Remember that the IV Start is Your First Chance to Make a Favorable Impression on the Patient



Remember that the IV Start is Your First Chance to Make a Favorable Impression on the Patient


Hassan M. Ahmad MD

Catherine Marcucci MD



Intravenous access is a crucial part of anesthesia care, and placement and management of lines are important skills for an anesthesiologist. Virtually all anesthetics require some degree of intravenous (IV) access, whether it is for induction of general anesthesia, administration of medications, fluid resuscitation, or blood sampling.

The majority of adult surgical cases start with a peripheral IV for induction of general anesthesia, initiation of conduction blockade, or conscious sedation (for pediatric cases, it is usually appropriate to induce via an inhalational agent; however, endotracheal intubation should not be attempted until IV access is obtained). When performing regional anesthesia, it is also important to have an IV, not only for the administration of sedative and anxiolytic medications, but also to respond to potential hemodynamic changes related to neuraxial or peripheral blocks.

Peripheral IV placement can be one of the most challenging procedures in anesthesia, especially for beginners. When placing a peripheral IV, always make sure to:

Jul 1, 2016 | Posted by in ANESTHESIA | Comments Off on Remember that the IV Start is Your First Chance to Make a Favorable Impression on the Patient
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