Peripheral IV placement - Revision history

Rossdonaldson1: /* Video */

2024-04-17T20:02:10Z

Video

← Older revision		Revision as of 20:02, 17 April 2024
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	*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]		*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]
	*[https://www.ernursecentral.com/post/5-alternate-iv-access-sites Alternate IV Access Sites]		*[https://www.ernursecentral.com/post/5-alternate-iv-access-sites Alternate IV Access Sites]

	~~===Video===~~
	~~{{#widget:YouTube\|id=aq8OwFaIQ4I}}~~

	==References==		==References==

Rossdonaldson1: /* Overview */

2023-02-01T21:53:11Z

Overview

← Older revision		Revision as of 21:53, 1 February 2023
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	==Overview==		==Overview==
			[[File:2134 Thoracic Upper Limb Veins.jpg\|thumb\|Superficial and deep veins of the upper limb.]]
	* Most common method of obtaining vascular access, may be performed by several members of the healthcare team<ref>Teresa Liu, Y., 2021. How To Do Peripheral Vein Cannulation - Critical Care Medicine - MSD Manual Professional Edition. [online] MSD Manual Professional Edition. Available at: <https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation> [Accessed 25 June 2021].</ref>		* Most common method of obtaining vascular access, may be performed by several members of the healthcare team<ref>Teresa Liu, Y., 2021. How To Do Peripheral Vein Cannulation - Critical Care Medicine - MSD Manual Professional Edition. [online] MSD Manual Professional Edition. Available at: <https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation> [Accessed 25 June 2021].</ref>
	* Typically inserted in the arm (median cubital vein, basilic vein, cephalic vein)		* Typically inserted in the arm (median cubital vein, basilic vein, cephalic vein)

Rossdonaldson1: /* External Links */

2023-02-01T21:50:12Z

External Links

← Older revision		Revision as of 21:50, 1 February 2023
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	*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation]		*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation]
	*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]		*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]
	*[https://www.ernursecentral.com/post/5-alternate-iv-access-sites]		*[https://www.ernursecentral.com/post/5-alternate-iv-access-sites Alternate IV Access Sites]

	===Video===		===Video===

Rossdonaldson1: /* Overview */

2023-02-01T21:49:17Z

Overview

← Older revision		Revision as of 21:49, 1 February 2023
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	* Most common method of obtaining vascular access, may be performed by several members of the healthcare team<ref>Teresa Liu, Y., 2021. How To Do Peripheral Vein Cannulation - Critical Care Medicine - MSD Manual Professional Edition. [online] MSD Manual Professional Edition. Available at: <https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation> [Accessed 25 June 2021].</ref>		* Most common method of obtaining vascular access, may be performed by several members of the healthcare team<ref>Teresa Liu, Y., 2021. How To Do Peripheral Vein Cannulation - Critical Care Medicine - MSD Manual Professional Edition. [online] MSD Manual Professional Edition. Available at: <https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation> [Accessed 25 June 2021].</ref>
	* Typically inserted in the arm (median cubital vein, basilic vein, cephalic vein)		* Typically inserted in the arm (median cubital vein, basilic vein, cephalic vein)
	** Alternative sites include forearm, wrist, hand, leg, foot, neck or scalp		** Alternative sites include forearm, wrist, hand, leg, foot, [[External jugular vein cannulation\|neck]], or scalp

	==Indications==		==Indications==

SeanJT at 08:27, 8 January 2023

2023-01-08T08:27:56Z

← Older revision		Revision as of 08:27, 8 January 2023
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	* Most common method of obtaining vascular access, may be performed by several members of the healthcare team<ref>Teresa Liu, Y., 2021. How To Do Peripheral Vein Cannulation - Critical Care Medicine - MSD Manual Professional Edition. [online] MSD Manual Professional Edition. Available at: <https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation> [Accessed 25 June 2021].</ref>		* Most common method of obtaining vascular access, may be performed by several members of the healthcare team<ref>Teresa Liu, Y., 2021. How To Do Peripheral Vein Cannulation - Critical Care Medicine - MSD Manual Professional Edition. [online] MSD Manual Professional Edition. Available at: <https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation> [Accessed 25 June 2021].</ref>
	* Typically inserted in the arm (median cubital vein, basilic vein, cephalic vein)		* Typically inserted in the arm (median cubital vein, basilic vein, cephalic vein)
	** Alternative sites include forearm, wrist, hand, leg, foot, or scalp		** Alternative sites include forearm, wrist, hand, leg, foot, neck or scalp

	==Indications==		==Indications==
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	*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation]		*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation]
	*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]		*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]
			*[https://www.ernursecentral.com/post/5-alternate-iv-access-sites]

	===Video===		===Video===

Blsimpso: /* External Links */

2021-07-16T13:51:49Z

External Links

← Older revision		Revision as of 13:51, 16 July 2021
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	==External Links==		==External Links==
	*[https://~~emedicine~~.~~medscape~~.com/~~article~~/~~1998177~~-~~overview#showall Medscape~~ - ~~Intravenous~~ Cannulation]		*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation]
			*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]

	===Video===		===Video===

Blsimpso: /* External Links */

2021-07-02T14:25:36Z

External Links

← Older revision		Revision as of 14:25, 2 July 2021
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	==External Links==		==External Links==
			*[https://emedicine.medscape.com/article/1998177-overview#showall Medscape - Intravenous Cannulation]

	===Video===		===Video===

Blsimpso: Created page with "==Overview== * Most common method of obtaining vascular access, may be performed by several members of the healthcare teamTeresa Liu, Y., 2021. How To Do Peripheral Vein..."

2021-06-25T23:49:20Z

Created page with "==Overview== * Most common method of obtaining vascular access, may be performed by several members of the healthcare team<ref>Teresa Liu, Y., 2021. How To Do Peripheral Vein..."

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==Overview==
* Most common method of obtaining vascular access, may be performed by several members of the healthcare team<ref>Teresa Liu, Y., 2021. How To Do Peripheral Vein Cannulation - Critical Care Medicine - MSD Manual Professional Edition. [online] MSD Manual Professional Edition. Available at: <https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation> [Accessed 25 June 2021].</ref>
* Typically inserted in the arm (median cubital vein, basilic vein, cephalic vein)
** Alternative sites include forearm, wrist, hand, leg, foot, or scalp

==Indications==
* IV fluid administration/blood products
* IV medications
* IV contrast for CT, MRI, or nuclear imaging
* IV nutritional support
* Repeated venous blood sampling

==Contraindications==
* No absolute contraindications
* Avoid infected, injured, or burned extremities if possible

==Equipment Needed==
* Tourniquet
* Transparent dressing (tegaderm)
* Nonsterile gloves
* Antiseptic solution (alcohol prep pad or chlorhexidine)
* 2X2 gauze
* Venous access device (16 gauge, 18 gauge, 20 gauge, etc.)
* Saline or heparin lock
* Tape (paper tape preferred)

==Procedure==
# Prep equipment (open packages for items, prepare tape, prepare saline lock/IV line, identify sharps bin)
# Apply tourniquet proximal to desired site
# Cleanse site with antiseptic solution
# Re-check vein
# Insert needle, bevel up, at 10-30 degree angle, 1-2 cm distal to the desired target
# Advance needle until flash of blood is identified in the cannula
# Push needle forward an additional 2mm, then fix the needle and advance the rest of the catheter.
# Release the tourniquet, apply pressure above insertion site, then remove needle completely
# Dispose needle into sharps bin
# Attach saline lock or IV extension line
# Secure with tegaderm or tape

==Complications==
* Failure to access vein
* Extravasation of fluid/medication
* Arterial Puncture
* [[Thrombophlebitis]]

==See Also==
* [[Central venous catheterization]]
* [[Intraosseous access]]

==External Links==

===Video===
{{#widget:YouTube|id=aq8OwFaIQ4I}}

==References==
<references/>

[[Category:Procedures]]