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Carol Gosselin
IV sites in wrist

AT a seminar I attended the speaker stated that IV 's should be started three fingers above the wrist on the radial side and the inner wrist due to the possibility of nerve damage. I'm looking for any references that support this statement. I need to  provide  this information for a risk assessment meeting I attended. Thanks for your help.

Carol Gosselin , CRNI

Porvidence RI

Heather Nichols
   I cannot remember the

   I cannot remember the name of the study, but there was one done on several cadavers that showed a very high percentage of radial nerve damage when the patient had a PIV within that area of the wrist.  Lynn?  Kathy?  Do you guys remember the name of that study?


Here it is: 1.    Vialle

Here it is:

1.    Vialle R, Pietin-Vialle C, Cronier P, Brillu C, Villapadierna F, Mercier P. Anatomic relations between the cephalic vein and the sensory branches of the radial nerve: How can nerve lesions during vein puncture be prevented? Anesthesia and Analgesia. 2001;93:1058-1061.

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway, M.Ed., NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

Carol Gosselin
Thanks Lynn for the

Thanks Lynn for the reference. IT was just what I needed

Carol Gosselin

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