Seemingly easy IV access turns into a nightmare and multiple failures when the operator hesitates and does not recognize that the veins are thickwalled. Take a part in voting what went wrong in this multiattempt at IV cannulation.

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DIFFICULT IV: FIND MISTAKES!

Greetings! In this video, we're going to see some mistakes that are made during IV catheterization in patients who have well visible peripheral veins. but their veins have thick walls and I will point out some of the mistakes but some mistakes will be left to the community
to figure out. feel free to leave the comments with your suggestions. However, in a followup video, I will disclose all mistakes made and how to avoid them. so be sure to subscribe to the channel and not miss the video with the answers. Let's get started

First attemptwhat happened, what is wrong with this one?

Second attemptwhat is wrong here? Is the needle catheter system now in the vein? we clearly don't have a flashback and yet, the operator is trying to withdraw the needle to see whether he has passed through and through in order to get the flashback. What would you do?

Clearly we are having blood return in a catheter but also we can see the hematoma formation as well as the blood flow is not adequate. meaning the blood coming back into the needle catheter system is from the perianal hematoma and not from the intravenous catheter
placement.
Attempt number three

What is wrong with this technique?Is the catheter in the vein? Clearly this has been a failure but let's see now what we can do to fix that.

Here's a more experienced operator who then takes over and let's see what happens. Let's look at the stabilization of the vein and the speed at which the catheter is being introduced
and here we go.

All right, I hope you find this video useful and what made a difference between unsuccessful attempts and a successful placement of the IV catheter is
Number one lack of hesitation
Number two greater speed of catheter insertion which was required for the veins with the thicker wall
And three sufficiently deep insertions of the Catherine needle system into the Lumen of the vein before attempting to feed the catheter of the needle.
I would love to get some feedback from you on what mistakes were made during the first three unsuccessful attempts and be sure to subscribe to the channel so you don't miss the followup video with answers.
Until next time!