News | Pediatric Imaging | August 14, 2019

CHOP study saw a nearly 40 percent increase in first-attempt success across 167 patients

Ultrasound Guidance Improves First-attempt Success in IV Access in Children. Dave Fornell

August 14, 2019 – 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.1 

“The need to place an intravenous line is a common but challenging requirement for pediatric healthcare providers,” said Alexandra M. Vinograd, M.D., 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 percent) compared to the traditional intravenous line group (45.8 percent). 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, M.D., 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.

For more information:  www.annemergmed.com

 

Reference

1. Vinograd A.M., Chen A.E., Woodford A.L., 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, published online May 21, 2019. DOI: https://doi.org/10.1016/j.annemergmed.2019.02.019

Related Content

News | Coronavirus (COVID-19)

November 24, 2021 — Significant decreases in CT imaging for cancer persisted even after the peak of the COVID-19 ...

Time November 24, 2021
arrow
News | Magnetic Resonance Imaging (MRI)

November 23, 2021 — Researchers at Yale University analyzing specialized MRI exams found significant changes in the ...

Time November 23, 2021
arrow
News | Interventional Radiology

November 23, 2021 — A minimally invasive ablation procedure offers long-term relief for patients who experience chronic ...

Time November 23, 2021
arrow
News | Magnetic Resonance Imaging (MRI)

November 22, 2021 — Adolescents and young adults with post-concussive symptoms who suffered three to five concussions ...

Time November 22, 2021
arrow
News | Ultrasound Imaging

November 18, 2021 — Royal Philips, a leader in health technology, announced it has received 510(k) clearance from the U ...

Time November 18, 2021
arrow
News | Artificial Intelligence

November 18, 2021 — VIDA Diagnostics Inc. (VIDA) is further removing friction in respiratory clinical trials with the ...

Time November 18, 2021
arrow
News | Radiation Therapy

November 17, 2021 — Radiation can be a powerful cancer therapy, but it doesn’t work for everyone. A new study identifies ...

Time November 17, 2021
arrow
News | Prostate Cancer

November 16, 2021 — A new Harvey L. Neiman Health Policy Institute study of nearly 800,000 men found that between 2011 ...

Time November 16, 2021
arrow
News | Digital Pathology

November 15, 2021 — Saltus Biotech, a leader in 8k image technology, introduces a new high-end computer workstation and ...

Time November 15, 2021
arrow
News | Computed Tomography (CT)

November 11, 2021 — Transcranial focused ultrasound can be used to treat degenerative movement disorders, intractable ...

Time November 11, 2021
arrow
Subscribe Now