Archive > Ambulatory Anesthesia 2012

5 Tips for Smoother IV Starts

Follow these steps for better access to difficult-to-find veins.

Jay Horowitz, CRNA

Smoother IV StartsA 59-year-old obese female patient with hypertension, coronary artery disease, type 1 diabetes and anxiety presents for a vitrectomy and retinal membranectomy. The patient is somewhat dehydrated, and has no visible or palpable veins. How's that for a challenging IV start? As more patients with heart disease, diabetes with vascular complications, obesity, pulmonary compromise and angina present for outpatient procedures, you should expect to encounter similar IV-related difficulties. Here are 5 tips to overcome them.

 
Have an account? Please sign in:
Email Address:
Password:
Categories:

Keywords:

Anesthesia; Apply; CGRN, GI; Chapel Hill; Choose; Conventional; Find; First-Stick Success Placing; GI; Hardee, MHS, RN, CGRN, GI; Hill; How's; Hydration; IV; IV-related; IVs; Lisa Hardee, MHS, RN, CGRN, GI; MHS, RN, CGRN, GI; Mark McGraw; McGraw; PEARLS Strategies; Place; Plastic; RN, CGRN, GI; RNs; Rubbing; Success Placing; Trust; ability; access; achieved; additional; advantage; agents; alcohol; amount; anesthesia; anesthetic; angina; anxiety; apply; applying; area; arm; arterial; artery; attaching; attempting; attempts; avoid; bend; bigger; bit; bladder; blood; broad-based; brought; burns; ... show all keywords
Anesthesia; Apply; CGRN, GI; Chapel Hill; Choose; Conventional; Find; First-Stick Success Placing; GI; Hardee, MHS, RN, CGRN, GI; Hill; How's; Hydration; IV; IV-related; IVs; Lisa Hardee, MHS, RN, CGRN, GI; MHS, RN, CGRN, GI; Mark McGraw; McGraw; PEARLS Strategies; Place; Plastic; RN, CGRN, GI; RNs; Rubbing; Success Placing; Trust; ability; access; achieved; additional; advantage; agents; alcohol; amount; anesthesia; anesthetic; angina; anxiety; apply; applying; area; arm; arterial; artery; attaching; attempting; attempts; avoid; bend; bigger; bit; bladder; blood; broad-based; brought; burns; butterflies; butterfly; butterfly-type; caliber; cannula; cannulae; cases; catheter; catheterUsing; catheters; challenging; chances; change; clench; close; closer; combination; common; complex; compress; compromise; connect; contact; coronary; cuff; day; decrease; degree; depending; designated; develop; device; diabetes; difficulty; digital; directing; directly; disposable; distention; dressing; duration; easier; elderly; electric; encounter; encourage; ensure; equipment; exam; expect; expertise; extension; extremities; facilities; feel; female; fill; filled; filling; fingers; flicking; flip; flow; folks; follow; forced-air; fragile; free; gain; gall; gentle; gently; give; glove's; gloves; go-to; good; grasp; guide; hand; handle; hands; happen; heart; heatEven; heating; hernia; high; high-acuity; high-volume; holding; holds; hydrate; ideal; images; important; impossible; improve; inches; incorporate; increase; increasing; individual; induce; infrared; inhalation; initially; injection; insert; inserted; inserting; insertion; instances; insulin-type; integrated; interlace; interlock; intravascular; intravenous; keeping; knot; large; larger; lidocaine; located; locating; lose; maintains; makes; manager; mark; markers; means; metal; method; modest; move; moving; muscles; necessarily; needle; numb; numerous; nurse; obese; obscure; occlude; occlusive; occur; odds; offers; ointment; opportunities; opposed; order; outpatient; overcome; pad; pain; palm; palpable; palpating; paramedics; patient; patients; pattern; pearls; perform; place; placing; plastic; port; portable; potential; practical; practices; pre-op; present; pressure; prevents; prilocaine; primary; probability; project; projected; proper; provider; pulls; pulmonary; pulse; purpose; radial; rarely; real; real-time; recommended; relax; remain; removing; requests; resort; results; retinal; reveal; search; secures; securing; seemingly; selection; sensitive; sensory; settle; side; similar; simply; site; sites; skin; slapping; slide; small; smaller; smallerOnce; specifically; spot; spotThe; squeezing; staffMany; start; starting; starts; sticking; stimulating; structures; success; suitable; surface; surgery; sweet; tap; tape; tapping; technique; technology; temperature; thumb; tight; time; tips; top; topical; tough; tourniquet; traditional; tubing; tying; type; typically; ultimately; unusual; vascular; vasodilation; vasospasm; vein; vein-viewing; veins; venous; vice; vigor; visible; vitrectomy; warm; warmer; warming; warmth; water; wisdom; work; working; wrap; wrist

DID YOU SEE THIS?
Sharps and Sharps Safety

These Safety Sharps are Color-Coded

/_media/adv/web/images/2012/20120329_Arthrex_AR-300x250.jpg

Other Articles That May Interest You

What's New in Anesthesia?

Checking out the innovations on display at the American Society of Anesthesiologists' annual meeting.

Adding Pain Management Painlessly

If you've got a C-arm and a table, there's no reason why you can't add pain cases.

Is Drug Security Anesthesia's Responsibility?

Patients infected by Colo. fentanyl thief target providers' practices.