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Abstract

“Hey, can you help get IV access on a patient? The nurses have tried many times already.”

If this message fills your heart with trepidation, it may be because you do not have a systematic approach to ultrasound guided intravenous catheter (IV) placement or any prior training in this procedure. At our institution, after failed nursing attempts, the responsibility for obtaining IV access may fall on the physician. Early in the year, this physician may be an intern who has limited experience with IV access, let alone ultrasound guided IV placement. They may have previously undergone a brief training course using a low-fidelity gel model simulation. However, this form of training is often insufficient and impractical. The purpose of this manual is to allay your fears and anxieties and teach a systematic approach to ultrasound guided IV access. It is a guide that provides technical tricks and steps learned from several hundred hours of experience. And because we all know how enjoyable it is to read a dry step-by-step instruction manual, this guide is written in a humorous light for your reading pleasure.

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