29 Pediatric IV Tricks

A seasoned pediatric emergency medicine nurse gives us multiple tricks that can be used in insure a successful pediatric intravenous line placement.

[DanEvan]

When I did my thousand hours in the hospital as a paramedic student, these tenured nurses in the ICU, emergency critical care, and anything pediatric emergency are such skilled personnel. My medic teacher always said paramedics were the most skilled IV practitioners, and while we may be good with no extra hands in the back of a bouncing ambulance, when I saw a nurse put a 20g into the back of a severely hypothermic, critical infants head in about 30 seconds I was in awe. The most unassuming, nice woman, just like the one in the video, and she did it like it was just another Tuesday. These people are incredible!

[ellerine]

The most challenging part of IV insertion or any blood works for pediatrics is the mother or father hovering on you plus a baby doing a gymnastics and testing their lung capacities by crying out loud. if you’re a new nurse you’ll panic but as time goes you’ll get use to it.

[khaibernate]

I am on the IV team at our hospital but its 99% adults. This video was super helpful and she is very knowledgeable nurse in the pediatric IV world. Very inspiring.

[georgecrosby]

Great tips!!

Retired Paramedic here....I always had success using a BP cuff. Apply BP cuff, identify the distal pulse, inflate just until you lose the pulse, then slowly deflate just until you feel the pulse. The idea is to stop the flow in the vein, while allowing the pulse pressure to build up, distending the vein. I been able to get a couple of choices on patients that others couldn't find anything.

[YvesGeorgeSanchez]

I have huge respect for people who can cannulate children.

[RichardC]

Paramedic in Detroit, I can definitely use this to better my patient care. Thank you both and to everyone who has helped make this video. I find your videos to be very insightful and pertinent in bettering patient-care.

[Mariciella]

If my child was ill I would feel very relieved to have a nurse like her by my side.

[DarthTwilight]

I love nurses like this. They're just invaluable sources of experience and knowledge.

[akhoneybee]

Incredibly helpful! As a midwife trying to cannulate some of the sickest HG moms this is incredibly helpful thank you. It makes so much sense I just never would’ve thought of these

[SCROOGE]

I am an anesthesiologist here in Brazil and I learned a lot from this video. Great professional. thanks

[bettysmith]

I worked as a pediatric IV nurse and highly recommend a Wee Sight, they are fairly cheap and can work wonders! Other transiluminators are also available with both red and white lights, depending on user preference. Thanks for the video!

[marysexton]

Just graduated nursing school, start as a pediatric nurse Tuesday, totally appreciate the tips!

[ruk]

These are great! Huge respect to the presenter, 26years!

[disityp]

Oh my, she just shoved it in. That's some experience. In my department the doctors do the IVs for all children under 2 years and even after 7 years of experience, I always feel a bit nervous when there's one that needs to be done. Some children just have too much adipose tissue and no visible veins. Thanks for the tip with 2 tourniquets.

Great channel doctor Mellick, I wish I could be part of your team!

[ERIC]

Doc can see you at a million subscribers by end of year if you keep up with the videos like this 🙂

[jeannotario]

The only thing stopping nurses from doing our work esp with kids are 1. The problematic parents 2. The stupid policy

[michaelkugel]

Cochrane reckons you don’t need to change cannula every 48-72 hours. Instead, only change if there’s signs of phlebitis

[sskfrey]

Great video. Especially the idea how to get scalp vein bigger!!

In our department of anesthesiology, We sometimes use nitroglicerin on the skin to make the veins bigger.

Doing the iv after induction with Sevoflurane is our standard procedure.

Or if you have time: EMLA(topical Lidocain+Prilocain)2 h before on, 1h before off, 1/2h before Midazolam juice (0, 5 mg/kg).

Our pediatricians sometimes use Livopan 50%/50% (O2:Nitrous oxid).

When ever it is difficult get the Accuvein or an ultrasound machine especially in choppy kids.

Love from Germany

[LdyChatterleysPlover]

Great video. I have been waiting for a good video on this topic for years. I learned a lot from watching the cannulation carefully as well as the tips. Could you post a video of some more cannulations? Perhaps with variations such as different sites, dehydrated kids? Thanks for all the hard work!

[sofi]

I love this channel. Amazing material that’s useful and very informative. ☺️❤️