Paediatric peripheral intravenous catheter (PIVC) insertion using traditional landmark insertion technique can be difficult.
The aim of the study was to systematically review the evidence comparing landmark to ultrasound guidance for PIVC insertion in general paediatric patients.

The Key Points of this study are:

1. Insertion of peripheral intravenous catheters (PIVCs) in children can be difficult and procedural failure is high.
2. There was no clear evidence of improved first-time PIVC insertion success when ultrasound guidance was used, in comparison to landmark in paediatric patients.
3. There is an urgent need for large randomised controlled trials with standardised outcome measures to determine the efficacy of ultrasound guidance to improve first-time PIVC insertion success in paediatric patients.

Authors : Tricia M Kleidon, 1,2,3,4 Jessica Schults,1,2,3,4 Rebecca Paterson,1,2,5 Claire M Rickard 1,2,3,4 and Amanda J Ullman 1,2,3,4

1 Department of Anaesthesia, Queensland Children’s Hospital,
2 Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute Queensland, Gold Coast,
3 School of Nursing and Midwifery, Griffith University, Brisbane,
4 School of Nursing, Midwifery and Social Work, and
5 Faculty of Medicine, The University of Queensland, St. Lucia, Queensland, Australia

Correspondance: Ms Tricia M Kleidon, Department of Anaesthesia and Pain Management, Queensland Children’s Hospital, Children’s Health Queensland, South Brisbane, Qld 4101, Australia. email: tricia.

Open access publishing facilitated by The University of Queensland, as part of the Wiley – The University of Queensland agreement via the Council of Australian University Librarians.