I hated nursing school because of this. I skipped clinical rotation in nursing school because of this.. but after watching your videos i became confident and now I'm pro in iv cannulation... Thanks man. You saved my life..❤❤
I am a paramedic with a few years of experience. I have never been confident with awkward cannulations but thanks to your postings, I feel better equipped for those difficult veins. Thank you.
I'm an FY-1 in Vascular (England). I used your special technique of holding and threading the cannulas. Now the SHOs call me for the difficult cannulations 😁👍 Thank you for teaching us Dr. Lahiru!
This video saved me today! I never would have thought to tilt the needle up like that after getting flash, but it worked so well on a very fragile patient with itty bitty veins.
You're a superstar master of IV insertion sir, I've never seen anyone who can insert IV to difficult and not so difficult to be inserted veins like the speed and accuracy you have. Whoaa!
I enjoy watching all your tutorials for IV cannulation. I even mastered and use a comfortable technique as seen in your videos but in a way I know I'll have success.
That 14ga in the intern vein is very impressive to me as an emt, partly for your ease and skill, but also for your volunteer's willingness to participate and endure for the cause.
I came here to find this comment! I saw that orange cath and about dropped over. Your volunteer is a true champ for taking that 14 slow and steady. I drop these in a trauma or Stemi. 😮 Love your videos.
You make this look so easy. The antecubital fossa vein I have missed when it is easily palpated. The position of the fossa may bend and not allow the cannula to advance. We need IV's fast due to patients have STEMI's and strokes. Still new to IV's .
Highly recommended video for cannulation 101. Pls follow his steps one by one. Each steps are super crucial for a successful cannulation. I just realized it after i failed so many times.
If you are having difficulty finding a site, try using either three torniquets or a esmark bandage. Even when I see veins and they look small I use the three torniquet technique and I usually can get a larger catheter in the vein.
Thanks for all this video. Do you have tips on how to avoid veins to roll during cannula insertion? I find it easy to avoid with butterfly needles but the same doesn't apply with cannula
Great question.. 1) tension on skin 2) look at where it rolls and reangle needle 3) remove needle from skin and reinsert very slightly toward the direction it rolls 4) accept that they may roll no matter what you do… and dont persist at same location.. reinsert re angle, try completely different site
A tip - put a couple steri strips on the canula before your tegaderm/ opsite. That tegi will not hold in the long term, especially if a patient goes for a shower / physio / mobilising post op. As a surgical nurse I can't tell you how many canulas have been accidently dislodged due to a lacking dressing. I often redress them straight away with steris and iv3000. For even more reinforcement loop one steri around the canula and then stick it down.
Completely agree. The ones inserted by docs tend to not always have been placed with longevity in mind, which is understandable considering surgery, codes, etc. Before I was allowed to do my cannulation competency module, I’d also redress these cannulas and do the steri strip or sterile tape strips (like the ones in IV3000, unfortunately Teggies don’t have them) around the hub with the ends crossed over each other, kind of like 🎗️, with a Teg on top. These days I’m in Day Chemo, so no need to worry as much about making it crazy secure for days. Though many of our patients have terrible veins from the chemo.
Thank you so much! I am a 1 year plus nurse and now I have so much improvement in cannulating, 5 months ago I m still so unconfident but I was relieved that I am eager to try and although failed a lot of times, I also success a lot of times! I will keep on learning until one day I m an expert in inserting and people can learn from me❤ but now some of my colleagues are starting to call me when they need to insert cannula I And I was so happy! But I hope they also can learn, I don’t want to rely on Medical officers to insert😊
Love your videos & techniques! Could you doe videos on how to heal the veins in people who undergo frequent vitamin C & nutritional IV therapies at an average of 2-3 IVs per week regularly for various purposes. Some veins esp the AC which used to be prominent has gone into “hiding” & painful. Also some videos on why during IV somewhere midway the drip stops on its own while it had been on at slow speed.
Is it better to avoid touching the distal opening of the cannula with the second finger, when pushing it inside the vein? 3:43 (by alternatively pushing on the lateral parts of the cannula ? )
With veins that are only palpable and not visible, how do you remember the location/trajectory of the vein? Do you remember landmarks or anything of the sort? I always have to re-palpate and then insert the needle proximally, where the area is still aseptic 😅
I agree it’s hard to remember the exact spot after sanitising the skin. I try to keep my eye on a freckle or skin crack, but another nurse showed me how she uses an alcohol swab as an indicator! You point one corner of the square swab a few ml from the planned insertion point
Great video. When you're initially approaching the vein, and have your small finger resting to the side for stabilisation, is the cannula advanced into the vein by moving your arm forward or by using your fingers or wrist or all three subtly? thanks for the great content
When you cannulate a very superficial vein (say one you can see in the forearm but can't feel) or a small hand vein, do you advance the needle a little more after flash or just advance the cath right away? I ask because I normally advance a little more on the superficial or smaller veins after flash but end up blowing them quite often. Any tips?
Thanks for the vidoe. I'm finding it hard to anchor/taut the patient's skin when I'm trying iv cannulation on the forearm... do you have any suggestions?
We always use vein viewers to guide us in IV insertions for higher chances of being successful 😅 With enough insertions, I hope to insert IVs like this someday without having to depend on using the viewer 🤞🏻😊
Please where do you prick the cannula,directly in the vein or belowe 1-2 cm and what about deeper vein,is the tehnique the same? At what angle does the needle go in the skin?
Yes thank you so much Sir. Two questions: how can I look at where I'm going with the needle, and down at the primary flashback chamber at the same time? And does it help to 'loosen up' the hub of the cannula by twisting it just a bit while on the needle just before insertion? I've seen some do that and wondered what the manufacturer intended. Thanks.
As youre inserting as long as your fingers aren't in the way its quite easy to notice the flashback. Just pushing the cannula up a tiny bit to "loosen it" and then returning back is done by some docs as it can make pushing the cannula forward easier, but remember to ensure the end of the needle is poking out still , if after loosening it you return it back to normal should be g.
I have a question: I have noticed that when I put in peripheral IVs, I usually indent the wall of the vein quite a bit before puncturing it. By the time I get primary flashback, I also frequently have secondary flashback in the cannula itself. At that point, I just thread off the cannula and it seems to work just fine. Watching all these videos, I never see that happen to you. I wonder if I'm doing something different or wrong that's causing this issue? 🤔
Hello! Paramedic here, some catheters (cannulas) have a mechanism to where you see flash in the cannula and the flash chamber around the same time. So I wouldn’t worry about that, as for the indent, it’s important to use traction to hold the skin taught before puncturing, this can make the needle pierce far easier especially through stretchy and loose skin. If you’re doing all this already there’s a chance your hospital or agency may be using cheaper IV start equipment that has dull needles! Cheers mate best of luck
Thanks for the reply! I appreciate it! I have some people tell me that I don't stretch the skin taut enough and insert the needle too slow; also some told me to jab quickly to pierce the vein
i personally experience that kind of exertion ,IV cannula when I'm stay on the hospital in month because of heart problem ,that time i remember the nurse that she insert a IV cannula she failed that needle 😥 that why she do a second IV cannula 😥😥
You have mentioned about vein stability, something spark into my mind as an idea speaking about the 4 Horsemen. I think there's a great possibility they aren't Kings. Because Kings were enthroned in their areas. The real 4 Horsemen and not the assuming fake 4 Horsemen who want to be famous and be feared upon, could always be on the move, riders or something using the active transport of the Positive Feedback Mechanism but could be not pure positive in being and they have real influence other than the Arab Kings. Could be using parallelism to distance themselves just like Lucifer and Abaddon always have covers and doubles. Even Nimrod, Alexander the Great, King Solomon, and Zeus head of the Greek wisdom mentioned in the time of Antiochus always want to operate behind the screen and camouflage.
Iam a fresher nurse just started work and I was successful in cannulization as a student but now i don't know why i can't do it properly i got yelled by patients two time in a row Iam feeling so helpless rn
I've timed your iv insertion to fat patients with almost no visible veins, the longest time was 2 seconds, the mid time was 1 and a half seconds and the fastest was 1 second to a very fat patient. I think in the category of experienced IV inserters you will be very difficult to beat by them, you can beat them with your inborn skills, unless there's another one as fast as you do that.
There's a wonder in gifted person's, it could be on what's happening in their brain waves that make them function well in a controlled relaxed state of being or in a quick wit mindset as if picking ideas or analyzing things fast or with quick reflex as if it's 2nd natured normal to them. Another is the maximization of potentials due to their body organs was designed as such instilled through biological means since child birth which is quite edgy than normally built person, another is the genetic factor of with harnessed great traits with quite excess combinations of recessive traits( from both parents who excels well in their performances in various areas ) wherein when combined in chromosomes and DNA from parents and from grandparents of generations creates a superior human being in their offsprings. Because what a person eat and the environment and the genes are contributors to an extra gifted person, another is the nurturing of an already hightened skills, knowledge or talents depends on what drives a person to be motivated, enthusiastic, goal driven etc., Another is by the help of outside causative forces like energies, or accidental event which instead causing them deterioration creates a building blocks of improvement, to betterment, to superior being that branches as the brain creates new neuronal branches in learnings and as genetic mutations creates branches so is the human improvements creates branches etcetera that's why the best way to control is superb assessment of a person's capacity without outside biases and distractions by being true to oneself by knowing oneself strength and weakness as an analyst can guide us to better understand the hidden qualities of others as a start wherein when we are in that high level of understanding already we can spot the quality of others wherein that person we are observing is not even aware of his or her excellent side we will have just to open the blind side of him or her to maximize his or her being. Example, a shy person could be confused within we have to give him or her direction to find the way to discover ones being then when a person finds his or her way to his or her nature, we can observe how deep the person is, the deeper the more hidden gifts there are within like analyzing the deep things un analyzed by common people or well studied people, or their memories in their brains are superb, or with brain waves that can connect to the secrets of science, or if his or her inner anger if there's any that will motivate that person to strive better upon our redirection to that person for the better. Another example a fast talking person with sensible words means his or her brain neurons are transmitting organized impulses at a fast rate his or her neuronal branches can have plenty of neuronal lights going in in there, an idea plenty person, quick wit, quick organizer as such. Think of varieties and be open minded because if a person will be true to his or herself and can control his or her being, that person can better control others someday as his or her knowledge progresses.
I hated nursing school because of this. I skipped clinical rotation in nursing school because of this.. but after watching your videos i became confident and now I'm pro in iv cannulation... Thanks man. You saved my life..❤❤
Gosh you really are the cannula king 👑
You made IV insertion so smooth, speedy accurate. Real Pro.
I am a paramedic with a few years of experience. I have never been confident with awkward cannulations but thanks to your postings, I feel better equipped for those difficult veins. Thank you.
You are so welcome!
The best video i've seen so far. Thanks
I'm an FY-1 in Vascular (England). I used your special technique of holding and threading the cannulas. Now the SHOs call me for the difficult cannulations 😁👍 Thank you for teaching us Dr. Lahiru!
This video saved me today! I never would have thought to tilt the needle up like that after getting flash, but it worked so well on a very fragile patient with itty bitty veins.
Awesome! So good to hear 😊😊
On the moment in video, please🙏
I can watch these all day
You're a superstar master of IV insertion sir, I've never seen anyone who can insert IV to difficult and not so difficult to be inserted veins like the speed and accuracy you have. Whoaa!
I enjoy watching all your tutorials for IV cannulation. I even mastered and use a comfortable technique as seen in your videos but in a way I know I'll have success.
Same here! So grateful!
Great to hear!!
This is so satisfying. I am terrible at cannulation but now I feel I am ready to do my best again!
That 14ga in the intern vein is very impressive to me as an emt, partly for your ease and skill, but also for your volunteer's willingness to participate and endure for the cause.
Thanks! My volunteer is a good mate whos been volunteering his body to science since 2012 😂
I came here to find this comment! I saw that orange cath and about dropped over. Your volunteer is a true champ for taking that 14 slow and steady. I drop these in a trauma or Stemi. 😮 Love your videos.
Thank you, Mr.L. I'm struggling with catheters as an ER nurse. 😢 Started 1 month ago, and it gives me anxiety.🤦♀️
keep going! its all about intentional practice, feedback, slow improvements. you can do it!
I love iv cannulation and this video is so satisfying ❤
Am still struggling with cannulation especially with chubby people who have deep veins...
But..wow!!, i find your videos soo helpful...Thanks
You make this look so easy. The antecubital fossa vein I have missed when it is easily palpated. The position of the fossa may bend and not allow the cannula to advance. We need IV's fast due to patients have STEMI's and strokes. Still new to IV's .
Sir, you are an expert in cannulization. Please teach me the art of cannulating a patient. You are so confident, how is that even possible??
Thanks :)
Fantastic to see them back to back! Thank you!
Highly recommended video for cannulation 101. Pls follow his steps one by one. Each steps are super crucial for a successful cannulation. I just realized it after i failed so many times.
Thank you!
Thanks Doc for this compilation video of cannulation.
Most welcome!
Thank you for such a great video and guidance
You are so welcome!
This is great! Love the montage, very satisfying!
Love from Brisbane
Aaah brissie! My home town :)
Great skills. You make it look easy!
Haha thanks… so much practice
In Filipino, galing mo pre.
If you are having difficulty finding a site, try using either three torniquets or a esmark bandage. Even when I see veins and they look small I use the three torniquet technique and I usually can get a larger catheter in the vein.
This video is so helpful! Thank you so much!!
Welcome!
Thank you soooo much. This was very helpful :)
do you have any exemples of cannulas for children or infants? Thank you, great examples for adult young and old patients
Thanks for all this video. Do you have tips on how to avoid veins to roll during cannula insertion? I find it easy to avoid with butterfly needles but the same doesn't apply with cannula
Great question..
1) tension on skin
2) look at where it rolls and reangle needle
3) remove needle from skin and reinsert very slightly toward the direction it rolls
4) accept that they may roll no matter what you do… and dont persist at same location.. reinsert re angle, try completely different site
Great video as always! Would it be possible to create a tutorial video with tips and tricks for arterial puncture for blood gas/arterial lines?
Its def on the way!
I wish you showed us the flashback chamber as well in these camera angles!
Your video was so helpful thank you so much
A skillful employee like that should be kept as asset of a Company.
A tip - put a couple steri strips on the canula before your tegaderm/ opsite. That tegi will not hold in the long term, especially if a patient goes for a shower / physio / mobilising post op. As a surgical nurse I can't tell you how many canulas have been accidently dislodged due to a lacking dressing. I often redress them straight away with steris and iv3000. For even more reinforcement loop one steri around the canula and then stick it down.
Great to hear peoples tips on this! Thank you :)
Completely agree. The ones inserted by docs tend to not always have been placed with longevity in mind, which is understandable considering surgery, codes, etc. Before I was allowed to do my cannulation competency module, I’d also redress these cannulas and do the steri strip or sterile tape strips (like the ones in IV3000, unfortunately Teggies don’t have them) around the hub with the ends crossed over each other, kind of like 🎗️, with a Teg on top.
These days I’m in Day Chemo, so no need to worry as much about making it crazy secure for days. Though many of our patients have terrible veins from the chemo.
Great job! Subscribed!
Muy instructivo, muchas gtacias por la aportación
How do you disinfect your tourniquet between patients? Is it a woven material?
Tysm for the life-saving tutorials :’))) Tips on choosing what gauge to use?
Hey! thanks so much! I have a whole course here anaesthesia.thinkific.com/courses/ivc. Use IVC50 for a massive discount :)
Omg thank u!! 🥹
thankyouuu doc.. im saving this🥰
You're welcome 😊
Thank you so much! I am a 1 year plus nurse and now I have so much improvement in cannulating, 5 months ago I m still so unconfident but I was relieved that I am eager to try and although failed a lot of times, I also success a lot of times! I will keep on learning until one day I m an expert in inserting and people can learn from me❤ but now some of my colleagues are starting to call me when they need to insert cannula I
And I was so happy! But I hope they also can learn, I don’t want to rely on Medical officers to insert😊
Love your videos & techniques!
Could you doe videos on how to heal the veins in people who undergo frequent vitamin C & nutritional IV therapies at an average of 2-3 IVs per week regularly for various purposes.
Some veins esp the AC which used to be prominent has gone into “hiding” & painful.
Also some videos on why during IV somewhere midway the drip stops on its own while it had been on at slow speed.
Thank you so much Dr.❤
Thanks for your video
The intern vein video for neonatus pleas...
this is awesome, wish some brachial vein , sometimes it's just can't be seen by the naked eye
Ure so good at iv cannulation 😳😳😳😳💯
Amazing id love to try this but not a doctor yet
Is it better to avoid touching the distal opening of the cannula with the second finger, when pushing it inside the vein?
3:43
(by alternatively pushing on the lateral parts of the cannula ? )
With veins that are only palpable and not visible, how do you remember the location/trajectory of the vein? Do you remember landmarks or anything of the sort?
I always have to re-palpate and then insert the needle proximally, where the area is still aseptic 😅
I agree it’s hard to remember the exact spot after sanitising the skin. I try to keep my eye on a freckle or skin crack, but another nurse showed me how she uses an alcohol swab as an indicator! You point one corner of the square swab a few ml from the planned insertion point
Great video. When you're initially approaching the vein, and have your small finger resting to the side for stabilisation, is the cannula advanced into the vein by moving your arm forward or by using your fingers or wrist or all three subtly? thanks for the great content
Great question! I just tried now and i move my fingers/ a bit of wrist movement forward.
My arm and hand overall seem stable
Hey, you should wait for alcohol to dry off before insertion or it will cause burning sensation to patient
When you cannulate a very superficial vein (say one you can see in the forearm but can't feel) or a small hand vein, do you advance the needle a little more after flash or just advance the cath right away? I ask because I normally advance a little more on the superficial or smaller veins after flash but end up blowing them quite often. Any tips?
Is there nothing else to cannulate than peripheral veins? Maybe we can move on to other cannulations
Hi yhere..
Can you do IV cannulation in Edematous patient and dehydrated patient ..
As well S old aged...
🤗☺😊
All tough situations! I use exactly the same techniques i use in my detailed iv cannulation vids.. check my iv cannulation playlist..
Also released this very detailed course
anaesthesia.thinkific.com/courses/ivc
Use the code IVC50 for a huge discount
You make it look easy, but when I try, boom! Blood everywhere 😔👌
Thank you doctor 💐💐💐
Love from 🇱🇰 🇱🇰 🇱🇰
great video! When do you use purple, pink, green IV catheters according to fluids :)
Thanks for the vidoe. I'm finding it hard to anchor/taut the patient's skin when I'm trying iv cannulation on the forearm... do you have any suggestions?
We always use vein viewers to guide us in IV insertions for higher chances of being successful 😅
With enough insertions, I hope to insert IVs like this someday without having to depend on using the viewer 🤞🏻😊
Please where do you prick the cannula,directly in the vein or belowe 1-2 cm and what about deeper vein,is the tehnique the same?
At what angle does the needle go in the skin?
Pourquoi les publicités sont si longues ?
Même si en fait ce sont de véritables videos dignes de la chaine ou de la bonne musique?
Yes thank you so much Sir. Two questions: how can I look at where I'm going with the needle, and down at the primary flashback chamber at the same time? And does it help to 'loosen up' the hub of the cannula by twisting it just a bit while on the needle just before insertion? I've seen some do that and wondered what the manufacturer intended. Thanks.
As youre inserting as long as your fingers aren't in the way its quite easy to notice the flashback. Just pushing the cannula up a tiny bit to "loosen it" and then returning back is done by some docs as it can make pushing the cannula forward easier, but remember to ensure the end of the needle is poking out still , if after loosening it you return it back to normal should be g.
I have a question: I have noticed that when I put in peripheral IVs, I usually indent the wall of the vein quite a bit before puncturing it. By the time I get primary flashback, I also frequently have secondary flashback in the cannula itself. At that point, I just thread off the cannula and it seems to work just fine. Watching all these videos, I never see that happen to you. I wonder if I'm doing something different or wrong that's causing this issue? 🤔
Hello! Paramedic here, some catheters (cannulas) have a mechanism to where you see flash in the cannula and the flash chamber around the same time. So I wouldn’t worry about that, as for the indent, it’s important to use traction to hold the skin taught before puncturing, this can make the needle pierce far easier especially through stretchy and loose skin. If you’re doing all this already there’s a chance your hospital or agency may be using cheaper IV start equipment that has dull needles! Cheers mate best of luck
Thanks for the reply! I appreciate it! I have some people tell me that I don't stretch the skin taut enough and insert the needle too slow; also some told me to jab quickly to pierce the vein
Whats the purpose of "level out"? Thank you
Your video production is to the roof!!!! What camera/lens are you using
I notice you use like an upward angle or upward pressure often
Love your videos. What brand cannula are you using?
Thank you very much!
How many tries on a hard stick before calling someone else? Ever done scalp feet or IO?
i personally experience that kind of exertion ,IV cannula when I'm stay on the hospital in month because of heart problem ,that time i remember the nurse that she insert a IV cannula she failed that needle 😥 that why she do a second IV cannula 😥😥
You have mentioned about vein stability, something spark into my mind as an idea speaking about the 4 Horsemen. I think there's a great possibility they aren't Kings. Because Kings were enthroned in their areas. The real 4 Horsemen and not the assuming fake 4 Horsemen who want to be famous and be feared upon, could always be on the move, riders or something using the active transport of the Positive Feedback Mechanism but could be not pure positive in being and they have real influence other than the Arab Kings. Could be using parallelism to distance themselves just like Lucifer and Abaddon always have covers and doubles. Even Nimrod, Alexander the Great, King Solomon, and Zeus head of the Greek wisdom mentioned in the time of Antiochus always want to operate behind the screen and camouflage.
Wow wish I could do this, ur pretty good looking as well 😅
Thank you
Iam a fresher nurse just started work and I was successful in cannulization as a student but now i don't know why i can't do it properly i got yelled by patients two time in a row Iam feeling so helpless rn
anaesthesia.thinkific.com/courses/ivc
This is my course… it might be the right intensive program you need :)
Thanks
Thanks a lot
I've timed your iv insertion to fat patients with almost no visible veins, the longest time was 2 seconds, the mid time was 1 and a half seconds and the fastest was 1 second to a very fat patient. I think in the category of experienced IV inserters you will be very difficult to beat by them, you can beat them with your inborn skills, unless there's another one as fast as you do that.
Why would you use a hand when there is a nice juicy vein in the forearm? Hands are a terrible spot to use.
Youre right! If theres a great forearm
Vein.. they are i think the best option all round..
Thank u
There's a wonder in gifted person's, it could be on what's happening in their brain waves that make them function well in a controlled relaxed state of being or in a quick wit mindset as if picking ideas or analyzing things fast or with quick reflex as if it's 2nd natured normal to them. Another is the maximization of potentials due to their body organs was designed as such instilled through biological means since child birth which is quite edgy than normally built person, another is the genetic factor of with harnessed great traits with quite excess combinations of recessive traits( from both parents who excels well in their performances in various areas ) wherein when combined in chromosomes and DNA from parents and from grandparents of generations creates a superior human being in their offsprings. Because what a person eat and the environment and the genes are contributors to an extra gifted person, another is the nurturing of an already hightened skills, knowledge or talents depends on what drives a person to be motivated, enthusiastic, goal driven etc., Another is by the help of outside causative forces like energies, or accidental event which instead causing them deterioration creates a building blocks of improvement, to betterment, to superior being that branches as the brain creates new neuronal branches in learnings and as genetic mutations creates branches so is the human improvements creates branches etcetera that's why the best way to control is superb assessment of a person's capacity without outside biases and distractions by being true to oneself by knowing oneself strength and weakness as an analyst can guide us to better understand the hidden qualities of others as a start wherein when we are in that high level of understanding already we can spot the quality of others wherein that person we are observing is not even aware of his or her excellent side we will have just to open the blind side of him or her to maximize his or her being. Example, a shy person could be confused within we have to give him or her direction to find the way to discover ones being then when a person finds his or her way to his or her nature, we can observe how deep the person is, the deeper the more hidden gifts there are within like analyzing the deep things un analyzed by common people or well studied people, or their memories in their brains are superb, or with brain waves that can connect to the secrets of science, or if his or her inner anger if there's any that will motivate that person to strive better upon our redirection to that person for the better. Another example a fast talking person with sensible words means his or her brain neurons are transmitting organized impulses at a fast rate his or her neuronal branches can have plenty of neuronal lights going in in there, an idea plenty person, quick wit, quick organizer as such. Think of varieties and be open minded because if a person will be true to his or herself and can control his or her being, that person can better control others someday as his or her knowledge progresses.
Expert
❤❤❤❤❤❤❤❤❤❤
That intern taking the 14G cannula almost killed me. Sounds painful.
He's actually a fantastic GP/friend... but he's donated his body to science a few times now! what a legend!
@@ABCsofAnaesthesia amazing!
Ouch
My boy put in a 14 boss lol and boss patient to let you do it
1 pushup everytime he says canula
no touch technique! hygiene, man!
Thanks, that was so helpful ❤ Can you please make a video showing the risks of wrong cannulation and how to solve the problems caused by it ❤️🩹