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How to Start an IV on a Baby?

Published in Pediatric IV 2 mins read

Starting an IV on a baby requires specialized knowledge and skills. This is a medical procedure that should only be performed by trained medical professionals like nurses or doctors. Improper technique can cause serious harm.

Selecting the IV Site

Choosing the appropriate vein is crucial. Common sites include:

  • Hands: Small veins in the hands are often targeted.
  • Scalp veins: Veins on the scalp can be accessed, though this is generally avoided due to potential for bleeding and scarring.
  • Feet: Veins in the feet may be used as an alternative.

Important Considerations:

  • Vein Size and Condition: The vein should be sufficiently large and accessible. Dehydrated infants may have smaller, more difficult-to-access veins.
  • Patient Comfort: Minimizing discomfort is paramount. The procedure should be performed quickly and efficiently by a skilled practitioner. Pain relief, such as topical anesthetic or sucrose, may be administered beforehand. (Source: Cheo Outreach)

Procedure Steps (General Overview)

The specific steps involved are complex and beyond the scope of this response. However, generally, the process includes:

  1. Preparation: Gather necessary supplies (including appropriate size catheter and fluid), cleanse the area, and potentially administer pain relief.
  2. Insertion: A small catheter is carefully inserted into the selected vein.
  3. Securement: The catheter is taped securely in place to prevent dislodgement.
  4. Fluid Administration: The intravenous fluids are administered.

(Source: Video example demonstrating IV insertion in an infant: [IV Access in Babies: 4 TOP TIPS - YouTube](Not available as an image link)) This video shows the importance of immobilizing the infant's hand and pulling the skin taut to facilitate access to the vein.

Additional Resources for Medical Professionals:

While this answer cannot provide a complete guide, accessing specialized training and resources is vital for anyone attempting intravenous cannulation in infants. Resources for further learning include:

Disclaimer: This information is for educational purposes only and should not be interpreted as a guide for performing this procedure. Attempting to start an IV on a baby without appropriate training and qualifications is extremely dangerous and could result in serious injury.