• Yoshinobu Nakayama, Jun Takeshita, Yasufumi Nakajima, and Nobuaki Shime.
• Department of Anesthesiology and Critical Care, Kyoto Prefectural University of Medicine, Kyoto, 602-8566, Japan. na-yoshi@koto.kpu-m.ac.jp.
• Crit Care. 2020 Sep 30; 24 (1): 592.

AbstractPeripheral vascular catheterization (PVC) in pediatric patients is technically challenging. Ultrasound guidance has gained the most interest in perioperative and intensive care fields because it visualizes the exact location of small target vessels and is less invasive than other techniques. There have been a growing number of studies related to ultrasound guidance for PVC with or without difficult access in pediatric patients, and most findings have demonstrated its superiority to other techniques. There are various ultrasound guidance approaches, and a comprehensive understanding of the basics, operator experience, and selection of appropriate techniques is required for the successful utilization of this technique. This narrative review summarizes the literature regarding ultrasound-guided PVC principles, approaches, and pitfalls to improve its clinical performance in pediatric settings.

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