Peripheral IV placement: Difference between revisions
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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) | ||
** 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== | ||
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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] | ||
==References== | ==References== | ||
Latest revision as of 20:02, 17 April 2024
Overview
- Most common method of obtaining vascular access, may be performed by several members of the healthcare team[1]
- Typically inserted in the arm (median cubital vein, basilic vein, cephalic vein)
- Alternative sites include forearm, wrist, hand, leg, foot, neck, 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
External Links
- Merk Manual - How To Do Peripheral Vein Cannulation
- Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)
- Alternate IV Access Sites
References
- ↑ 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].