Despite the obvious drawbacks associated with prolonged arterial cannulation, arterial catheters are frequently required in paediatric burn patients with respiratory failure to facilitate monitoring of oxygenation, ventilation and blood pressure, and to allow for the painless performance of phlebotomy. Burn patients with respiratory failure frequently require prolonged arterial catheterization, often for more than 72 h, and many of their cannulation sites are burned. We report our favourable 3-year experience with 81 femoral arterial catheters in 36 paediatric burn patients. When small diameter pressure monitoring catheters are used, femoral cannulation sites are associated with a low rate of mechanical and infectious complications.