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The difficult IV placement happens to everyone, but when performed by an experienced practitioner, it can appear to be deceptively easy. In fact, it is a very highly technical skill that requires a lot of knowledge, actually, as well as considerable practice. Now, the ability to obtain intravenous access through cannulation of a peripheral vein is an essential skill in medicine and in anesthesiology in particular. In fact, a peripheral IV access must be had for administration of anesthesia. Peripheral IV allows you to access the circulation, allows you to sample blood, infused fluids and IV medications. There are several different methods how you can facilitate an IV placement in difficult patients, such as illumination or ultrasound, however today I will teach you one technique that is very little known and it is sufficient for peripheral vein cannulation and much faster than ultrasound in most instances. On the start of your operating day in the morning,