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Emergency access in pediatrics

M F Smith1

  • 1Emergency Department, Children's Hospital, Boston, USA.

Journal of Intravenous Nursing : the Official Publication of the Intravenous Nurses Society
|July 4, 1998
PubMed
Summary
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Establishing intravenous (IV) access in pediatric emergencies is challenging for nurses. This article guides nurses on appropriate IV devices and sites for children, and managing patient and family anxiety during emergency infusion care.

Area of Science:

  • Pediatric Emergency Medicine
  • Nursing Practice
  • Vascular Access Devices

Background:

  • Intravenous (IV) access is critical in pediatric emergency care.
  • Nurses face significant challenges in obtaining IV access in critically ill or injured children.
  • Effective IV access is essential for timely medication and fluid administration.

Purpose of the Study:

  • To review appropriate IV access sites and devices for pediatric emergency situations.
  • To provide guidance for infusion nurse specialists and emergency department nurses.
  • To address strategies for managing anxiety in pediatric patients and their families during emergency IV procedures.

Main Methods:

  • Literature review of current evidence-based practices for pediatric IV access.

Related Experiment Videos

  • Discussion of various vascular access devices suitable for pediatric emergencies.
  • Exploration of techniques for patient and family anxiety management.

    • Main Results:

    • Identification of optimal peripheral and central venous access sites based on patient age and condition.
    • Comparison of different IV devices (e.g., cannulas, intraosseous devices) for emergency use.
    • Strategies for minimizing patient distress and involving families in care.

    Conclusions:

    • Selection of appropriate IV access sites and devices is crucial for successful pediatric emergency care.
    • A systematic approach to IV access and anxiety management improves patient outcomes.
    • Nurses require specialized knowledge and skills to manage pediatric emergency vascular access effectively.