Related Experiment Video

Updated: Dec 23, 2025

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
07:47

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire

Published on: December 23, 2014

19.9K

Ultrasound-detected venous changes associated with peripheral intravenous placement in children

Dewansh Goel1, Anilawan Smitthimedhin1, Bhupender Yadav1

  • 1Children's National Medical Center, Washington, DC.

British Journal of Nursing (Mark Allen Publishing)
|April 24, 2020
PubMed

Insights

Ultrasound revealed significant venous changes in pediatric patients with peripheral intravenous catheters (PIVs), including narrowing and thrombosis, which may explain device failure even without physical exam findings.

Area of Science:

  • Pediatric Medicine
  • Vascular Imaging
  • Medical Devices

Background:

  • Peripheral intravenous catheters (PIVs) are essential for pediatric patient care but often fail before treatment completion.
  • The underlying causes of PIV failure in children are not fully understood.
  • Ultrasound (US) imaging may reveal subclinical venous changes associated with PIV use.

Purpose of the Study:

  • To describe and document venous changes in pediatric patients using PIVs via ultrasound imaging.
  • To investigate the correlation between PIV dwell time and observed venous alterations.

Main Methods:

  • A prospective study involving ultrasound scans of PIV-containing veins in pediatric patients.
  • Evaluation of venous characteristics including diameter, wall thickness, blood flow, and presence of thrombus.
  • Recording of patient demographics and PIV details.

Main Results:

  • Ultrasound identified venous changes in 73% of accessed veins in 30 pediatric patients.
  • Common findings included lumen narrowing (47%), wall thickening (33%), and thrombus formation (20%).
  • Absence of blood flow around the PIV tip was observed in 40% of cases.

Conclusions:

  • Ultrasound can detect significant venous changes in pediatric patients with PIVs, often not apparent on physical examination.
  • These US-detectable venous alterations, such as narrowing and thrombosis, likely contribute to PIV malfunction and failure.
  • Further research with larger sample sizes is warranted to fully characterize these findings and their clinical implications.
Abstract

Keywords:
IVPIVPediatricsPeripheral intravenous cathetersUltrasound

More Related Videos

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

15.5K
Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol07:59

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol

Published on: July 28, 2018

11.6K

Related Concept Videos

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
216
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
895
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
213
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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,...
591
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
150