undergoing shoulder arthroscopy, in a mixture of 10ml 0.5% bupivacaine + 10ml exparel and personally followed up with them in the first few postoperative days. The all had a successful intraoperative analgesia with demonstrable sensorimotor block within 20-30minutes that, at best, lasted 18-24h, and all of my patients reported resolution of block and full recrudescence of pain in <24h. All blocks were technically easy and we're placed in the usual fashion in the plane between the anterior border of the MSM and brachial plexus sheath with good spread observed. I personally either placed the block myself or supervised the resident and injected the medication myself. Results like these have been disappointing and for patients for whom multiple days of analgesia is required, we will just continue placing catheters.

Pro here

It's been 2 years since I saw this video, and my spinal failure rate has gone significantly down. Thank you so much!

I just had hip replacement. There was a resident shadowing. Anesthesia "without asking me" let them try 4 TIMES and they still didn't get it. Anesthesia got it first try. I've had 3 others previously, no problems. I was pissed!