A PROSPECTIVE
RANDOMIZED STUDY TO
ASSESS EFFECTIVENESS
OF ULTRASOUND FOR
PERIPHERAL VASCULAR
ACCESS IN PEDIATRIC
PATIENTS
...
Problem statement
A prospective randomized
study to assess effectiveness
of ultrasound for peripheral
vascular access in p...
Introduction
• Vascular access in pediatric
patients is often more difficult
than adults because of the
smaller size of th...
Objectives
• To compare overall success rate
of iv insertion in ultrasound and
non ultrasound group
• To compare first IV ...
Objectives
• To compare average needle
redirections in ultrasound and
non ultrasound group
• To compare IV line average
in...
METHODOLOGY
Study design
• Prospective randomized study
Population
• Pediatric patients who require
peripheral IV line
Site
• All India Institute of Medical
Sciences, New Delhi
Setting
• Neurosurgery
ICU, JPNATC, AIIMS
Sampling technique
• Simple random sampling
Inclusion criteria
• Age <10 years
• Patients who require peripheral
vascular access
Study period
• 2 months (1st June- 31st July
2013)
Procedure
• Subjects were selected and
assigned randomly to group A
and group B.
– Group A subjects were cannulised
with t...
Ultra sound view of vein
RESULTS
TOTAL
SUBJECTS : 14
GROUP B: 7GROUP A: 7
Subject Distribution
Demographic data
Mean age (range)
Group A 6years (5 months to
8years)
Group B 5.2 years (9 months to
10 years)
N =14
Demographic data…
Male Female
Group A (n=7) 4 (57.14%) 3 (42.85%)
Group B (n=7) 5 (71.42%) 2 (28.57%)
N =14
Overall success rate
Group A (n=7) 6 (85.71%)
Group B (n=7) 4 (57.14%)
N =14
First IV line insertion success rate
Group A (n=7) 6 (85.71%)
Group B (n=7) 3 (42.85%)
N =14
Average number of attempts
made
Group A (n=7) 1.4
Group B (n=7) 4
N =14
Average needle redirections
Group A (n=7) 2.4
Group B (n=7) 5
N =14
Average time taken for the
procedure (Range)
Group A (n=7) 2.6 min (2- 5 min)
Group B (n=7) 3.3 min (2.5 - 6 min)
N =14
Conclusion
• In a sample of pediatric patients
ultrasound-guided intravenous
cannulation required less overall
time, fewer...
Effectiveness of Ultrasound in Pediatric peripheral vascular access- A nursing perspective
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Effectiveness of Ultrasound in Pediatric peripheral vascular access- A nursing perspective

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Effectiveness of Ultrasound in Pediatric peripheral vascular access- A nursing perspective

  1. 1. A PROSPECTIVE RANDOMIZED STUDY TO ASSESS EFFECTIVENESS OF ULTRASOUND FOR PERIPHERAL VASCULAR ACCESS IN PEDIATRIC PATIENTS Presented by ;Mary Teenu Guide: Dr. Deepak Agrawal
  2. 2. Problem statement A prospective randomized study to assess effectiveness of ultrasound for peripheral vascular access in pediatric patients.
  3. 3. Introduction • Vascular access in pediatric patients is often more difficult than adults because of the smaller size of the vessels and non-cooperation. Ultrasound is an invaluable tool for vascular access by nurses in this population
  4. 4. Objectives • To compare overall success rate of iv insertion in ultrasound and non ultrasound group • To compare first IV line insertion success rate of ultrasound and non ultrasound group • To compare average number of attempts made in ultrasound and non ultrasound group
  5. 5. Objectives • To compare average needle redirections in ultrasound and non ultrasound group • To compare IV line average insertion time of ultrasound and non ultrasound group
  6. 6. METHODOLOGY
  7. 7. Study design • Prospective randomized study
  8. 8. Population • Pediatric patients who require peripheral IV line
  9. 9. Site • All India Institute of Medical Sciences, New Delhi
  10. 10. Setting • Neurosurgery ICU, JPNATC, AIIMS
  11. 11. Sampling technique • Simple random sampling
  12. 12. Inclusion criteria • Age <10 years • Patients who require peripheral vascular access
  13. 13. Study period • 2 months (1st June- 31st July 2013)
  14. 14. Procedure • Subjects were selected and assigned randomly to group A and group B. – Group A subjects were cannulised with the use of ultrasound – Group B were cannulised without any aid. First insertion success rate, access time and complications were compared between the two groups
  15. 15. Ultra sound view of vein
  16. 16. RESULTS
  17. 17. TOTAL SUBJECTS : 14 GROUP B: 7GROUP A: 7 Subject Distribution
  18. 18. Demographic data Mean age (range) Group A 6years (5 months to 8years) Group B 5.2 years (9 months to 10 years) N =14
  19. 19. Demographic data… Male Female Group A (n=7) 4 (57.14%) 3 (42.85%) Group B (n=7) 5 (71.42%) 2 (28.57%) N =14
  20. 20. Overall success rate Group A (n=7) 6 (85.71%) Group B (n=7) 4 (57.14%) N =14
  21. 21. First IV line insertion success rate Group A (n=7) 6 (85.71%) Group B (n=7) 3 (42.85%) N =14
  22. 22. Average number of attempts made Group A (n=7) 1.4 Group B (n=7) 4 N =14
  23. 23. Average needle redirections Group A (n=7) 2.4 Group B (n=7) 5 N =14
  24. 24. Average time taken for the procedure (Range) Group A (n=7) 2.6 min (2- 5 min) Group B (n=7) 3.3 min (2.5 - 6 min) N =14
  25. 25. Conclusion • In a sample of pediatric patients ultrasound-guided intravenous cannulation required less overall time, fewer attempts, and fewer needle redirections than traditional approaches. Overall success rate and first insertion success rate is more in ultrasound guided method.

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