Join this channel and become an insider member. Subscribe for free to see our next release. Click the bell 🔔 to be notified about our new content. #shorts IV insertion GONE WRONG 💀 Perforation & Hematoma 💉 Intravenous (IV) therapy is a standard medical procedure to administer fluids, medications, and nutrients directly into a patient's bloodstream. Although generally safe, complications can arise during IV insertion. One such complication occurs when the needle perforates the vein, leading to the formation of a hematoma. Understanding this incident is crucial for healthcare professionals and patients as it helps manage and prevent further complications. What Happens When a Vein is Perforated? During IV insertion, a needle punctures the skin and enters a vein. Ideally, the needle enters the vein without causing significant damage, allowing for the smooth flow of blood into the catheter. However, if the needle accidentally perforates (punctures through) the vein, several issues can occur: 1. No Blood Return in the Needle: - Typically, once the needle is correctly placed within the vein, blood will return to the needle hub or catheter, indicating successful venous access. However, blood may not return as expected if the needle perforates the vein. This lack of blood return can be misleading, suggesting that the needle is not in the vein when, in fact, it has passed through the vein entirely. 2. Formation of a Hematoma: - A hematoma is a collection of blood outside the blood vessels, usually resulting from a vessel injury. When the vein is perforated, blood may leak into the surrounding tissue rather than flow into the catheter. This leakage causes swelling, discoloration (bruising), and pain at the insertion site—a condition known as a hematoma. - The hematoma may appear as a raised, firm, and often painful area around the needle's insertion