Peripheral Difficult Venous Access in Children

discuss management strategies. This article summa-rizes the recommendations of the consensus panel for physicians. The recommendations for nurses will be published separately. Definition and Scope of the Problem Early identification of DVA is the first step in opti-mizing patient care. The consensus panel described DVA as a clinical condition in which multiple attempts and/or special interventions are anticipated or required to achieve and maintain peripheral venous access. Special interventions are defined as the use of any technique or hospital resource with the potential to improve peripheral IV insertion suc-cess rates. These include traditional methods of enhancing the visibility and palpability of peripheral