Even if I work my fastest, it still takes me a few minutes to place my ultrasound-guided IV’s. Because of this, I would rather not have to place multiple IV’s when they pop out. I have a particular way of taping my IV’s to make sure they don’t come out. Check out my technique and let me know what you think!
Want more ultrasound goodness? Check out my other podcasts, ultrasoundpodcast.com and ultrasoundgel.org.
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I don‘t use the gel, but instead alcohol that you would use to disinfect. Therefore there is no cleaning, as this dries.
Interesting. So you use alcohol in lieu of gel?
Hey Jacob, love the site and thank you for sharing your knowledge with us. I am an ED NP and former ED RN, I have placed and taped thousands of IVs. Your initial technique at the hub is awesome and what I do myself. The only comment have is: I have found more success in concentrating my anchor on the pigtail and IV line thus minimizing any strain at the hub itself. I think we could skip most of the hub tape with a well anchored pig and line. Just my 2 cents, thanks for all you.
Nice!
The reason I concentrate on the hub is because I feel much of the weight of the IV is there. I’ve seen the IV catheter pop out of the skin just enough for it to subsequently kink and stop working. Do you run into this issue?
Don’t get me wrong, I still anchor the hub pretty well. Over the years I have had lines go bad that just baffled me. I have just found a good upstream anchor has reduced these instances. Can’t say I still don’t lose a line from time to time that leaves me scratching my head.
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This is useful… But have you considered using glue? https://www.sciencedirect.com/science/article/pii/S0196064415015358
Yea, definitely have considered that. My only concern is patient comfort when the IV needs to come out. What is your experience with that?