Randomized Controlled Trial of Ultrasound-Guided Peripheral Intravenous Catheter Placement Versus Traditional Techniques in Difficult-Access Pediatric Patients

Doniger, Stephanie J.; Ishimine, Paul; Fox, J. Christian; Kanegaye, John T.

doi:10.1097/pec.0b013e31819a8946

Cited by 201 publications

(195 citation statements)

References 18 publications

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“…The researchers in the present study, however, did not observe this association, in view of the restricted number Authors cite that some of these conditions can impede success in the procedure (4)(5)7,14,(18)(19) . In the present study, however, the researchers did not identify which clinical condition was most significant, due to the high number of associations between the same for each child.…”

Section: Discussioncontrasting

confidence: 44%

“…of the children, a proportion which is found in studies undertaken in the area of pediatry in other countries (5)(6)(7) .…”

Section: Discussionmentioning

confidence: 85%

“…They point to the number of attempts at puncture, less time spent on the procedure, less redirecting of the catheter, and to patient satisfaction (5,7,9,13) . The present study did not …”

Section: Discussionmentioning

confidence: 99%

“…Studies undertaken with children have shown failure rates for the procedure varying from 9 to 36% (4)(5)(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

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Predisposing factors for peripheral intravenous puncture failure in children

Negri

Avelar

Andreoni

et al. 2012

Rev. Latino-Am. Enfermagem

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Objective: To identify predisposing factors for peripheral intravenous puncture failure in children.Methods: Cross-sectional cohort study conducted with 335 children in a pediatric ward of a university hospital after approval of the ethics committee. The Wald Chi-squared, Prevalence Fatores predisponentes para insucesso da punção intravenosa periférica em criançasObjetivo: verificar fatores predisponentes para o insucesso da punção intravenosa periférica realizada em crianças. Método: trata-se de estudo de coorte transversal, realizado com 335 crianças internadas em unidade pediátrica de um hospital universitário, após aprovação do mérito ético. Utilizaram-se testes qui-quadrado de Wald, razão de prevalência (RP) e procedimento de backward (p≤0,05). Resultados: evidenciou-se sucesso da punção em 300 (89,5%) crianças e insucesso em 35 (10,4%). Influenciaram significantemente as proporções de fracasso: apresentar história clínica para dificuldade na punção, estar desnutrido, uso prévio de cateter central de inserção periférica, uso prévio de cateter venoso central e antecedentes de flebite e de infiltração. No modelo multivariado, estar desnutrido e ter sido submetido previamente a cateterização venosa central foram os fatores predisponentes para o insucesso.Conclusões: a proporção de 10,4% de insucesso na punção é similar à identificada em estudos sobre a temática e foi influenciada por características da criança e da terapia. Em associação, as variáveis desnutrição e uso prévio de cateter venoso central foram as características mais importantes para o aumento da proporção de insucesso da punção intravenosa periférica.Este estudo traz novas evidências sobre os fatores de risco que contribuem para o insucesso na punção intravenosa periférica de crianças, constituindo aspecto a ser considerado no planejamento e execução da prática assistencial de enfermagem pediátrica, com vistas à obtenção de melhores resultados na punção intravenosa periférica e promoção da segurança do paciente.Descritores: Enfermagem Pediátrica; Cateterismo Periférico; Segurança do Paciente; Pediatria. Factores predisponentes para fracaso de la punción intravenosa periférica en niñosObjetivo: Verificar factores predisponentes para el fracaso de la punción intravenosa periférica realizada en niños. Método: Estudio de cohorte transversal realizado con 335 niños internados en unidad pediátrica de un hospital universitario, después de la aprobación del mérito ético.Se utilizaron testes Jue-cuadrado de Wald, Razón de Superioridad (RP) y procedimiento de backward (p≤0,05). Resultados: se evidenció éxito de la punción en 300 (89,5%) niños e fracaso en 35 (10,4%). Influenciaron significantemente las proporciones de fracaso: presentar historia clínica para dificultad en la punción, estar desnutrido, uso previo de catéter central de inserción periférica, uso previo de catéter venoso central y antecedentes de flebitis y de infiltración.En el modelo multivariado, estar desnutrido y haber sido sometido antepasadamente a cateterización venosa central fuero...

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Section: Discussioncontrasting

confidence: 44%

“…of the children, a proportion which is found in studies undertaken in the area of pediatry in other countries (5)(6)(7) .…”

Section: Discussionmentioning

confidence: 85%

“…They point to the number of attempts at puncture, less time spent on the procedure, less redirecting of the catheter, and to patient satisfaction (5,7,9,13) . The present study did not …”

Section: Discussionmentioning

confidence: 99%

“…Studies undertaken with children have shown failure rates for the procedure varying from 9 to 36% (4)(5)(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

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Predisposing factors for peripheral intravenous puncture failure in children

Negri

Avelar

Andreoni

et al. 2012

Rev. Latino-Am. Enfermagem

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“…The use of a gel ''stand off device'' may be helpful in such situations. Deep veins can be effectively visualised and cannulated with ultrasound guidance [56].…”

Section: Integration In Clinical Practicementioning

confidence: 99%

International evidence-based recommendations on ultrasound-guided vascular access

Lamperti¹,

et al. 2012

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Point-of-Care Ultrasound in Pediatric Clinical Care

McLario

Sivitz

2015

JAMA Pediatr

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Lower respiratory tract infections (LRTIs) are the leading cause of deaths in children < 5 years old worldwide, particularly affecting low-resource settings such as Aweil, South Sudan. In these settings, diagnosis can be difficult because of either lack of access to radiography or clinical algorithms that overtreat children with antibiotics who only have viral LRTIs. Point-of-care ultrasound (POCUS) has been applied to LRTIs, but not by nonphysician clinicians, and with limited data from low-resource settings. Our goal was to examine the feasibility of training the mid-level provider cadre clinical officers (COs) in a Médecins Sans Frontières project in South Sudan to perform a POCUS algorithm to differentiate among causes of LRTI. Six COs underwent POCUS training, and each subsequently performed 60 lung POCUS studies on hospitalized pediatric patients < 5 years old with criteria for pneumonia. Two blinded experts, with a tiebreaker expert adjudicating discordant results, served as a reference standard to calculate test performance characteristics, assessed image quality and CO interpretation. The COs performed 360 studies. Reviewers rated 99.1% of the images acceptable and 86.0% CO interpretations appropriate. The inter-rater agreement (κ) between COs and experts for lung consolidation with air bronchograms was 0.73 (0.63-0.82) and for viral LRTI/bronchiolitis was 0.81 (0.74-0.87). It is feasible to train COs in South Sudan to use a POCUS algorithm to diagnose pneumonia and other pulmonary diseases in children < 5 years old.

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Randomized Controlled Trial of Ultrasound-Guided Peripheral Intravenous Catheter Placement Versus Traditional Techniques in Difficult-Access Pediatric Patients

Abstract: In a sample of pediatric ED patients with difficult access, ultrasound-guided intravenous cannulation required less overall time, fewer attempts, and fewer needle redirections than traditional approaches.

Cited by 201 publications

References 18 publications

Predisposing factors for peripheral intravenous puncture failure in children

Predisposing factors for peripheral intravenous puncture failure in children

International evidence-based recommendations on ultrasound-guided vascular access

Point-of-Care Ultrasound in Pediatric Clinical Care

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