Intensive Care Medicine (ICM) Practice Exam

What is the most suitable location for inserting a cannula for an infusion?

1. Wrist

2. Forearm

3. Elbow

4. Arm

The correct answer is: Forearm

The most suitable location for inserting a cannula for an infusion is the forearm. This site is preferred for several reasons. Firstly, the forearm provides a relatively straight and accessible vein compared to the wrist, which has smaller and more superficial veins that can be harder to puncture, and where there is a higher risk of complications such as arterial puncture. Using the forearm also allows for better stability of the cannula, as the movement at this site is limited, which reduces the risk of dislodgement during patient movement or therapy. Secondly, the veins in the forearm tend to be larger and more suitable for infusions, which is crucial when administering fluids or medications that require a larger volume. This site is generally easier to care for and monitor than those of the elbow or wrist, making it advantageous in an intensive care setting where constant observation is essential. Lastly, though the arm can be a suitable site too, it is often less preferred than the forearm due to the greater likelihood of discomfort for the patient and smaller vein sizes in certain individuals. The elbow, while accessible, can often present challenges due to joint movement and the potential for compression related to positioning or patient movement, making the forearm the optimal choice for safe and