Nurse: Doctor, this patient is a tough stick. I tried 3 times and I got nothing. Can you help?
Doctor: Sure! I’ll grab the linear ultrasound vessel finder and get that line in for you, thereby potentially saving this non-critically ill patient from an unnecessary central venous catheter (free pearl #1).
Nurse: Ok! Do you need the special longer IV angiocatheters?
Doctor: Why yes, I do. Because I always use the special longer IV angiocaths, as they have a much better chance of not coming out later (free pearl #2).
Then you realize: It has been a little while since you last did an ultrasound guided IV. So, you check out ultrasoundpodcast.com and watch these brief FOAM videos.
Now that you’re up to speed,
1. Name a few predictors of difficult peripheral IV access.
2. When deciding on a vein to use, which features are preferable?
e) combo of option a + option c
f) combo of option b + option c
g) combo of option a + option d
h) combo of option b + option d
3. What is the likelihood that an ultrasound-guided IV will survive even a few hours if the vein is >1.2cm deep?