Ultrasound guidance allows faster peripheral IV cannulation in children under 3 years of age with difficult venous access: a prospective randomized study
2012; Wiley; Volume: 22; Issue: 5 Linguagem: Inglês
10.1111/j.1460-9592.2012.03830.x
ISSN1460-9592
AutoresMehdi Benkhadra, Mathieu Collignon, Isabelle Fournel, Christian Oeuvrard, Patricia Rollin, Murielle Perrin, F. Volot, Claude Girard,
Tópico(s)Airway Management and Intubation Techniques
ResumoUltrasound-guided peripheral venous access (USG-PIVA) presents many advantages over the reference 'blind' technique in both adults and children in emergency situations.To compare USG-PIVA with the blind technique in children <3 years undergoing general anesthesia.After obtaining the approval of the ethics committee and informed consent from the parents, we included all children 15 min were considered as failures. In case of failure in group B, USG-PIVA was attempted for a further 15 min.Twenty children were included in each group. Groups were comparable for sex, age, and BMI. Significant differences were observed in median time to cannulation (63.5 s vs 420.5 s, USG-PIVA vs B respectively, P < 0.001); median number of punctures (1 vs 2.5, USG-PIVA vs B, P = 0.004); and success rate at first cannulation (85% vs 35%, USG-PIVA vs B, P = 0.0012). In contrast, overall success rate did not differ significantly between groups (90% vs 85%, USG-PIVA vs B, P = 0.63).Ultrasound-guided peripheral venous access leads to faster peripheral IV access and should therefore be recommended in children presenting with difficult venous access.
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