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Updated: May 25, 2026
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Peripheral intravenous access in pediatric inpatients
J Routt Reigart1, Katie H Chamberlain, David Eldridge
1Medical University of South Carolina, Charleston, SC, USA.
Clinical Pediatrics
|January 24, 2012
Summary
Pediatric peripheral intravenous (PIV) line placement has a high overall success rate. However, children under 2 years old are less likely to achieve first-attempt PIV success and require more time.
Area of Science:
- Pediatric emergency medicine
- Vascular access procedures
Background:
- Peripheral intravenous (PIV) line placement is a common yet uncomfortable procedure for pediatric inpatients.
- Optimizing PIV placement is crucial for efficient patient care and reducing patient distress.
Purpose of the Study:
- To evaluate key parameters of pediatric PIV placement.
- To determine success rates, time to successful PIV insertion, and associated factors in children.
Main Methods:
- Prospective observational study design.
- Direct observation of PIV placement by trained research personnel.
- Study conducted in general inpatient wards at two pediatric hospitals.
Main Results:
- An overall PIV placement success rate of 95.8% was achieved.
- Median time to successful PIV placement was 9 minutes.
- Children younger than 2 years had lower first-attempt success rates (38.9%) and longer median time to success (11 minutes) compared to older children.
Conclusions:
- Younger children (<2 years) face greater challenges with first-attempt PIV success and require more time for placement.
- While overall PIV success rates are comparable to previous studies, this research highlights age-related differences in PIV placement outcomes.
- These findings provide novel insights into age-specific factors influencing pediatric PIV success.
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