Peds US PIV

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    Peds US PIV

    “Hey doc, we can’t get a line on the kid in room 7, he’s going to need an US IV” is one of the last things I want to hear while working a peds shift. I’ve put US lines in teens, but they aren’t much different than adults in this regard. But what about younger kids? Which sites are appropriate? Can a line be placed in the lower extremities?

     

    Quick Summary of IV Site Selection in Peds:

    Upper Extremities: Cephalic, basilic, and median cubital veins in the forearm and the dorsal veins of the hand

    Lower Extremities: Great saphenous vein

    Scalp: Small superficial veins. UTD notes that “A circumferential tourniquet, such as a rubber band, is placed around the forehead to make the veins visible” (Good luck doing that with the parents around)

    Neck: External jugular vein

     

    Below are links to a few resources that outline US PIV in youngsters

    AliEM

    Uptodate

     

    Good Luck

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