Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
Vol. 26, No. 6, 2016, pp. 1-7
Bioline Code: pe16094
Full paper language: English
Document type: Research Article
Document available free of charge
Iranian Journal of Pediatrics, Vol. 26, No. 6, 2016, pp. 1-7
© Copyright 2016 - Growth & Development Research Center
Grade Management in Establishing Pediatric Peripheral Venous Access|
Yan, Ya-Min; Gong, Mei; Li, Dan; Huang, Ye; Li, Ai-Qiu; Qiu, Jia-Yu; Xiao, Yan-Shang & Lu, Qun-Feng
Background: Establishing venous access is a challenging job for pediatric nurses, especially in the emergency department. Measures
to ensure higher success rates on the first attempt are important to provide quality nursing care.
Objectives: To explore the effect of grade management on the success of establishing peripheral venous access in the child population
of China and to analyze the factors influencing failed IV access on the first attempt.
Methods: This is an observational study on children aged 0 - 16 years old undergoing peripheral venous catheterization in a children’s
hospital. Patient information was collected before attempting each puncture. Logistic regression was used to identify independent
factors for success prediction.
Results: A total of 1,016 subjects enrolled. The success rate of intravenous puncture on the first attempt was 86.02%. This can be
influenced by several factors, such as patient age, department, venous condition, and nurse experience. The success rate within two
attempts was 96.85%; the number of catheters used per IV attempt was 1.21.
Conclusions: To date, only a few studies have explored the success rate of peripheral IV catheterization in the pediatric population
of China. Grade management of peripheral veins and pediatric nurses facilitated higher first-attempt success than in previously
published reports. Failures of catheterization were multifactorial. The success rate of peripheral intravenous insertion in children
can be improved through applying assistance devices or enhancing the venipuncture skills of pediatric nurses.
Grade Management; Peripheral Venous Access; Children
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