February 01, 2021

Pediatric IV Tips and Tricks

26 minutes

Top 10 [details in audio]

Set the stage – exude confidence and be prepared
Choose the right cannula size – a smaller working IV is infinitely better than none
Feeling is better than looking – trust yourself
Mark the site – things get wonky when you take your hands off to disinfect
Tourniquets can mess you up – try to use a holder's hand to occlude the vein
The holder rules – get as many hands on deck as you need.
Tension is good – a little counter traction on the skin with your non-dominant hand helps to decrease the friction as the needle goes through the fascial layers.
Stay in line – your needle is an extension of your arm
Gravity is your friend – the kinder, gentler tourniquet
The 3 Fs – flash, flatten, and forward. Get the flash at a 30 degree angle, flatten that angle, (advance another 1mm), and advance the plastic catheter over the needle into success

...more

By Tim Horeczko, MD, MSCR, FACEP, FAAP

4.8

303303 ratings

February 01, 2021

26 minutes

Top 10 [details in audio]

Set the stage – exude confidence and be prepared
Choose the right cannula size – a smaller working IV is infinitely better than none
Feeling is better than looking – trust yourself
Mark the site – things get wonky when you take your hands off to disinfect
Tourniquets can mess you up – try to use a holder's hand to occlude the vein
The holder rules – get as many hands on deck as you need.
Tension is good – a little counter traction on the skin with your non-dominant hand helps to decrease the friction as the needle goes through the fascial layers.
Stay in line – your needle is an extension of your arm
Gravity is your friend – the kinder, gentler tourniquet
The 3 Fs – flash, flatten, and forward. Get the flash at a 30 degree angle, flatten that angle, (advance another 1mm), and advance the plastic catheter over the needle into success

...more