IV Insertion: Avoiding Common Mistakes

We've all experienced this scenario: flash in the chamber but the catheter doesn't advance. Is it the dreaded "backwall" or something else?

Dr. Saddawi-Konefka, anesthesia residency program director at Massachusetts General Hospital, discusses how understanding the design of an IV catheter can improve your cannulation technique and success rate.
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Equipment:
Introcan Safety® IV Catheter 20 Ga. x 1 in., FEP, Straight
Introcan Safety® IV Catheter 16 Ga. x 2 in., FEP, Winged
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Disclaimer:
Invasive medical procedures can result in harm to patients and practitioners and should be performed only by qualified medical professionals. This video is intended solely for informational purposes and to supplement, not replace, proper training and supervision by qualified instructors.
Viewers are advised to check the most current information provided by the manufacturer for every device being used, and to verify the indications, contraindications and proper procedural technique. The dose, method of administration, and contraindications for any administered drug should be confirmed before use.
The authors of the video do not assume any liability for any injury or damage to any person or property arising from the use of this video.

[donnamaas]

Very helpful, maybe this is why I get so many flashbacks and then comes to a stop. Heartbreaking 😔

[fixelanimations]

Finally. This is what the cannula manufacturing company should also be explaining about there products.
You, my friend, has made what many feel is the dark arts into a logical transparent technique based on the parameters of the bevel. Thank you and thanks to your mother for insisting on medicine over law

[ivanntellez]

Great explanation.... I had been trying to explain this million times and this video is very clear.

[ErichBSchulz]

This needs to get to a wider audience but it applies equally to small cannulas in small veins as it does to big cannulas.

[davidmoss]

Very nice production. I've been drawing out these problems on the back of tegaderms and glove boxes for years, this video demonstrates it perfectly.

[nancyliu]

Hi, do you mean pushing "a little bit up" as in the angle of the bevel goes upwards slightly or do you mean up as mean the tail end is a little higher than then the skin (20 or 30)

[MutheiM_Marz]

failure iv insertion to me today.
thanks new nurse.

[DeAnneHolliday]

Is this compliant tubing used for training and practice or just for demo? I ask because I think it might be a good way to practice instead of a sim lab arm. Where can I buy this compliant tubing you used?

[PuenteAJ]

Everyone working in the medical profession needs to study and understand this.
I have been on the receiving end of terrible failed insertions so many times from people that do not know what they are doing.

[MamaChristine]

I find the angle of your handholding the catheter isn’t the right angle to start the IV. And after the cathshowstheflash, drop needle flat and use fingers holding wings to push forward.

[alxseb]

Would you advise advancing the needle further after an initial flashback using a 24G in a neonate?

[kaseycomstock]

Hi, I’m a student learning techniques. I have a question. Would it be a good idea to begin to twist the needle slightly as you are making that last extra 1 cm push of inserting the needle so as to prevent potential back walling?.

[littlepeky]

I hate the feeling when they blow I feel very disappointed of myself IVs kick my bootie more often than not