Real-Time Ultrasound-Guided Peripheral Vascular Access in Pediatric Patients

Highlights Abstract Background: In pediatric patients, intravenous placement success may be related to predetermined vascular access difficulty. The study purpose was to examine validity and reliability of the 6-item Pediatric Intravenous Difficulty Score. Methods: We determined if a tool that assesses pediatric intravenous difficulty was associated with clinical outcomes of peripheral attempts (criterion validity), hypotheses regarding patients’ age, race, and medical diagnosis (construct validity), and reliability of difficulty levels. Results: In 596 episodes of peripheral intravenous attempts, first-attempt success, overall success, and number of staff attempting access were associated with level of intravenous access difficulty by tool score. The tool met hypothesized construct validity criteria, and in multivariable modeling, the tool was reliable based on difficulty levels of 2 user groups. Conclusions: The 6-item Pediatric Intravenous Difficulty Score has criterion and construct validity and is reliable over time among clinicians with different levels of expertise in peripheral vascular access.

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Comparative Study of Complications in CV Catheter Insertion for Pediatric Patients: Real-time Ultrasound-guided Versus Venography-guided Approach

Yonago Acta Medica ◽

10.33160/yam.2017.12.004 ◽

2017 ◽

Vol 60 (4) ◽

pp. 234-240 ◽

Cited By ~ 1

Author(s):

Shuichi Takano ◽

Norio Shimizu ◽

Naruo Tokuyasu ◽

Teruhisa Sakamoto ◽

Soichiro Honjo ◽

...

Keyword(s):

Comparative Study ◽

Real Time ◽

Pediatric Patients ◽

Catheter Insertion ◽

Ultrasound Guided

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Real-time guidance of minimally-invasive peripheral vascular access procedures using a point of care LED-based photoacoustic and ultrasound imaging system

Advanced Biomedical and Clinical Diagnostic and Surgical Guidance Systems XVII ◽

10.1117/12.2510491 ◽

2019 ◽

Author(s):

Mithun Kuniyil Ajith Singh ◽

Naoto Sato ◽

Fumiyuki Ichihashi ◽

Yoshiyuki Sankai

Keyword(s):

Minimally Invasive ◽

Real Time ◽

Ultrasound Imaging ◽

Vascular Access ◽

Imaging System ◽

Point Of Care ◽

Peripheral Vascular

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Ultrasound-guided peripheral vascular catheterization in pediatric patients: a narrative review

Critical Care ◽

10.1186/s13054-020-03305-7 ◽

2020 ◽

Vol 24 (1) ◽

Author(s):

Yoshinobu Nakayama ◽

Jun Takeshita ◽

Yasufumi Nakajima ◽

Nobuaki Shime

Keyword(s):

Ultrasound Guidance ◽

Pediatric Patients ◽

Clinical Performance ◽

Narrative Review ◽

Peripheral Vascular ◽

Comprehensive Understanding ◽

Ultrasound Guided ◽

Operator Experience ◽

Vascular Catheterization ◽

Selection Of

Abstract Peripheral vascular catheterization (PVC) in pediatric patients is technically challenging. Ultrasound guidance has gained the most interest in perioperative and intensive care fields because it visualizes the exact location of small target vessels and is less invasive than other techniques. There have been a growing number of studies related to ultrasound guidance for PVC with or without difficult access in pediatric patients, and most findings have demonstrated its superiority to other techniques. There are various ultrasound guidance approaches, and a comprehensive understanding of the basics, operator experience, and selection of appropriate techniques is required for the successful utilization of this technique. This narrative review summarizes the literature regarding ultrasound-guided PVC principles, approaches, and pitfalls to improve its clinical performance in pediatric settings.

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