Vascular Access in Pediatric Patients in the Emergency Department: Types of Access, Indications, and Complications

Pediatr Emerg Med Pract. 2017 Jun;14(6):1-20.

Abstract

Vascular access is a potentially life-saving procedure that is a mainstay of emergency medicine practice. There are a number of challenges associated with obtaining and maintaining vascular access, and the choice of the route of access and equipment used will depend on patient- and provider-specific factors. In this issue, the indications and complications of peripheral intravenous access, intraosseous access, and central venous access are reviewed. Timely and effective assessment and management of difficult-access patients, pain control techniques that can assist vascular access, and contraindications to each type of vascular access are also discussed.

Publication types

  • Review

MeSH terms

  • Anesthetics, Local / therapeutic use
  • Arteriovenous Shunt, Surgical
  • Catheterization, Central Venous / instrumentation
  • Catheterization, Central Venous / methods*
  • Catheterization, Peripheral / instrumentation
  • Catheterization, Peripheral / methods*
  • Central Venous Catheters
  • Child
  • Child, Preschool
  • Emergency Service, Hospital
  • Humans
  • Infant
  • Infant, Newborn
  • Infusions, Intraosseous / instrumentation
  • Infusions, Intraosseous / methods*
  • Infusions, Intravenous / instrumentation
  • Infusions, Intravenous / methods
  • Pain Management
  • Pediatric Emergency Medicine*
  • Surgery, Computer-Assisted
  • Ultrasonography
  • Vascular Access Devices*
  • Venous Cutdown / instrumentation
  • Venous Cutdown / methods*

Substances

  • Anesthetics, Local