OBJECTIVE: To investigate the potential for pediatric @entity341 ( @entity341 ) triage nurses to apply a topical anesthetic (ie, eutectic mixture of local anesthetic) for intravenous catheter (IV) insertion. METHODS: Prospective cross-sectional survey over a 2-month period, with post hoc application of internally developed prediction rules. Eligible @entity1 were @entity1 presenting to the @entity341 triage area of an urban @entity1 's hospital. RESULTS: A total of 2596 (86.7% of eligible @entity1 ) had a triage nursing prediction performed. Nurse prediction of IV insertion had a sensitivity of 72% (95% CI: 66,78), a specificity of 90% (88,91), and a positive predictive value ( @entity2286 ) of 49% (44,54). Objective factors such as high-risk medical history (chronic neurologic, hematologic, @entity344 ) and high-risk chief complaint ( @entity344 , @entity272 , and previous @entity410 ) were incorporated into a predictive score used to predict IV insertion independently with a sensitivity of 33% (27,39) and a @entity2286 of 43% (44,54). Addition of the objective predictors to nursing prediction increased the sensitivity to 76% (70,81) with a @entity2286 of 43% (38,47). Of the @entity1 , 95% received an IV insertion </=45 minutes after triage, 89% </=60 minutes after triage. Of the IV insertions, 68% were placed in the dorsum of the hand. CONCLUSIONS: The prediction of an experienced triage nurse can identify most @entity1 requiring an IV in a pediatric @entity341 . Incorporation of objective criteria other than nursing prediction into this decision process can decrease the amount of wasted product at the expense of less sensitive identification. The timing of IV insertion in our @entity341 would allow for full medication effect of the currently marketed topical anesthetics in the majority of @entity341 @entity1 . topical anesthetic, intravenous cannulation, @entity1 , eutectic mixture of local anesthetic.

Predicting the need for topical anesthetic in the pediatric XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity2286 :: ('12211', 'Species') :: ['PPV'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal illness', 'cardiac, endocrine, or gastrointestinal illness'] @entity272 :: ('MESH:D012871', 'Disease') :: ['skin infection']
@entity341 :: (MESH:D004630,Disease) :: ['emergency department']
