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Time-related factors for peripheral intravenous catheterization of critical children

Claudia Maria de Freitas Floriano1, Ariane Ferreira Machado Avelar1, Maria Angélica Sorgini Peterlini1

  • 1Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil.

Revista Brasileira De Enfermagem
|December 19, 2019
PubMed

Insights

Pediatric critical care puncture success takes longer than ideal, influenced by hypothermia and vein condition. Vialon® 22G catheters offer faster success in critical pediatric patients.

Area of Science:

  • Pediatric Emergency Medicine
  • Vascular Access Procedures

Background:

  • Effective vascular access is crucial for critical pediatric patients.
  • Optimizing puncture success time is essential in emergency settings.

Purpose of the Study:

  • To identify factors influencing peripheral intravenous catheterization (PIVC) success time in critically ill children.
  • To evaluate the impact of patient characteristics, catheter type, and professional factors on PIVC success.

Main Methods:

  • A descriptive, prospective, correlational study was conducted.
  • Data were collected using a single instrument from 89 pediatric emergency room patients.
  • Statistical analysis examined associations between time to success and explanatory variables.

Main Results:

  • The median time to successful puncture was 193.4 seconds.
  • Hypothermia was associated with significantly prolonged puncture times (p=0.009).
  • Vialon® 22G catheters were associated with shorter success times (p=0.045).

Conclusions:

  • The median PIVC success time exceeded recommendations, influenced by hypothermia and vein condition.
  • Vialon® 22G catheters are more suitable for puncturing critical pediatric patients.
  • New practices and technologies are needed to reduce PIVC success time.
Abstract

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