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<h2><strong>Title:</strong> <a href="https://umem.org/educational_pearls/4675/">Ultrasound Guided IVs in Pediatric Patients</a></h2>
<p><strong>Category:</strong> <a href="https://umem.org/educational_pearls/?category=36">Ultrasound</a></p>
<p><strong>Keywords:</strong> POCUS, vascular access, pediatrics <a href="http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&term=POCUS+vascular+access+pediatrics+%22last+5+years%22[dp]&db=pubmed&pubmedfilters=true" target="_blank">(PubMed Search)<i class="icon-share" title="Opens in new window"></i></a> </p>
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<strong>Posted:</strong> 12/16/2024 by <a href="https://umem.org/educational_pearls/?author=1403">Alexis Salerno, MD</a>
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<a href="https://umem.org/profiles/faculty/1403/">Click here to contact Alexis Salerno, MD</a>
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<p>In adult patients, ultrasound-guided long catheter IVs for difficult venous access have been shown to provide increased duration of use, reduced complication rates, and greater cost-effectiveness. </p>
<p>However, there are relatively few studies examining the use of ultrasound for IV access in pediatric patients. </p>
<p>A recent study, the DIAPEDUS study, investigated the success rate of peripheral IV access with and without ultrasound assistance in pediatric patients with difficult venous access. </p>
<p>The study included 110 pediatric patients. IVs were placed by 25 nurses and 6 pediatricians, each of whom had completed departmental training involving at least 20 ultrasound-guided IV placements prior to the study. </p>
<p>The results showed a significantly higher success rate on the first attempt with ultrasound-guided techniques (90% vs. 18%), along with reduced procedural time and fewer attempts overall. </p>
<p><strong>Bottom Line:</strong> For patients with known difficult venous access, ultrasound-guided IV placement should be the first-line approach.</p>
<h3>References</h3>
<p>D'Alessandro M, Ricci M, Bellini T, Chianucci B, Calevo MG, Piccotti E, Moscatelli A. Difficult Intravascular Access in Pediatric Emergency Department: The Ultrasound-Assisted Strategy (DIAPEDUS Study). J Intensive Care Med. 2024 Mar;39(3):217-221. doi: 10.1177/08850666231199050</p>
<p>Bahl A, Johnson S, Hijazi M, Mielke N, Chen NW. Cost effectiveness of ultrasound-guided long peripheral catheters in difficult vascular access patients. J Vasc Access. 2024 Jul;25(4):1204-1211. doi: 10.1177/11297298231154297.</p>
<h3>View this pearl on the University of Maryland, Department of Emergency Medicine's website: <a href="https://umem.org/educational_pearls/4675/">https://umem.org/educational_pearls/4675/</a></h3>
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