BACKGROUND: Peripheral intravenous (PIV) line placement is a time-consuming procedure performed on the majority of general pediatric inpatients, with significant discomfort to patients. OBJECTIVE: To determine parameters of pediatric PIV placement, including success rates, time to success, and factors associated with success. DESIGN: Prospective study involving direct observation of PIV placement by trained research staff. SETTING: General inpatient wards at 2 medium-sized pediatric hospitals. PATIENTS: Hospitalized children younger than 19 years. RESULTS: Successful placement was achieved in 95.8% (567/592) cases with a median time of 9 minutes. Children younger than 2 years were less likely to have success on the first attempt (38.9% vs 53.5%) and have longer time to success (11 minutes). CONCLUSIONS: Children younger than 2 years experienced lower first-attempt successful PIV placement and took longer. The overall success rate was similar to prior reports; these data are the first to show differential PIV success by patient age.
BACKGROUND: Peripheral intravenous (PIV) line placement is a time-consuming procedure performed on the majority of general pediatric inpatients, with significant discomfort to patients. OBJECTIVE: To determine parameters of pediatric PIV placement, including success rates, time to success, and factors associated with success. DESIGN: Prospective study involving direct observation of PIV placement by trained research staff. SETTING: General inpatient wards at 2 medium-sized pediatric hospitals. PATIENTS: Hospitalized children younger than 19 years. RESULTS: Successful placement was achieved in 95.8% (567/592) cases with a median time of 9 minutes. Children younger than 2 years were less likely to have success on the first attempt (38.9% vs 53.5%) and have longer time to success (11 minutes). CONCLUSIONS:Children younger than 2 years experienced lower first-attempt successful PIV placement and took longer. The overall success rate was similar to prior reports; these data are the first to show differential PIV success by patient age.
Authors: Mohammed Hakim; Shabana Zainab Shafy; Joshua C Uffman; Julie Rice; Vidya T Raman; Joseph D Tobias; Ralph J Beltran Journal: Pediatric Health Med Ther Date: 2020-08-11
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