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the best way is to try to find the patella go to fingerbreadths which is approximately three centimeters but the patella and two centimeters medial so typically in most adults the blue 25 millimeter needle will be the right needle of choice but you have to account for soft tissue depth may you might have to step up to the yellow or 45 millimeter needle so choose the right needle for the right patient after prepping the skin which Ive already done in this case you want to apply the needle to the driver its a magnet that holds the needle in place you want to stabilize the hub while you remove the cap you want to insert the needle through the skin until you hit bone and you want to make sure you see the 5 millimeter black mark to ensure that you have enough needle to get through the cortex gently advance the needle until youre essentially flush with the skin you want to make sure you feel that drop or loss of resistance and then advance another 1 or 2 centimeters and most adults youre
