Factors associated with difficult intravenous access in the pediatric emergency department

The Journal of Vascular Access
Se Uk LeeYoung Ho Kwak

Abstract

Successful intravenous catheter placement plays a vital role in the pediatric emergency department. We assessed pediatric emergency department-related factors associated with difficult intravenous catheter placement. We retrospectively reviewed the electronic medical records of patients younger than 18 years who had an intravenous catheter placement attempt during their pediatric emergency department stay. Difficult intravenous access was defined as intravenous catheter placement requiring more than one attempt. The demographic-, clinical- and procedure-related factors were collected, and a logistic regression analysis was used to evaluate the factors associated with difficult intravenous access. In total, 925 patients were enrolled, and 77 (8.32%) cases had difficult intravenous access. The median age of the patients was 3.0 (interquartile range = 1-9) years, and 496 (53.6%) patients were male. After adjustment, we found that age (odds ratio = 0.91, 95% confidence interval = (0.85-0.98), p = 0.01); a history of prematurity (odds ratio = 2.31, 95% confidence interval (1.08-4.98), p = 0.03); the intravenous catheter insertion site (foot versus hand odds ratio = 5.65, 95% confidence interval = (2.97-10.75); p < 0.001); and the ex...Continue Reading

References

Nov 11, 2005·Pediatric Emergency Care·Karen J L BlackDavid McGillivray
Jul 16, 2010·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Pamela LarsenRon Perkin
Nov 19, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael W RikerM Denise Dowd
Aug 24, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Adam FrischChristian Martin-Gill
Aug 21, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Lucas A MyersChristopher S Russi
Dec 18, 2013·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Marianne C WallisClaire M Rickard
Jun 26, 2015·The Journal of Vascular Access·Adam PetroskiJestin N Carlson
Oct 19, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Johannes ProttengeierJoachim Schmidt
Mar 2, 2016·Pediatric Emergency Care·Kathryn H PadeAlan L Nager
Oct 6, 2016·Health Care Management Science·Virginia AhaltAbhi Mehrotra
Mar 23, 2018·The Journal of Vascular Access·Gülçin Özalp GerçekerMurat Bektaş

❮ Previous
Next ❯

Citations

Jan 5, 2021·Journal of the American College of Emergency Physicians Open·Hamid ShokoohiSayon Dutta
Jul 4, 2021·Emergency Medicine Clinics of North America·Ashkon Shaahinfar, Zahra M Ghazi-Askar
Aug 15, 2021·Resuscitation·Floyd BessererUNKNOWN Canadian Resuscitation Outcomes Consortium
Nov 19, 2021·The Journal of Vascular Access·Amit BahlKlaus Hoerauf

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation

Software Mentioned

VeinViewer

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.