INTRAVENOUS CANNULATION
INTRAVENOUS CANNULATION
- The IV cannula is a technique in which a cannula is placed inside a vein to provide venous access.
- It has-
a) Venous cannula- is inserted into a vein.
b) Arterial cannula- is inserted into a artery. Radial artery is the MC site.
- Used during major operations and in measuring blood pressure.
Indications–
- IV fluid administration
- IV medication administration
- IV chemotherapy
- IV nutritional support
- Blood sampling
- IV blood or blood products administration
Common sites of Cannulization–
a) Veins of the forearm-
- Cephalic vein
- Basilic vein
- Median vein
- Median cubital vein
b) Veins of the hands-
- Digital dorsal veins
- Dorsal metacarpal veins
- Cephalic veins
- Basilic veins
Types of Intravenous Cannula-
|
Color code |
Gauge |
Flow rate |
Indication |
| Orange | 14 | 240 ml/min | Trauma & surgical procedure, needle cricothyroidotomy in adults |
| Grey | 16 | 180 ml/min | Trauma & surgical procedure, GI bleeds, multiple blood transfer |
| Green | 18 | 90 ml/min | Trauma, quick blood transfusion, contrast study, major surgery |
| Pink | 20 | 60 ml/min | IV fluid, blood transfusion, antibiotic or analgesic infusion |
| Blue | 22 | 36 ml/min | Children/ older adults, cytotoxic therapy |
| Yellow | 24 | 20 ml/min | Neonates, children, elderly |
| Violet | 26 | 13 ml/min | Neonates |


Complications-
- Local-
- Cellulitis
- Phlebitis
- Thrombosis
- Infiltration
2. Systemic
- Embolism
- Hematoma
- Allergic infection
Exam Important
Types of Intravenous Cannula-
|
Color code |
Gauge |
Flow rate |
Indication |
| Orange | 14 | 240 ml/min | Trauma & surgical procedure |
| Grey | 16 | 180 ml/min | Trauma & surgical procedure |
| Green | 18 | 90 ml/min | Trauma, quick blood transfusion |
| Pink | 20 | 60 ml/min | IV fluid, blood transfusion |
| Blue | 22 | 36 ml/min | Children/ older adults |
| Yellow | 24 | 20 ml/min | Neonates, children, elderly |
| Violet | 26 | 13 ml/min | Neonates |


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