Ultrasound Guided Intravenous Access - How to?

How to perform Peripheral Intravenous Access with Point of Care Ultrasound (POCUS) Chapters 0:00 Introduction 1:33 Why US guidance? 2:29 Evidence? 3:46 Which Veins? 4:41 Positioning patient and Machine 5:35 Vein vs Artery 5:54 Setting up the ultrasound 6:21 Needle selection 7:00 Technique - Bevel Down 9:02 Technique - Long vs Short Axis 9:51 Technique - Follow the Tip 11:51 The Problems 14:46 Conclusion Ultrasound Guided IV Access is a really important procedure that all clinicians should learn. Using ultrasound is faster and the patient will not have to suffer as many sticks. Setup is important. Positioning the machine, setting up the depth and gain are all important factors for successful completion of the US guided IV cannulation Technique - Bevel down - Controversial but allows better visualization of needle tip. Reduces the incidence of flash-back but cannot advance the cannula. Long vs Short Axis - A combination of short axis initially and then confirmation with long axis visualization of the cannula in the vein is probably best. Follow the tip of the needle - Key point. Important that you visualize this the whole time to know exactly where the needle tip is. Angle down - just before entry into the vein, reduce the angle of the needle to skin. #USGIVA #POCUS #Intravenous