Pediatric anesthesia & critical care
Assessing the utility of ultrasound‐guided vascular access placement with longer catheters in critically ill pediatric patients
Authors' conclusion
In critically ill pediatric patients with difficult vascular access, ultrasound-guided long peripheral intravenous catheters provide an alternative to traditional approach standard-sized intravenous catheters with improved longevity, lower failure rates, and reduced need for additional vascular interventions.
Study context
- Population
- Children 0–18 years with difficult vascular access admitted to the PICU, 01/01/2018–06/01/2021
- Participants
- 187 placements
- Exposure
- Ultrasound-guided vs Traditional
- Ultrasound-guidedn = 99reference
- Traditionaln = 88
- Outcome
- Intravenous catheter failure (longevity)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Intravenous failure
Traditional vs Ultrasound-guidedHazard ratio (95% CI)P value
Univariate analysis
2.20(1.45–3.34)
P = 0.001Adjusted for age
1.99(1.28–3.08)
P = 0.002Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Additional peripheral IV access placed during hospitalizationAdjusted for hospital LOS | 0.39 (0.18–0.85) | P = 0.017 | |
| 0.20.5125Odds ratio (log scale) |
Original publication
Assessing the utility of ultrasound‐guided vascular access placement with longer catheters in critically ill pediatric patients. Paediatr Anaesth. Published 23 February 2023. doi:10.
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