Pediatric Peripheral Intravenous Access

Larsen, Pamela; Eldridge, David L.; Brinkley, Jason; Newton, Dale A.; Goff, David A.; Hartzog, Timothy H.; Saad, Nancy Darden; Perkin, Ronald M.

doi:10.1097/nan.0b013e3181e3a0a8

Cited by 87 publications

(49 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Vascular access is a vital component of pediatric emergency medicine, and peripheral access in children in general is more difficult than in adults [2, 10, 14]. Certain situations such as cardiac arrest and shock may render peripheral access impossible due to peripheral vasoconstriction.…”

Section: Introductionmentioning

confidence: 99%

Comparison of four different intraosseous access devices during simulated pediatric resuscitation. A randomized crossover manikin trial

Bielski¹,

Szarpak

Smereka

et al. 2017

Eur J Pediatr

View full text Add to dashboard Cite

The aim of the study was to compare the success rate, procedure time, and user satisfaction of pediatric NIO™ compared to Pediatric BIG®, EZ-IO®, and Jamshidi intraosseous access devices. This was a randomized, crossover manikin trial with 87 paramedics. The correct location of intraosseous access when using NIO, BIG, EZ-IO, and Jamshidi was varied and was respectively 100, 90, 90, and 90%. The time required to obtain intravascular access (time T1) in the case of NIO, BIG, EZ-IO, and Jamshidi was varied and amounted to 9 s [IQR, 8–12] for NIO, 12 s [IQR, 9–16] for BIG, 13.5 s [IQR, 11–17] for the EZ-IO, and 15 s [IQR, 13–19] for Jamshidi. The paramedics evaluated each device on the subjective ease with which they performed the procedures. The intraosseous device, which proved the easiest to use was NIO, which in the case of CPR received a median rating of 1.5 (IQR, 0.5–1.5) points. Conclusion: Our study found that NIO® is superior to BIG®, EZ-IO®, and Jamshidi. NIO® achieved the highest first attempt success rate. NIO® also required the least time to insert and easiest to operate even by novice users. Further study is needed to test our findings in cadavers or human subjects. Based on our findings, NIO® is a promising intraosseous device for use in pediatric resuscitation. What is Known: • Venous access in acutely ill pediatric patients, such as those undergoing cardiopulmonary resuscitation, is needed for prompt administration of drugs and fluids.• Intraosseous access is recommended by American Heart Association and European Resuscitation council if vascular access is not readily obtainable to prevent delay in treatment. What is New: • This simulated pediatric resuscitation compared performance of four commercially available pediatric intraosseous devices in a manikin model.• NIO® outperformed BIG®, EZ-IO®, and Jamshidi in first attempt success rates and time of procedure among novice users.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparison of four different intraosseous access devices during simulated pediatric resuscitation. A randomized crossover manikin trial

Bielski¹,

Szarpak

Smereka

et al. 2017

Eur J Pediatr

View full text Add to dashboard Cite

show abstract

“…It is well documented that excessive venipunctures are a significant challenge in today's healthcare institutions [9]. Especially in infants and children, recurrent attempts to insert a needle to gain access to a vein elicit anxiety, pain, and distress [10, 11] and elevate the risk of damaging the veins causing infiltration of the surrounding area and the subsequent possibility of a catheter-related, hospital-acquired bloodstream infection [15–17]. …”

Section: Resultsmentioning

confidence: 99%

“…Although peripheral veins are often accessed with only one needle insertion, in a substantial number of patients it is necessary to practice between 2 and 11 attempts to gain access to a vein [10]. The main causes for the need of multiple attempts are insufficient venipuncture skills, inadequate care and maintenance [11, 12], or a medical condition termed peripheral difficult intravenous access (DIVA) [13–18]. …”

Section: Introductionmentioning

confidence: 99%

Towards a Low-Cost Mobile Subcutaneous Vein Detection Solution Using Near-Infrared Spectroscopy

Juric

Flis

Debevc

et al. 2014

The Scientific World Journal

View full text Add to dashboard Cite

Excessive venipunctures are both time- and resource-consuming events, which cause anxiety, pain, and distress in patients, or can lead to severe harmful injuries. We propose a low-cost mobile health solution for subcutaneous vein detection using near-infrared spectroscopy, along with an assessment of the current state of the art in this field. The first objective of this study was to get a deeper overview of the research topic, through the initial team discussions and a detailed literature review (using both academic and grey literature). The second objective, that is, identifying the commercial systems employing near-infrared spectroscopy, was conducted using the PubMed database. The goal of the third objective was to identify and evaluate (using the IEEE Xplore database) the research efforts in the field of low-cost near-infrared imaging in general, as a basis for the conceptual model of the upcoming prototype. Although the reviewed commercial devices have demonstrated usefulness and value for peripheral veins visualization, other evaluated clinical outcomes are less conclusive. Previous studies regarding low-cost near-infrared systems demonstrated the general feasibility of developing cost-effective vein detection systems; however, their limitations are restricting their applicability to clinical practice. Finally, based on the current findings, we outline the future research direction.

show abstract

“…Pediatric peripheral venipuncture (PPV) and pediatric peripheral intravenous cannulation (PPIVC) are difficult even for skilled practitioners 1,2. The average success rate for PPIVC was only 592/1135 (52%) even for two large institutions in the United States,1 although the success rate correlates with the competence or experience of the inserter up to a point.…”

Section: Introductionmentioning

confidence: 99%

Effects of a transmitted light device for pediatric peripheral venipuncture and intravenous cannulation

Yamazaki¹,

Tomita²,

Watanabe³

et al. 2011

MDER

View full text Add to dashboard Cite

Pediatric peripheral venipuncture and intravenous cannulation are difficult. However, successful venipuncture and intravenous cannulation are absolutely required for pediatric clinical risk management. This study assessed the success rate of venipuncture and intravenous cannulation when transmitted light was applied to the pediatric dorsum manus. The subjects included 100 young children who were scheduled for dental treatment or oral surgery under general anesthesia. Anesthesia was induced, and insertion of an intravenous catheter into the dorsum manus was attempted with or without using transmitted light. The patients were evaluated to determine whether the venipuncture was successful, and whether the intravenous cannulation of the external catheter was successful. The success rate of venipuncture was 100% when transmitted light was used, and 83% when the transmitted light was not used (P = 0.000016). In addition, the success rate of intravenous cannulation was 88% when transmitted light was used, and 55% when the transmitted light was not used (P = 0.0000002). The shape of the vein in the dorsum manus can be clearly recognized when transmitted light is used. The use of light significantly increased the success rate of intravenous cannulation, because it allowed direct confirmation of the direction to push the intravenous catheter forward. The use of transmitted light allows for more successful venipuncture and intravenous cannulation in young children.

show abstract

Pediatric Peripheral Intravenous Access

Cited by 87 publications

References 8 publications

Comparison of four different intraosseous access devices during simulated pediatric resuscitation. A randomized crossover manikin trial

Comparison of four different intraosseous access devices during simulated pediatric resuscitation. A randomized crossover manikin trial

Towards a Low-Cost Mobile Subcutaneous Vein Detection Solution Using Near-Infrared Spectroscopy

Effects of a transmitted light device for pediatric peripheral venipuncture and intravenous cannulation

Contact Info

Product

Resources

About