Login / Register

Username:


Password: [Lost?]



New User? Click here for your FREE subscription



Radiology Professionals
Radiology Professionals Radiology Professionals

Follow Us


NEWS-Line on Twitter NEWS-Line on Facebook NEWS-Line on Google+ NEWS-Line on LinkedIn NEWS-Line on Pinterest


Radiology Conferences &
Educational Opportunities


Dec. 1 - 06

105th Scientific Assembly and Annual Meeting

Radiological Society of North America

More Events

Ultrasound Guidance Improves First-Attempt Success In IV Access in Children | NEWS-Line for Healthcare Professionals

Ultrasound Guidance Improves First-Attempt Success In IV Access in Children


Source:

Children’s veins are small and sometimes difficult to access during necessary medical treatment. When caregivers used ultrasound to guide placement of intravenous (IV) lines in children with presumed difficult access, they had higher success rates on their first attempt. Researchers from Children’s Hospital of Philadelphia (CHOP) report that this technique reduces the number of needle sticks in their young patients.

The research was published in the July 2019 issue of Annals of Emergency Medicine.

“The need to place an intravenous line is a common but challenging requirement for pediatric healthcare providers,” said Alexandra M. Vinograd, MD, an emergency medicine physician at CHOP and the lead investigator of this study. “Our research shows that both the children and their parents are happier with ultrasound-guided line insertion.”

The researchers prospectively enrolled 167 patients identified as having difficult IV access that were randomized to receive either traditional IV line or care from a multidisciplinary team trained to place ultrasound-guided IV lines on the first attempt. The children were divided into two groups, age zero to three years old, and over age three.

First-attempt success was higher in the ultrasound-guided IV line placement group (85.4%) compared to the traditional intravenous line group (45.8%). When asked to score their satisfaction with the IV line placement, parents favored the ultrasonically guided placement over the traditional method.

“In our study, ultrasound-guided intravenous lines remained in place longer than traditional insertion, without an increase in complications,” said Joseph J. Zorc, MD, emergency medicine physician at CHOP and senior author of the study. “These results may be used to update guidelines for intravenous line access in children in an effort to limit the number of needle sticks they experience.”

Both nurses and physicians had high rates of first-attempt success. The high rate of nurse success led to a training program in CHOP’s Emergency Department that broadly trains nurses in ultrasound-guided IV line placement. Ultrasound-guided access is now standard procedure for patients with presumed difficult intravenous access,” added Vinograd.

Vinograd, Alexandra et al. “Ultrasonic Guidance to Improve First Attempt Success In Children With Predicted Difficult Intravenous Access in the Emergency Department: A Randomized Controlled Trial. Annals of Emergency Medicine. Volume 74, No. 1, July 2019.

Source:Children's Hospital of Philadelphia

Photo Credit:Children's Hospital of Philadelphia

Pictured:Alexandra M. Vinograd, MD, is an emergency medicine physician at Children's Hospital of Philadelphia





Post not cached because it doesn't exist


Share This!


Radiology Jobs



Ultrasound, Mammography and Radiologic Technologists,

CareMount Medical, P.C
New York

NAVY MEDICINE - Making a Difference

NAVY MEDICINE
National

NAVY MEDICINE - Making a Difference

NAVY MEDICINE
New York

Ultrasound, Mammography and Radiologic Technologists

CareMount Medical, P.C
New York

Navy Medicine Making A Difference

NAVY MEDICINE
National

Supervising & Associate Radiology Technologists

NYC Health + Hospitals
New York, New York

More Jobs
(Dismiss) Thank you for visiting NEWS-Line! Please sign up, login, or follow us on your favorite social networks
to receive custom tailored eNews, job listings, and educational opportunities for your specific profession.