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Updated: Aug 5, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Effect of updated best practices on ultrasound-guided peripheral IV dwell time in children

Ian Bauernsmith1, Judy Davidson2, Lindsey Burnett3

  • 1Rady Children's Hospital, San Diego, CA, United States of America; University of California San Diego Health, San Diego, CA, United States of America.

Journal of Pediatric Nursing
|July 30, 2026
PubMed

Insights

A new training program significantly increased the dwell time of pediatric ultrasound-guided intravenous (USGIV) lines. This intervention also reduced early complications, improving pediatric vascular access outcomes.

Area of Science:

  • Pediatric Emergency Medicine
  • Vascular Access
  • Quality Improvement

Background:

  • Pediatric intravenous (IV) access placement is challenging.
  • Frequent complications and IV line replacements occur in pediatric patients.

Purpose of the Study:

  • To evaluate a novel training program for pediatric ultrasound-guided intravenous (USGIV) line placement.
  • To assess the impact of the training on IV line dwell time and complication rates.

Main Methods:

  • A pre-post cohort quality improvement study was conducted at a tertiary pediatric hospital.
  • The intervention involved training nurses on best practices for USGIV line insertion.
  • Data on IV line dwell time and complications were collected via chart review.

Main Results:

  • Post-intervention, a statistically significant increase in mean IV line dwell time was observed (2.17 vs. 1.72 days).
  • While overall complication rates remained stable, a significant reduction in early complications (within 1 day) was noted.
  • Patient demographics were similar between pre- and post-intervention cohorts.

Conclusions:

  • The findings support integrating measurement-based decision-making into pediatric vascular access protocols.
  • Further multi-site studies are recommended to confirm the generalizability of these results.
Abstract

Keywords:
Intravenous catheterizationNursing pediatricPediatric ultrasound guided IVPeripheral venous catheterization

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