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Vascular (venous) access for pediatric resuscitation and other pediatric emergencies

Author
Susan B Torrey, MD
Section Editor
Gary R Fleisher, MD
Deputy Editor
James F Wiley, II, MD, MPH

INTRODUCTION

This topic will discuss the selection of a site for vascular access as well as techniques for peripheral and central percutaneous access and venous cutdown.

Intraosseous cannulation and ultrasound-guided vascular (venous) access are discussed separately. (See "Intraosseous infusion" and "Principles of ultrasound-guided venous access".)

GENERAL APPROACH

Establishment of reliable vascular access is a critical step in pediatric resuscitation, but it can be difficult to obtain in a critically ill infant or child. Successful resuscitation is more likely if vascular access is achieved within the first few minutes [1]. The preferred venous access site during pediatric resuscitation is the largest, most accessible vein that does not require the interruption of resuscitation [2].

The general approach to vascular access during pediatric resuscitation is provided in the algorithms (algorithm 1 and algorithm 2).

Key principles include:

                        
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Literature review current through: Nov 2017. | This topic last updated: Dec 01, 2017.
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