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 Ratio (PR) and backward procedure (p≤0.05) tests were applied. RESULTS Success of peripheral intravenous punct...

Vascular access is an important procedure for clinicians to master. Chronic medical conditions, intravenous drug use, and obesity can all make placements of vascular catheters in central and peripheral veins challenging and time-consuming. External landmarks have traditionally guided the placement of the needle for the performance of central venous catheterization. The proximity of such structu...

background: by increasing the survival of immature newborns, intravenous access methods, used to provide intravenous therapy, became more important. more attention has been recently paid on peripherally inserted central venous catheters in newborns, although it is yet unknown in iran. in this study, we tried to discover the barriers to spread the usage of peripherally inserted central venous ca...

STUDY OBJECTIVE We seek to compare ultrasonographically guided peripheral intravenous access to a non-ultrasonographically guided method in a randomized trial of emergency department patients with difficult intravenous access. METHODS A prospective cohort of patients with difficult intravenous access was established. Patients were randomized to 2 groups: (1) intravenous access obtained throug...

To the Editor:—I read the letter by Dr. Stone with keen interest. I have three concerns about the technique the author describes. First, the author defines two attempts as a criterion for labeling difficult venous access, which may not be true. This is subjective, because the procedure may be performed by junior staff or there may be a bias effect because the operator knows that if two attempts...

Intravenous (IV) access is a common and essential emergency department procedure, which may be challenging in certain patients. Populations notorious for difficult IV access include injection drug users, diabetics, obese patients, or those in hypoperfusion states. Central venous catheter placement becomes the default solution when attempts at peripheral access prove unsuccessful. Yet, many pati...

BACKGROUND Current European Guideline for resuscitation recommends a centrally positioned umbilical venous catheter as the best option for administering necessary drugs. Especially in preterm infants, a frequently used alternative is the peripheral venous catheter. METHODS Two randomized controlled studies were conducted at the Division of Neonatology, Medical University of Graz. During neona...