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Peripheral intravenous cannulation with support of infrared laser vein viewing
system in a pre-operation setting in pediatric patients
#MMPMID26391665
Rothbart A
; Yu P
; Müller-Lobeck L
; Spies CD
; Wernecke KD
; Nachtigall I
BMC Res Notes
2015[Sep]; 8
(?): 463
PMID26391665
show ga
BACKGROUND: Venous access, a prerequisite for anesthesiological and surgical
intervention in pediatric patients, is often difficult to establish and
potentially painful. AV300 uses near infrared laser light to improve visibility
of peripheral veins and could help cannulating them. The aim of this study was to
examine if use of Accuvein(®) AV300 vein viewer could facilitate venous
cannulation in children. METHODS: From January to March 2011, 238 consecutive
pediatric patients (0-17 years) preceding surgical interventions were included.
All participants including newborns, infants and children were allocated to
groups [control group (124 patients) and intervention group (114 patients)] in a
non-random way. Randomization was not feasible because data was acquired
retrospectively from a clinical quality management project. In control group,
peripheral IV cannulation was performed without supporting device, in
intervention group with support of AV300. Time and number of attempts until
successful venous cannulation were defined as primary end points. RESULTS: Median
time until successful cannulation was 2 min (range 0.1-20, quartiles: 25 %: 1; 75
%: 5) in the intervention group and 1 min (range 0.1-18, quartiles: 25 %: 0.2; 75
%: 2) in the control group (p < 0.01). Median number of attempts was higher in
the intervention group (2; range 1-6, quartiles: 25 %: 1; 75 %: 3) than in the
control group (1; range 1-6, quartiles: 25 %: 1; 75 %: 2, p < 0.01). Rate of
cannulations successful at first attempt was 0.45 (51 of 114, 95 % CI 0.35-0.54)
in the intervention group and 0.73 (90 of 124, 95 % CI 0.65-0.81) in the control
group (p < 0.01). CONCLUSIONS: In our study we were not able to reduce neither
time nor number of attempts until a successful venous cannulation in children
using the vein viewer. Given certain limitations of our study as the lack of
randomization and no control for inter-operator variability, the conclusions
drawn from it are also limited, but by our results laser-supported cannulation
cannot be recommended for standard procedures. TRIAL REGISTRATION:
ClinicalTrials.gov NCT01434537. Registered 29 July 2011.
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