Today our topic of discussion is Procedure of Intravenous Cutdown.
Procedure of Intravenous Cutdown
Procedure
- Ensure that the physician has explained the procedure to the career and to gain consent and cooperation
- Position the patient
- Open the cutdown set and drop the inner pack into the trolley.
- Physician scrubs his hands thoroughly up to the elbows for a full 3 minutes
- Dries his hands and grim on the sterile hand towel provided
- Don a sterile gown and the appropriate sized gloves
- Opens the dressing packs.
- Pour betadine and spirit directly from the bottle into the gallipots Under local anesthesia and with aseptic precautions, the skin is incised and the vein is exposed
- The aneurysm needle is passed under it
- The loop of the threat is cut down two strands and is formed under vein
- Tie the vein to prevent the blood flow
- The vein is then cut partially between the two ligatures
- The cannula is passed into the proximal ligature that is tied the cannula in place
- Wound is closed with interrupted sutures
- Leave it on a comfortable position.

After Care
- After the procedure, the nurse should see that it is secured carefully by using the arm board, bandages, adhesive plaster, etc.
- The movement of the patient should not dislodge the IV cannula.
- The cutdown site is inspected frequently to detect infiltration of fluid and dislodgement of the cannula
- The illusion site should be cleaned and dressed after a 8 week sutures are removed.
Complication
- Infiltration
- Infusion phlebitis
- Thrombosis
- Pyrogenic reaction
- Air embolism
- Circulatory overload
- Shock.
Read more: