DIFFICULT IV: TIPS FOR US-GUIDED IV ACCESS

In this video, we demonstrate the technique of peripheral access using ultrasound guidance. The video demonstrates the extreme skills of one of NYSORA’s regional anesthesia fellows, Dr Leander Mancel, who used a “creep up” technique to advance the catheter into a small peripheral vein with a caliber of only 3-4 mm. While the ultrasound technology in this case facilitated vein access, we also remarked that traditional methods, like simply applying a tourniquet and waiting for veins to become more prominent, could have been equally effective in this patient, obviating the need for ultrasound altogether. This highlights an essential point: traditional, non-ultrasound IV access remains indispensable and can be even more time-efficient in many clinical settings.

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