Iv cannulation sites for adults Dressing materials (eg, tape, gauze, scissors, transparent occlusive dressing) Optional equipment includes May 19, 2024 · When considering a potential site for IV cannulation, it is important to note that a catheter must be inserted and threaded for a short distance into the vein. When looking for a potential site for IV cannulation, nurses must consider how easy the access of the vein is Preparation of the patient and equipment prior to cannulation Choosing a Vein Site Advantages Disadvantages Digital • Use as last resort • Not primary site choices as these are very small veins Can only accommodate a 22- or 24- guage cannula NB- Highly skilled practitioners in cannulation only will use this site Dorsal Metacarpal (Hand) IV catheter, typically 18- or 20-gauge for routine infusions in adults (14- or 16-gauge for high-volume infusion) and 22- or 24-gauge in infants and small children . If blood collection is required, attach the 10-20mL syringe to the bung and withdraw the desired amount. 5 Introduction Intravenous (IV) therapy is commonplace in acute care settings, with patients having peripheral IV cannula (PIVC) inserted as part of their treatment. The cephalic vein, located on the lateral aspect of the arm, is a This IV Course/workshop is open to participants having a medical, nursing or paramedical background, and for those involved in a research projects which requires blood sampling as part of their study. When it comes to IV cannulation, one size does not fit all. With clean hands loosen the dressing Using a gauze square prepare to apply gentle pressure at the cannula entry point Withdraw the cannula, apply pressure until bleeding has stopped Mar 12, 2020 · Try to keep it in a 20- to 30-degree angle or almost flat with the skin. 5. IV infusion set (eg, IV solution bag, hanger, tubing) or saline lock . 6. Tunneled central venous access In this study, we aimed to evaluate the effect of administering lidocaine as a local anesthetic at the puncture site prior cannulation on reduction of pain during intravenous cannulation (IVC). However, anaesthesia for cannulation is usually only offered to children. It is generally defined as two or more failed cannulations, and/or needing to use advanced or rescue techniques to gain Apr 17, 2023 · Background Intravenous (IV) cannulation is a technique in which a cannula is placed inside a vein to provide venous access. The veins in the foot can accommodate small catheters, providing an alternative when other options are limited. V. We developed a difficult intravenous pathway at our institution to reduce the burden of difficult access for patients by increasing first attempt success with ultrasound guidance. In this blog post, we will explore the different IV cannulation sites for adults and discuss their importance in medical practice. Background Intravenous (IV) cannulation is a technique in which a cannula is placed inside a vein to provide venous access. INTRAVENOUS CANNULA (PERIPHERAL) FOR ADULTS 1. Clear dressing such as a tegaderm; Small piece of tape to hold base of IV catheter against the skin When it comes to intravenous (IV) cannulation, it is crucial to choose the right site on a patient’s body to ensure proper administration of fluids and medications. Antecubital Fossa A guide to cannulation in adults Intravenous cannulation stands as a widely practiced invasive procedure globally, involving the insertion of a slender, flexible tube containing a retractable needle into a peripheral vein (Boyd, 2022). DO NOT touch the cleaned site afterwards at any point, otherwise, the cleaning procedure will need to be repeated prior to Jul 11, 2019 · Intravenous cannulation is a technique that involves the insertion of a fine, flexible hollow tube, with an inner retractable needle, into a peripheral vein. By understanding the characteristics of each site, medical professionals can ensure safe and effective IV placement for adult patients. Insertion sites for children Objective: To estimate the total economic impact of peripheral intravenous catheter (PIVC) or cannula insertion and use in adult Australian EDs, including those cannulas that remain unused for Apr 21, 2023 · The learning curve for ultrasound-guided peripheral intravenous cannulation in adults: a multicenter study. The cephalic vein is a common choice for IV cannulation in adults. It serves as an invasive means to more accurately measure blood pressure and mean arterial pressure than non-invasive means. Bright red backflow of blood into IV cannula; The cannula flashback appears pulsatile or there is pulsatile movement of blood in IV tubing; Backflow of blood into IV tubing despite fluid bag at level higher than IV insertion site; IV inserted in a "high risk" area i. When it comes to intravenous cannulation in adults, understanding the key sites for successful venous access is crucial. When considering a potential site for IV cannulation, it is important to note that a catheter must be inserted and threaded for a short distance into the vein. Abstract: This article provides clinical guidance on performing cannulation on an adult. V. Find out the advantages and disadvantages of each site, and how to choose the best one for your needs. A proficient healthcare provider should possess the knowledge and skills to identify and utilize these sites effectively. VIP score >1; or as soon as it is no longer required. Peripheral intravenous (IV) catheters allow for the safe infusion of medications, hydration fluids, blood products, and nutritional supplements. Local infection is often caused by nonadherence to aseptic technique during IV initiation or IV maintenance or the dressing becomes contaminated or non-intact over the access site. Mastering Intravenous Cannulation: Essential Sites for Adults. 20. Peripheral IV Cover the intravenous and surrounding area with a transparent dressing ensure that insertion site and the area proximal to the site are visible for inspection purposes. To be cannulated only by an expert clinician If used, must be immobilized by a finger splint 2) Dorsal metacarpal veins Between the metacarpal bones on the back of the hand Superficial veins usually of good size and easily visualised Good site to start IV therapy for some patients site management will minimise the risks of healthcare-associated infections 5PVCs should be removed as soon as they become clinically unnecessary Indications and sites Peripheral venous cannulation is indicated for short-term use in many clinical situa-tions. The nurse should be systematic when assessing potential vessels for insertion, examining potential sites both visually and through palpation while progressing up the patient’s extremity. Remember, proper site selection and technique are essential for successful IV cannulation. gauze and vacuum collection Canterbury District Health Board Intravenous Cannulation Resource Book 2021 pg. It is attached to an IV catheter, and a tape is used to hold it to the skin. It covers the 6 main areas of IV cannulation of Insertion, Skin decontamination, Dressings, Flushing, Personal protective equipment and Sharps Safety. Adult patients requiring a peripheral intravenous cannula were prospectively included in the study population during their hospital stay. For adults, selecting the optimal site for IV cannulation is crucial for both patient comfort and successful treatment outcomes. This technique serves as a gateway for various medical interventions, including INTRAVENOUS CANNULA (PERIPHERAL) FOR ADULTS 1. 10. IV Cannulas in Pediatric Care. 1. PATIENT • Woman requiring an IVC 3. Apr 4, 2011 · Clean the site with an alcohol swab for 30 seconds and then allow to dry completely for 30 seconds: You should start cleaning from the centre of the cannulation site and work outwards to cover an area of 5cm or more. Apr 17, 2023 · Background Intravenous (IV) cannulation is a technique in which a cannula is placed inside a vein to provide venous access. 1 Chief Executive • Overall responsibility for ensuring that there are effective arrangements for the insertion, management, and removal of peripheral venous cannula throughout the cannula site, as subject to mechanical phlebitis. Make an IV tag and write the name of the pt, type of IV fluids, incorporation if any, date and time IV fluid was started. When accessing a vein, a tourniquet is to be placed proximally to the site to create engorgement in the vein. Jun 1, 2021 · Sites include the frontal, occipital, superficial temporal or posterior auricular veins. It's a common medical device used for various treatments and procedures. Oct 30, 2023 · Peripheral venous cannulation, among the most common medical procedures, has revolutionized the practice of medicine. Choose the correct IV gauge. The higher the gauge number, the smaller the cannula. In this post, we are focusing on the peripheral IV cannula sizes. e1 Full Text Cannulation in adults. Such devices may be referred to as peripheral IV (or venous) lines, cannulas, or catheters depending on the country. Here are the most common types of IV sites: Accessory cephalic vein Oct 26, 2023 · Intravenous cannulation is a widely practised invasive procedure globally, involving the insertion of a slender, flexible tube containing a retractable needle into a peripheral vein . When it comes to administering intravenous (IV) therapy, selecting the appropriate cannulation sites in adult patients is crucial for a successful outcome. Innovations in IV Cannula Technology. Let’s delve into the top sites recommended for adult IV cannulation: 1. After penetrating the vein with one short stroke, advance the needle and the cannula slowly. The Ultimate Guide to IV Cannulation Sites for Adult Patients. The aim of this study is to discover the most Nov 29, 2023 · The National Institute for Health and Care Excellence (NICE) (2017) recommends that, before insertion of a cannula, a clinical decision in relation to the site and choice of vein needs to be undertaken by the health professional performing this task, in order to reduce the risk of cannula failure and associated complications. Sep 2, 2018 · Clean the puncture site with the chloraprep wipe (in a cross-hatch formation) and allow to air dry; Apply the tourniquet and do not repalpate the cleaned skin; Placing traction on the skin below the intended puncture site, insert the cannula with the bevel up at an angle of 30 o into the puncture site; Advance the cannula and observe flashback For adults, the radial artery is the most appropriate access for percutaneous cannulation, with the brachial artery followed by the dorsalis pedis as alternative sites. 8. ) cannulation. Let’s explore the top sites for IV cannulation in adult patients: 1. Apr 6, 2022 · Look for clear skin, preferably where veins are visible and the IV cannula will fit well. Other sites (iliac crest, femur, radius, clavicle, calcaneus, and sternum) may be used if necessary. If you’re a nurse practitioner or any other healthcare professional, look at our list of the most common IV insertion sites for adults below. Importance of Proper IV Cannula Insertion. Veins that have ¼- to ½-inch sections of straight surface are usually easily accessed. Common IV Cannulation Sites in Adults. Venous access allows sampling of blood as well as administration of fluids, medications, parenteral nutrition, chemotherapy, and blood products. Feb 3, 2023 · In children, the angle of entry is less than adult cannulation and can be almost parallel to the skin. antecubital fossa Cannulation and IV therapy present risks for infection for several reasons. Oct 26, 2023 · This article provides clinical guidance on performing cannulation on an adult. For pediatric patients, use the radial, posterior tibial, and dorsalis pedis arteries. In this blog post, we will discuss the various relevant IV cannulation sites for adults, along with their advantages and considerations. Local infection: Infection at the site is indicated by purulent drainage, typically two to three days after an IV site is started. Different factors, such as the patient’s age, medical history, and the purpose of the IV therapy, must be considered when determining the most suitable site for cannulation. The emphasis was to provide a solution Apr 5, 2022 · Older people are a particularly vulnerable population and when admitted to hospital, peripheral cannulation can often be difficult, with many requiring multiple attempts for successful insertion of a PIVC that ultimately fails shortly afterwards. The antecubital fossa, located in the bend of the elbow, is a common site for IV cannulation in adults. 9% sodium chloride. IV cannula is flexible tube which when inserted into the body is used either to withdraw fluid or insert medication. Here, we delve into the various cannulation sites in adult patients and explore the factors to consider when choosing the right spot. When other sites are not feasible, the foot can be considered for pediatric IV cannulation. Peripheral Intravenous Cannulation (PIVC) Insertion, Care and Removal (Adults) Peripheral Intravenous Cannulation (PIVC) Insertion, Care and Removal (Adults) Document Apr 5, 2021 · A localised infection around the IV cannula site can be prevented by use of veins that are not small or fragile, not in extremities, not in areas that may need to be flexed and not in veins situated in sites with oedema or neurological impairment. There are also several sizes of intravenous cannulas. 19. Feb 14, 2022 · Equipment required for intravenous (IV) cannulation include the (Fig. This technique serves as a gateway for various medical interventions, including the delivery of fluids, medications, dyes, contrast agents and blood products, as Jul 25, 2023 · Peripheral line placement, also referred to as peripheral intravenous (IV) cannulation, is the insertion of an indwelling single-lumen plastic conduit across the skin into a peripheral vein. The cephalic vein, located on the forearm, is a popular site for IV cannulation due to its ease of access and visibility. PERIPHERAL INTRAVENOUS CATHETER INSERTION, MAINTENANCE, AND REMOVAL (continued) Page 4 of 15 Select the most distal site. Veins in the upper extremities (hands and arms) are typically the preferred sites for insertion. Patient Factors: Consider the patient’s hydration status, as dehydration can make veins more difficult to find. Apr 27, 2023 · A peripheral IV is a thin, flexible tube that healthcare providers use to draw blood and administer treatments, like IV fluids, medications and blood transfusions. 4) IV Cannula of appropriate size at least two cannulas each of two different sizes, tourniquet, nonsterile gloves, connective tubing. 6 . The antiseptic solution preferably 2% chlorhexidine in 70% isopropyl alcohol for skin preparation, 2 × 2 in. The most common sizes range from 14 to 22 gauge. Dressing materials (eg, tape, gauze, scissors, transparent occlusive dressing) Optional equipment includes Apr 23, 2020 · Although peripheral IV cannulation has been part of the scope of professional practice for registered nurses and appropriately trained support workers, such as healthcare assistants and assistant practitioners, for a significant period of time, its inclusion in the pre-registration nursing curricula as an essential skill is new. Open exposure Local infection: Infection at the site is indicated by purulent drainage, typically two to three days after an IV site is started. IV cannulation, or intravenous cannulation, is a medical procedure that involves inserting a thin tube, called a cannula, into a vein. Choosing the appropriate IV cannulation site depends on factors like the patient’s condition, the type of therapy needed, and the healthcare provider’s expertise. The Best Place to Insert an IV Cannula Hands Oct 18, 2023 · ‘Difficult intravenous access’ (DIVA), or ‘difficult peripheral intravenous cannulation’ (DPIVC), describes a situation wherein a practitioner is having difficulty gaining peripheral vascular access, often because the patient’s veins can not easily be seen or felt. Apr 27, 2021 · Ultrasonographically guided peripheral intravenous cannulation of children and adults: a systematic review and meta-analysis Ann Emerg Med. Inadequate pain relief is not only unpleasant for patients but may cause anxiety about further treatment and deter patients from seeking medical care in the future. The clinical procedural technique of cannulation will be explained and the article will also provide an awareness of the dangers and complic … Jul 24, 2023 · Arterial cannulation is a procedure frequently performed in acute and critical care settings. You can complete the process of starting the IV line after you’ve identified the IV site. Used for at most four days. Background. Med Ultrason. Intravenous cannulation for blood tests or treatment is a common, often painful, procedure. The skin of older adults has lost its normal tone and elasticity. Nov 17, 2017 · Background Many patients are admitted to hospital with non-visible or palpable veins, often resulting in multiple painful attempts at cannulation, anxiety and catheter failure. University Section of Anaesthesia, Pain & Critical Care Medicine Clinical Skills in Venepuncture & IV Cannulation The Veins Of The Antecubital Fossa At least 3 major veins; Cephalic Vein A continuation of the vein upward from the antero-lateral aspect of the forearm onto the antero- lateral aspect of the arm over the biceps muscle. In this article, we will delve into the various IV cannulation sites in adults, discussing their advantages, disadvantages, and specific considerations. OPTIMAL OUTCOMES • Patency of the Intravenous Cannula (IVC) • Absence of cannula related infections 2. The primary function of vein is to carry blood from body to the heart. Special Considerations for Feb 15, 2021 · Attach the bung to the cannula, which will stop any bleeding. 29 A systematic review of the prevalence of PIVC complications among 76,977 participants in 103 studies found that the most prevalent was phlebitis (inflammation Sep 20, 2024 · Axillary artery cannulation for VA ECMO via direct arterial cannulation or right axillary artery chimney graft has been described in adults since the early 2000s and is used in up to 30% of adult VA ECMO runs at some centers, generally for patients with difficult vascular access or contraindications to femoral cannulation [70,71]. Let’s delve into the essential Apr 18, 2023 · IV cannula subtypes include the peripheral IV cannula, the central IV cannula, and the draining cannulas. Canterbury District Health Board Intravenous Cannulation Resource Book 2021 pg. You will need to determine the proper IV gauge first, which will determine how big of a needle and IV catheter you’ll use. It has been particularly designed to safely perform Peripheral Intravenous Cannulation and phlebotomy for participants. Worldwide, this is the most commonly performed invasive procedure ( Boyd, 2013 ). 2) An in-dwelling device is in situ, providing portal entry for micro-organisms When securing the IV ensure there is a clear window where the cannula enters the skin so that the site can be viewed at all times. Though a simple medical procedure, you need to know the technique for safe completion. Aug 1, 2023 · Understanding the various common IV insertion sites for adults helps you when your patient has tricky veins or other conditions. The use of an intravenous cannula is not without risk, so it is essential that the healthcare practitioner can justify why the patient re … The nurse should assess the PIVC insertion site for any signs and symptoms of complications, such as pain, redness, swelling, leakage, purulence, or hardness of the surrounding area. EQUIPMENT • IVC cannula • Intra Venous (IV) starter pack • Gloves IV infusion of fluids and medications for patients in cardiac arrest. Central line IV cannula: This guidance has been developed in conjunction with the most up to date evidence-base to support safe and effective peripheral IV cannulation (PVC) practise. Thus, if a patient requires an infusion of fluid, a large-gauge IV cannula is usually placed in a large vein in the upper arm. These mainly include administra-tion of: » IV fluids; » Drugs; Sep 3, 2021 · In general, this access site is considered when other access sites for peripheral IV cannulation have been exhausted or determined to be inaccessible. Cephalic Vein. Use hypoallergenic tape. 7. Remove the cannula and clean the The Importance of Selecting the Right IV Cannulation Site. Remove the cannula and clean the Choosing the correct site, vein and cannula size The National Institute for Health and Care Excellence (NICE) (2013) recommend that before insertion of a cannula, a clinical decision in relation to the site and choice of vein needs to be undertaken by the healthcare professional undertaking this task, in order to reduce the risk of cannula IV teams should only be involved if there is a substantial risk for a failed cannulation on first attempt (see the A-DIVA scale, a clinical predictive scale to identify difficult intravenous access in adults ). Patient comfort and preference should also be taken into account. Yet it is not without risk. Oct 11, 2022 · Learn about the most common IV insertion sites for adults, neonates, infants, pediatrics, and the elderly. Tubifast is the recommended product for securing. Suitable IV access sites include lengths of veins that feel spongy and resilient to the touch. Proper site selection ensures optimal fluid administration, reduces the risk of complications, and promotes patient comfort. EQUIPMENT • IVC cannula • Intra Venous (IV) starter pack • Gloves •IV cannulation tray containing •gloves •Tourniquet •Bactoprep solution •Swab •Sterile water for injection •Syringe 10 ml • venflon appropriate size •3 way with extension •Adhesive tape •IV set with fluid if fluids to be started •IV stand The cannula/catheter should be removed when complications occur i. Nov 8, 2023 · They are smaller hand veins than the arm’s cephalic, basilic, or brachial veins. 1) A device penetrates and bypasses the protective barrier of the patient’s skin. 6-8 There are several contributing factors with older adults that makes cannulation and intravenous . Vapocoolants (cold spray) for pain treatment during intravenous cannulation. Always follow best practices and consider the individual needs of each patient. - Peripheral intravenous cannula insertion and ongoing care – excluding neonates - Intravenous (IV) therapies administration and management - Anaphylaxis (adults) - emergency management by nurses and midwives Aug 24, 2016 · Intravenous cannulation is becoming one of the most common procedures in healthcare as increasing numbers of patients are treated for acute and chronic illnesses. Jun 22, 2013 · 7. e. DO NOT touch the cleaned site afterwards at any point, otherwise, the cleaning procedure will need to be repeated prior to When it comes to administering intravenous medications or fluids to adults, choosing the right cannulation site is crucial for ensuring optimal patient care. Guide to cannulation in adults. Flush the cannula using 10mL of 0. cannula is called Intravenous (I. 9. The Art of IV Cannulation: A Guide to Choosing the Right Sites for Adults. Dorsal Hand Veins Primed IV tubing (if hooking the IV tubing up directly to the IV catheter, otherwise you can get this ready later) Finish. The VHP is a framework which address the risk factors associated with peripheral intravenous cannulation failure and minimises the damage Jun 12, 2020 · INTRODUCTION Pediatric Intravenous cannulation(IV) is complex procedure compare to adult IV cannulation. Artery cannulation gives precise measurements that allow for immediate recognition of alterations, thus allowing for quicker intervention and potential stabilization of a Mar 25, 2021 · Insertion and removal of a peripheral intravenous cannula. The clinical procedural technique of cannulation will be explained and the article will also provide an awareness of the dangers and complications of this invasive technique for both the patient and the health professional. Saline flush/syringe or IV tubing to test IV; Dressing – This can vary depending on use, insertions site and institution. [ DOI ] [ PubMed ] [ Google Scholar ] - Peripheral Intravenous Cannulation and primary care specific medication administration information package for Primary Care (2016). After a provider inserts a peripheral IV, it can remain in place for several days, which prevents the need for repeated needle sticks. Feb 15, 2021 · Don't; Absolutely do not use the same arm as an AV fistula; Don't use the same arm as a past lymph node dissection or mastectomy; Don't use a limb affected by stroke Aug 18, 2023 · 3. A total of 77 patients were divided into two groups as Dec 18, 2023 · What is an IV cannula? An IV cannula, or intravenous cannula, is a thin, flexible tube inserted into a vein to administer fluids, medications, or blood products directly into the bloodstream. Figure 5: Cannula taping technique - IV catheter, typically 18- or 20-gauge for routine infusions in adults (14- or 16-gauge for high-volume infusion) and 22- or 24-gauge in infants and small children . This brings us to the question – where is the best place to insert an IV cannula? Read on to know the answer. Common Sites for IV Cannulation. When considering the scalp veins for cannulation, the provider should locate the commonly accessed scalp veins (as above), with preference for a vein behind the hairline to avoid visible scarring Methods: After giving consent, 51 ASA I-III adult outpatients partidpated in a randomized, double-blind, placebo- controlled, parallel-group trial to receive either an EMLA | or placebo patch applied to the intravenous cannula site for 60 to 90 rain. Adherence to IV therapy safety procedures, maintaining a clear, dry dressing and frequent In adult patients, choosing the right site for cannulation is essential for successful outcomes. Potential Complications and How to Prevent Them. The needle is inserted into the flat anteromedial surface 2 cm distal to the tibial tubercle. 12. Caring for IV Cannula Sites. IV infusion of medications that may be irritating to veins when administered peripherally (eg, high-concentration fluids, chemotherapy, vasopressors, parenteral nutrition) IV infusion of high flows or large fluid volumes beyond what is possible using peripheral venous catheters Training for adult cannulation can be accessed through the UHBW intranet site: Kallidus Learn & children's cannulation can be accessed via Corporate Education . Ultrasound-guided cannulation is considered the best practice. The site, equipment selection and aseptic non-touch technique will be discussed. In neonates and infants, scalp may be considered due to its supply of superficial veins, but should be avoided when possible. The cephalic vein is one of Aug 13, 2016 · The use of an intravenous cannula is not without risk, so it is essential that the healthcare practitioner can justify why the patient requires cannulation, as well as being able to safely manage and provide ongoing care for patients with the device. Let’s dive into some of the most common and effective IV cannulation sites in adults. Because Pediatric veins are small and thin. High-flow nasal cannula oxygen therapy in adults: Physiological benefits, indication, clinical benefits, and adverse effects. Select a site proximal to any previous cannulation sites. Feb 10, 2022 · Peripheral IV cannula: They are most commonly used for patients in emergency, surgery units, and those undergoing radiation imaging. Insertion sites for children Sep 3, 2024 · Avoid veins that are sclerosed (hardened), bruised, or have previously been used for cannulation. If a patient is likely to move, an elastic or The process of inserting an I. Vapocoolant sprays or "cold sprays" are delivered onto the skin just before needle insertion to provide some pain relief. Jan 1, 2024 · An intravenous cannula can be inserted in different places on the body based on individual factors and situations. Over a period of 11 months, for consecutive eligible patients, nurses in each participating unit recorded data on their assessment of the vascular access performed and the technique used. The proximal tibia can be used in adults, but because the bone is thick, a powered device is preferred for cannulation. IV Cannulation Sites for Adults. Areas with valve presence. Ensuring Patient Comfort during IV Cannula Insertion. Antecubital Fossa. Observe for a flashback of blood into the cannula chamber, which confirms that the needle has punctured the vein. 2013; 61 444–454. Preferred veins for cannulation are straight, distal and non-branched (since venous valves are usually located close to branching points). This allows for the administration of fluids, medications, or blood products directly into the bloodstream. When it comes to IV cannulation in adults, choosing the right site is crucial for successful venous access and patient comfort. Different sized cannulas move liquid through them at different rates. Dress the area by taping the cannula and applying the transparent dressing. Femoral vein cannulation technique: Femoral vein cannulation is similar to that in adults, with the puncture point medial to the palpable femoral artery, and 1–2 cm below the inguinal ligament. Significance of IV Cannulas: Oct 1, 2016 · Background Peripheral venous cannulation is an everyday practice in hospitals, which many adults find painful. It is crucial to have a good understanding of the appropriate sites for cannulation in adults to ensure optimal patient care. 2022;24:188–95. An aseptic, non-touch technique should be used; securement is important to prevent infection and dislodgement; and a specific bundle Relevant IV Cannulation Sites for Adults Intravenous (IV) cannulation is a common medical procedure used to administer fluids, medications, or nutrients directly into the bloodstream. 4. Keep these factors in mind when determining the most appropriate intravenous cannulation sites for adult patients. STAFF • Medical staff • Midwives • Student Midwives • Nursing staff 4. Factors Influencing IV Cannula Selection. rzsrrzd rrmx qbybu okwcsk qoc pgiyty srg hston fkxqt kowe