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Basic Sciences

Tutorial 579

Vascular access management: handling adult patients with a difficult intravenous access (part 2)

Dr Fredericus H.J. van Loon1†, Gertie Filippini2

1Senior Researcher, Fontys University of Applied Sciences, The Netherlands, and nurse anesthetist, Catharina Hospital, The Netherlands
2Consultant Anesthesiologist, Bernhoven Hospital, The Netherlands

Edited by: Gregory Klar, associate professor, Anesthesiology and Perioperative Medicine, Queen’s University, Canada

†Corresponding author email: rick.vanloon@fontys.nl

Published 8 September 2026    DOI: 10.28923/atotw.579

Published September 8, 2026

Abstract

This tutorial addresses the challenges of difficult intravenous access (DIVA) and presents strategies to improve first-attempt success in peripheral intravenous cannulation.