Difficult IV in Cancer Patients - Do not Depend on Ultrasound
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- čas přidán 12. 03. 2024
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The Art and Skill of IV Insertion in Cancer Patients with Difficult Veins
Navigating IV access in patients with a history of cancer, particularly those who've undergone chemotherapy, presents a unique set of challenges. Chemotherapy can damage veins, causing sclerosis, reducing elasticity, and making veins more fragile. Frequent venipunctures during treatment only exacerbate the issue, leaving healthcare professionals with limited and hard-to-access venous sites.
While ultrasound-guided IV access is a valuable tool, mastering traditional techniques can be more time-efficient. This video unveils expert techniques for inserting an IV in patients with difficult veins, drawing on the invaluable tips and strategies from NYSORA's groundbreaking Manual of Difficult IV Access. Watch till the end to uncover these life-changing techniques.
NYSORA Manual of Difficult IV Access is a treasure trove of practical knowledge, focusing on the real-world application of IV access techniques. It includes a QR code granting access to ever increasing number of new clinical videos that bring the book's techniques to life. Secure your copy on Amazon through the link provided and elevate your IV access skills to new heights.
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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 CZcams channel is accurate.
Why are all the "difficult" IV videos have patients that actually don't have difficult veins. Please make videos of patients with really difficult veins that cannot be seen or palpated.
Look at his other videos. His techniques are amazing, especially with the reverse esmark
Big thanks for your fantastic comments and support! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is here to help. Enjoy a 7-day free trial and tell us what you think. Together, we'll nail IV access like pros! www.nysora.com/iv-access-app/
תודה! זו באמת שיטה יוצאת דופן. אתה, דוקטור, מדריך נפלא. לא חשבתי שמשהו עוד יכול להפתיע אותי.
Very interesting! Thank you for spreading knowledge, I already purchased the IV Manual and I’m very impressed by the quality of images and tips!
That is great to know. We would LOVE to hear about what you think about the the manual. Which additional videos would you like to see here? THank you for watching\!
Your wonderful comments and support mean a lot to us! If you or your nurses or colleagues are struggling with IV access, check out the new NYSORA IV Access App. Try it free for 7 days and give us your feedback. We'll master IV access together! www.nysora.com/iv-access-app/
Good day greetings
why the paravenous entry instead of straight into the vein?
My guess is that the vein has hardened on the top, from being extensively punctured from that angle prior to this cannulation. Puncturing it from the side, helps avoid this "scar tissue". Also, when the vein tends to roll a lot, choosing to puncture it from a specific side can be helpful, because you kindda know where the vien would roll towards. That would be especially helpful, when you cannot see the vein.
@@sorenjorgensen5334Indeed. Most practitioners go for the routine - they do not keep on mind various options. Multiple punctures on the top of the vein - result in scarring and thickening of the top wall - making it challenging to cannulate. Therefore, paraveneous with an entry from the lateral side is often better/more successful. Greetings
Agree with Dr Blues comments above!
@@DRBLUESNYC Aha, a car channel. Interesting :)
@@sorenjorgensen5334 makes sense.
Where can I buy the Esmarch tourniquet?
I'm interested in the IV stabilization device with the velcro strap. I need it in my ASC. Would you please tell me the name of the product?
Your incredible comments and support are much appreciated! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is here to assist. Try it free for 7 days and give us your feedback. Let's master IV access together! www.nysora.com/iv-access-app/
why do you use local anaesthetic?
A manual BP cuff inflated to 70 or 80 mmHg will achieve a similar effect to that extra long tourniquet - less discomfort and easily released
Thanks for your awesome feedback and support! If you or your nurses or colleagues are facing tricky IV access, the new NYSORA IV Access App has you covered. Get a 7-day free trial and share your experience. Let's conquer IV access together! www.nysora.com/iv-access-app/
Where can we find the bandage for the reverse eschmarc technique? And can we use any substitute? Thank you
blood pressure cuff, set just at diastolic blood pressure (usually 50-70mmHg).
@@Nevy722 Does this work as well as the esmarch technique? I feel with the reverse eschmarc technique there is the added benefit of progressive wrapping, thereby progressively pushing blood distally in a marching fashion with each wrap
You could try the triple tourniquet technique, or cut up one of those thick physio elastic bands (clean it of course). Most Philips BP monitors have a tourniquet function when in acute settings.
Thanks for your awesome feedback and support! If you or your nurses or colleagues are facing tricky IV access, the new NYSORA IV Access App has you covered. Get a 7-day free trial and share your experience. Let's conquer IV access together! www.nysora.com/iv-access-app/
Thanks Doc i did not understand why the para sagital insertion
To maximise the distance from the accespoint from the skin to the accespoint of the vein in order to minimise the chance of an infection by Skinn bacteria resulting in the loss of the IV.
Thanks for your awesome feedback and support! If you or your nurses or colleagues are facing tricky IV access, the new NYSORA IV Access App has you covered. Get a 7-day free trial and share your experience. Let's conquer IV access together! www.nysora.com/iv-access-app/
Will the book be available soon on Amazon ? Only E-book 😢
We’re excited to share that NYSORA’s Difficult IV Access App is now available on the Apple Store and Google Play. Written by anesthesiologists, it’s packed with countless tips and clinical videos on how to successfully access tough veins.
We warmly invite you to test drive the app for one week for free and let us know what you think. We believe this app will be immensely helpful to you and your colleagues. Download the app for free, share it with your colleagues, and let’s all improve our IV skills together www.nysora.com/iv-access-app/
is there a kindle version of tehe book
We’re excited to share that NYSORA’s Difficult IV Access App is now available on the Apple Store and Google Play. Written by anesthesiologists, it’s packed with countless tips and clinical videos on how to successfully access tough veins.
We warmly invite you to test drive the app for one week for free and let us know what you think. We believe this app will be immensely helpful to you and your colleagues. Download the app for free, share it with your colleagues, and let’s all improve our IV skills together www.nysora.com/iv-access-app/
Yes!
If there is no outflow of blood from the veins at all, and the feeling that it is 100% and visually as well
Agreed! Greetings and thank you for watching! How do YOU check the vein for the outflow?
We appreciate all your fantastic comments and support! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is the answer. Try it free for 7 days and let us know what you think. Let's conquer IV access together! www.nysora.com/iv-access-app/
Most of the videos of iv Cannulation have easier veins compared to what the name suggests, Reality wise few of the cancer patient veins are almost invisible... Need help in those and needed those videos...
\Greetings! Not so - it is the methods used to enlarge these veins and techniques used to cannulate them that makes the venous access in the examples you mention decevably easy. Just need to follow. Also, a great way to learn is to film yourself or your colleagues and watch those videos - it can be painful to watch.
He does show a few good cases. Maybe where he lives the population is healthier than where you live? Where I live we have a massive obesity crisis. Very difficult. So I found prepping for IVC is equally as important. Convenience for administration, Purpose of IVC (gauge size), Assessment and investigation using different techniques for veins for the best possible outcome, The right type of products to use for the desired function, and the duration of intended IV therapy as well as future use. I prefer to use the BD Nexiva devices as they tend to accommodate many functions and provide comfort for health professionals and (as they are thin/flat and have lower risk of pressure injury) for the patient.
Your incredible comments and support are much appreciated! If you or your nurses or colleagues are having trouble with IV access, the new NYSORA IV Access App is here to assist. Try it free for 7 days and give us your feedback. Let's master IV access together! www.nysora.com/iv-access-app/