Peripheral intravenous access in pediatric inpatients

Clin Pediatr (Phila). 2012 May;51(5):468-72. doi: 10.1177/0009922811435164. Epub 2012 Jan 20.

Abstract

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.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Age Factors
  • Catheterization, Peripheral* / statistics & numerical data
  • Child
  • Child, Preschool
  • Female
  • Hospitalization
  • Hospitals, Pediatric
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Outcome Assessment, Health Care
  • Prospective Studies
  • Time Factors