Related Experiment Video
Updated: Jul 18, 2026
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
A systematic review: effectiveness of pediatric peripheral intravenous catheterization strategies
Shannon I A Parker1, Karen M Benzies2, K Alix Hayden3
1Clinical Simulation and Learning, Faculty of Nursing, University of Calgary, Alberta, Canada.
Insights
This study found no interventions improved first attempt success for peripheral intravenous catheterization in children. More research is needed on clinician skill to enhance pediatric vascular access.
Area of Science:
- Pediatric emergency medicine
- Vascular access techniques
- Evidence-based practice in healthcare
Background:
- Unsuccessful peripheral intravenous catheterization (PIVC) in children leads to increased pain and delayed treatments.
- Current evidence on effective interventions to improve first attempt PIVC success in pediatric populations is limited.
Purpose of the Study:
- To identify interventions that improve the success rate of first attempt peripheral intravenous catheterization in pediatric patients.
- To evaluate interventions for children requiring vascular access in inpatient and emergency department settings.
Main Methods:
- A systematic review of randomized controlled trials (RCTs) was conducted following Cochrane Handbook guidelines.
- Searched 10 databases (MEDLINE, EMBASE, CINAHL, etc.) without date restrictions; references were also reviewed.
- Data extraction and risk of bias assessment were performed using standardized tools; narrative synthesis was used for results.
Main Results:
- Fourteen RCTs (including 4 cluster RCTs) with 4539 pediatric participants (15 days to 16 years) met inclusion criteria.
- Four cluster RCTs were excluded from meta-analysis due to unclear reporting.
- No tested interventions demonstrated a significant increase in first attempt PIVC success compared to standard care.
Conclusions:
- Insufficient evidence supports the use of ultrasound, infrared light, or transillumination for improving PIVC first attempt success.
- Interventions aimed at reducing pediatric pain did not improve PIVC first attempt success rates.
- Further research is needed on clinician proficiency and persistence differences in pediatric PIVC procedures.
Aim:
The aim of this study was to identify interventions associated with peripheral intravenous catheterization first attempt success in pediatric inpatients and emergency department patients who require vascular access for therapeutic interventions.
Background:
Unsuccessful peripheral intravenous catheterization puts children at risk for increased pain and treatment delays. Effective interventions to increase peripheral intravenous catheterization first attempt success are unclear.
Design:
Systematic review of randomized controlled trials according to the Cochrane Handbook for the Systematic Review of Interventions.
Data Sources:
Through November and December 2014, we searched 10 databases including MEDLINE (OVID), EMBASE (OVID) and CINAHL (EBSCO) without date limits. The references of articles were also reviewed. We included full text reports of randomized controlled trials testing intervention first attempt success rates vs. standard of care.
Review Methods:
According to inclusion and exclusion criteria set a priori, data were extracted using a standardized tool. We assessed for risk of bias with the Cochrane Collaboration Risk of Bias Tool. Due to unclear reporting narrative synthesis was used to report results.
Results:
Four cluster randomized control trials and ten randomized control trials involving 4539 participants ranging from 15·6 days to 16 years of age met our inclusion criteria. We excluded the four cluster trials from meta-analysis due to unclear reporting. Interventions did not increase first attempt success rate compared with standard of care.
Conclusions:
There was insufficient evidence to support the use of ultrasound, infrared light or transillumination. Interventions to reduce children's pain did not decrease first attempt success. Research examining between-clinician proficiency and persistence differences is absent.
More Related Videos
09:57A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
Related Concept Videos
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:26Cardiac Catheterization IV: Nursing Management
01:29Venous Thrombosis III: Interprofessional Care