IV insertion considerations for anesthesiologists

What do anesthesiologists consider when inserting IVs? In this video, I explain the basic equipment and concepts of vein selection for placing IVs before surgery.

0:00 Start
00:29 Why IVs matter
01:56 IV equipment basics
12:03 Vein selection
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Find Max Feinstein, MD online:
Instagram: @MaxMFeinstein
Twitter: @MaxMFeinstein
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Music
Creative Commons Attribution 3.0 Unported License
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The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
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#Anesthesiology #Residency #MedicalSchool

[infectdiseaseepidemiology]

Here I am in academic medicine/epi—hoping that you will end up in academic medicine, or at least at a teaching hospital. You are superb at teaching. It is wonderful to see—after several decades on faculty I’ve seen none better than you.

[seanshields]

If I had a choice, I'd want this guy taking care of me during surgery!

[RobertStruba]

Thanks Doc for the most helpful videos.
Used the MPH and PhD in Epidemiology, and languages, for international public health, then studied allopathic medicine and did specialty and subspecialty training in one of the few remaining Neuropsych programs. But rather than finish the neurology, stayed with Psych and then joined a fellowship in Child/Family Psych. So other than in a few externships, and then internship, and the brief stint of learning ECT the old fashioned way without anesthesiologist/anesthetist or surgical suite help, (we bagged 'em, medicated 'em, and watched them complete the ECT induced TC seizure by monitoring toe movements), had little anesthesiology, or IV training. So--wow, were your video presentations a great help to refresh memories, and to learn a bunch. Great teaching, and humour.
Only helpful suggestion is perhaps to increase the elaboration in laywoman's terms of medical jargon, where rarely you skip over this. And speaking of laywomen, nice red dress.
Turned in the licenses a few years ago, and now in the bucket list is finishing the private pilot ticket, a circumvavigation under sail, learning Portuguese, and sitting for the European exam that is like our FLEX. Would like to teach PH at schools overseas during the colder months here in coastal Maine, returning for fishing, now that the ground fish are coming back, and lots more. Just want to see if I can pass the Staatsexam. No plans to practice clinical medicine again.
Gas joke. One of my attendings, an Egyptian anesthesiologist, was named Dr. Toma. Rhymes with COMA. The butt of many a housestaff joke. True story.
Best wishes for the peds fellowship. Likely a fair share there of Family Psychiatric overlay. Rob.

[intrepidtomato]

This is so cool. Embarassingly, despite having had many procedures as a patient, I had no idea that it was only the plastic bit not the needle remaining in the vein. You illustrated the differences in gauges and the other placement considerations so well. Fantastic content, you are a great teacher.

[nurshark]

GREAT JOB! As an RN who started MANY IVs, you explained things very well! You are going to be GREAT as an anesthesiologist! 💙

[lulumoon]

You may be a newer Anesthesiologist, but you definitely have a gift for clear, concise teaching!!! 👍❤️

[lchpmn]

My husband is always a difficult patient when it comes to inserting an IV. Many times anesthesiologists get called in to establish the IV, perfectly and quickly every time. Thank you for what you do!

[bassethound]

How lucky your patients are. Even this layman understands these concepts perfectly when you explain them.

[beaubritton]

Having worked in the OR as a technician, I have seen many good anesthesiologists, and they are the controller of what happens during the surgery. They are the folks that say OK, you can begin. It is a job of boredom, interrupted with moments of sheer terror. After I worked for almost 20 years as a tech, I went to PA school and worked in the ER at night, where finding an anesthesiologist was rare. The ER docs I worked with were good doctors and good teachers as well. They taught me how to intubate and find IV access, and put in chest tubes, among many other chores which helped the patient, and got the patient ready to go to the OR. I was addicted to the drama. Working anywhere in the medical field is a job to be proud of. I have subscribed.

[vanessawhite]

Dr. Feinstein, I am a young adult stroke survivor who has moyamoya syndrome; I have had many surgeries and your videos are informative and numerous. You are an excellent physician! Your videos are a mitzvah!

[joykiser]

You are such an excellent teacher and speaker. I thoroughly enjoy these videos. Thank you!

[atrader]

God Bless America and our great health care staffed by well trained and caring doctors and staff. In spite of all the complaints about health care cost and access, we have the very best and are blessed. I am a cancer patient who sometimes feels like a pincushion, but I am getting great care and enjoy it! Thanks Max for your sharing your knowledge and training. It helps patients to understand what is happening and why.

[IzzyKDNA]

I love how Mount Sinai allowed you to use their equipment for the video! I just matched with Mt Sinai for my master's in genetic counseling and I have been wondering about their willingness to allow students/residents to film in their building, etc. I make videos mostly about my experience with EDS, but I'm hoping to do more genetic counseling content once I start at mt sinai in August!

[sherrywyllie]

I'm a nightmare IV patient. My veins roll and nurses routinely blow all the way through as they dig around. After surgery I had IV in wrist that blew out and my hand and arm swelled with fluid. No pain meds were getting in. Each nurse tried twice to get IV and after 6 nurses and six hours with no pain control I was throwing up from pain. Finally next shift came on and charge nurse established the IV and I got some much needed relief. Bless you for knowing your stuff.

[davidbartlett]

Hi Dr. Max, very very informative and I wish you were my anesthesiologist during my recent surgery. It was okay since I felt very comfortable with my Doctor who had explained so much to me and answered many questions that I had. When I had to make decision I selected surgery to have prostate totally removed and was done with robotic unit. My issue was in preop when they get you ready to roll into the OR. The nurse said she had to be IV in 1 arm and a backup in my other arm in case of emergency so it happened. It took her 3 tries and busted a vein before she did her job. The onto my left arm I was more than nervous if she could do a better job, but instead she excused herself and brought back another nurse to set up this IV and I was very happy. My surgery lasted 3 hours and I was most happy and now waiting these 60 days to be sure it was caught. I will view more of your videos and learn more. Thank you for your personal time and dedication!! I am sure your hospital and OR team are pleased to have you on the team during surgery and hopefully no crawling under the drapes to get toy our patient. God Bless! dwb

[dexb]

Haha the Neo comparison is SPOT ON. Had me cracking up! I remember when I started getting good at placing ultrasound-guided IVs and felt unstoppable in the ICU. Love watching your videos. They're helping me through CRNA school

[tomasmarin]

I’m in my first medical school year and I love anesthesia and I want to be an anesthesiologist. Thanks to you I learn interesting things to be ready when the time comes.
Greetings from Colombia.

[joshplunkett]

I'm having a Colectomy on Tuesday May the 16th. I have Complicated Sigmond Diverticulitis and a Fistula to my Bladder and my surgeon thinks I probably have Colon Cancer as well. I'm 37 years old and this is my first Major Surgery. Thank you for all of these videos that I have been educating myself a bit on the last few days. Feeling much more relaxed and comfortable going into surgery. Thank you!

[chucklongora]

As a anesthesia professional myself- I am always looking at people's viens. I can say my accuracy is 99.9% I am a beast. Any place of course. I once had to start one a trauma patient in the Penis. NO LIE... Back in 1989

[danmcguire]

I do the very same 'search' as I look at people walking by, etc. If someone walks by with 'pipes' for veins, I quickly find myself saying (not out loud... too often!) " Yeah, I can get a 14 in that arm blindfolded!" Been out of the Advanced EMS field for 10 years but old habits simply don't go away, ever! Max, you do great work and keep educating us!