This study assessed the effectiveness of ultrasound guidance for peripheral IV access in pediatric patients. It was a prospective randomized study of 14 pediatric patients undergoing IV access, with 7 patients receiving ultrasound guidance and 7 receiving non-ultrasound methods. The ultrasound group had higher overall success rates, first attempt success rates, and shorter procedure times, with fewer attempts and redirections needed compared to the non-ultrasound group. The study concluded that ultrasound guidance improves the success and efficiency of IV placement in pediatric patients.