• J Routt Reigart, Katie H Chamberlain, David Eldridge, Elizabeth S O'Brien, Katherine D Freeland, Pamela Larsen, David Goff, and Timothy H Hartzog.
• Medical University of South Carolina, Charleston, SC, USA.
• Clin Pediatr (Phila). 2012 May 1;51(5):468-72.

BackgroundPeripheral intravenous (PIV) line placement is a time-consuming procedure performed on the majority of general pediatric inpatients, with significant discomfort to patients.ObjectiveTo determine parameters of pediatric PIV placement, including success rates, time to success, and factors associated with success.DesignProspective study involving direct observation of PIV placement by trained research staff.SettingGeneral inpatient wards at 2 medium-sized pediatric hospitals.PatientsHospitalized children younger than 19 years.ResultsSuccessful placement was achieved in 95.8% (567/592) cases with a median time of 9 minutes. Children younger than 2 years were less likely to have success on the first attempt (38.9% vs 53.5%) and have longer time to success (11 minutes).ConclusionsChildren younger than 2 years experienced lower first-attempt successful PIV placement and took longer. The overall success rate was similar to prior reports; these data are the first to show differential PIV success by patient age.

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