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Vascular and Gastrointestinal Access in Children

Andrew C Sayce1, Stefan Scholz2

  • 1Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Advances in Pediatrics
|June 29, 2025
PubMed

Insights

Reliable vascular and enteral access is crucial for pediatric patient care, enabling essential fluid, nutrition, and medication delivery. This review covers key decision-making and technical aspects for pediatric access methods.

Area of Science:

  • Pediatric medical care
  • Vascular access
  • Enteral access

Background:

  • Vascular and enteral access are fundamental to pediatric patient care.
  • Effective delivery of fluids, nutrition, and medications relies on dependable access.
  • Pediatric patients present unique anatomical and nutritional challenges.

Purpose of the Study:

  • To review decision-making considerations for pediatric vascular and enteral access.
  • To detail technical aspects of establishing and maintaining pediatric access.
  • To provide practical guidance for healthcare providers.

Main Methods:

  • Literature review focusing on pediatric vascular and enteral access.
  • Analysis of decision-making factors for different access modalities.
  • Synthesis of technical considerations for pediatric access procedures.

Main Results:

  • Decision-making involves patient-specific factors and access goals.
  • Technical skills are critical for successful and safe access.
  • Long-term nutritional support requires specialized access strategies.

Conclusions:

  • Optimizing pediatric care necessitates a thorough understanding of vascular and enteral access.
  • Practical application of access techniques is vital for patient outcomes.
  • This review offers a guide for pediatric vascular and enteral access management.

Keywords:
Enteral accessGastrostomyPediatricUltrasoundVascular access

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