"Flipper" Method Of Holding the Hand For Intravenous Therapy

Robert A. Mayer, MD
JAMA. 1968;204(7):636. doi:10.1001/jama.1968.03140200076036.
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To the Editor:—  For many years the author has used a "flipper" hand restraint made of adhesive tape which offers distinct advantages over the conventional ways used.Many physicians are unable to administer intravenous fluids into the hand veins because they do not obtain proper exposure of the veins. If they succeed in placing a needle in a vein they do not know how to anchor it securely. The author has found that scalp vein needles are particularly suitable for use with the flipper method (Fig 1).Depending upon the hand width, a 1 1/2- to 2-inch wide adhesive tape approximately 16 inches long is placed at the distal edge of the first metacarpophalangeal joints, and is continued along the dorsum of the fingers, avoiding the thumb. The tape is then extended about 6 inches beyond the tips of the fingers, being turned back on itself, adhesive side against adhesive


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