Review ArticleAlternatives to Intravenous Rehydration in Dehydrated Pediatric Patients With Difficult Venous AccessEldridge, David L. MD, FAAPAuthor Information From the Department of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC. Reprints: David L. Eldridge, MD, FAAP, Department of Pediatrics, Brody School of Medicine, East Carolina University, Brody 3E-139, Greenville, NC 27834 (e-mail: [email protected]). This study was supported by Baxter Healthcare Corporation. Pediatric Emergency Care: July 2010 - Volume 26 - Issue 7 - p 529-535 doi: 10.1097/PEC.0b013e3181e5c00e Buy Metrics Abstract Intravenous (IV) catheter placement in the pediatric patient population can be challenging. Many health care providers automatically choose IV fluid administration to treat dehydration, often not considering other routes. This article reviews the available literature on difficulties in obtaining IV access in the pediatric population and discusses alternative methods for fluid replacement, their respective advantages and disadvantages, and place in therapy. © 2010 Lippincott Williams & Wilkins, Inc.