Peripheral IV Cannulation

When performing a PIV insertion, finding the right vein with ultrasound is helpful for successful cannulation. In this video Dr. Johnson identifies several potential sites for catheter placement before choosing an easily identifiable peripheral vein, then shares his technique for performing the procedure under ultrasound guidance.

[emiljoseph]

very poor practice, does not have good visual of needle tip through entire procedure which is crucial to having a good line and to keep the pt. pain free. starts initial catheter introductions in a spot where the vessel is already quite deep when it is more superficial in the distal upper arm, and finally demonstrates poor understanding of anatomy calling the basilic vein the deep brachial when there are obviously no other structures near it(nerves/artery) which are the hallmark of the brachial veins. Also a forearm iv is always preferred over an upper arm IV, longer dwell times, less risk of extravasation, and more comfortable for pt. Please look into finding a new rep for your product.

[jcbarker]

The demonstrator has poor technique. This is the worst way to hold an angiocath when using ultrasound for vein cannulation. By using an underhanded technique, he limits his ability to control the angle of attack onto the target. Ive done thousands of ultrasound guided line placements and this gentleman clearly has not.