Ultrasound-guided peripheral intravenous catheter placement locations: A retrospective study of 29,436 cases

These findings highlight the distal cephalic vein of the forearm as a practical and preferred initial site for peripherally compatible infusions when guided by structured ultrasound assessment, particularly in patients without renal impairment. Adoption of this approach may preserve upper arm vasculature for future vascular access requirements and generate meaningful cost savings by reducing the need for longer and more expensive catheters required for upper arm placement. Establishing such standardized triage practices could optimize both patient outcomes and resource utilization in infusion therapy.