Efficacy of a Near-Infrared Light Device in Pediatric Intravenous Cannulation

Abstract

First-attempt success rate for IV placement was nonsignificantly higher without than with the assistance of a near-infrared light device in a high-volume pediatric ED. Nurses placing IVs did report several benefits to use of the device with specific patient groups, and future research should be conducted to demonstrate the role of the device in these patients.

Ultrasound or near-infrared vascular imaging to guide peripheral intravenous catheterization in children: a pragmatic randomized controlled trial

“…Overall, trials of near infrared technologies in emergency department 7,8 and operating room settings [15][16][17] have not shown a convincing clinical benefit of nearinfrared imaging for peripheral intravenous catheteriza tion relative to the standard approach.…”

“…[6][7][8] We decided that an increase in this rate to 85% with the use of either technology would be clinically significant. We determined that a sample of 418 patients (about 140 in each group) would allow us to detect this difference with 80% power, assuming a 2sided test and a signif icance level (α) of 5%.…”

“…1 Success rates of first attempt at intravenous catheter placement in chil dren vary greatly, from 40%-76%, with up to 15 attempts reported in one case. [2][3][4][5][6][7][8][9] Failed procedures ensure further painful skin punctures, significant delays in urgent treatment, decreased efficiency and increased costs to the health care system. 10,11 The standard procedure for peripheral intra venous catheterization involves placement of the needle in a location considered most likely to con tain a vein, with the choice based on visualization and palpation of the vessel, knowledge of anatomy and experience of the practitioner, most often a nurse.…”

Emergency Nursing Resource: Difficult Intravenous Access

“…Near infrared light illuminates the skin without ionizing radiation and produces a 2-D image of blood filled structures (Perry et al, 2011). The literature was limited to pediatric populations.…”

A randomized trial of the Vein Viewer versus standard technique for placement of peripherally inserted central catheters (PICCs) in neonates

“…With accurate magnification in the newer device and proper identification of vein size; a smaller gauge catheter could have been used and improved success. 12 In summary, the Vein Viewer is a useful device for enhancing PICC placement, particularly among older, more mature neonates whose vasculature is more difficult to detect visually. It provides possibilities for placement in areas not otherwise likely to be chosen as well as the avoidance of placement attempts in damaged veins.…”