What is your approach to difficult IV access?

How do you guys manage difficult IV access intraop (say for your super morbid obese vasculopaths)? Any cool methods or tips/tricks that I am missing? 1) Peripheral IV in any extremity -Blind saphenous if peds -IO if emergency 2) US for obvious superficial targets in the extremities 3) US guided IV into deep vessel (basilic or brachial) 4) EJ 5) Central line
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums