Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study
Establishing intravenous (IV) access in younger patient populations via the traditional cannulation technique for procedures requiring anesthesia is often challenging. Infrared (IR) vein visualization is a modality that aids venous cannulation; however, few reports of this technique exist in the inf...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/10/10/1652 |
| _version_ | 1797574254284242944 |
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| author | Graham Fehr Marisa Rigali Gregory Weller Shannon M. Grap Melissa Coleman Uma Parekh Vernon M. Chinchilli Priti G. Dalal |
| author_facet | Graham Fehr Marisa Rigali Gregory Weller Shannon M. Grap Melissa Coleman Uma Parekh Vernon M. Chinchilli Priti G. Dalal |
| author_sort | Graham Fehr |
| collection | DOAJ |
| description | Establishing intravenous (IV) access in younger patient populations via the traditional cannulation technique for procedures requiring anesthesia is often challenging. Infrared (IR) vein visualization is a modality that aids venous cannulation; however, few reports of this technique exist in the infant and toddler population. The primary aim of this study was to compare the efficacy of IR vein visualization to the standard cannulation technique for obtaining peripheral IV access in infant and toddler populations. Following Institutional Review Board (IRB) approval and written informed consent, children were randomly assigned to either a standard cannulation technique group or an IR vein visualization device group for venous cannulation. The primary outcome variable was the success rate of IV cannulation, and the secondary variables were the total number of attempts and the time to successful cannulation. No difference was noted between either group for first-attempt success rate (standard versus IR: 61.25% vs. 54.4%; <i>p</i> = 0.4) or time to establish IV cannulation (standard versus IR: median [interquartile range], 40 s [24–120] vs. 53 s [26–106]; <i>p</i> = 0.55). The anesthesiologist’s grading of the anticipated difficulty of IV cannulation was a significant predictor of cannulation success (<i>p</i> = 0.0016). Our study demonstrated no significant benefit in utilizing the IR vein visualization device in terms of the overall success rate, number of attempts, and time to establish successful IV cannulation when compared to the standard technique. However, in difficult IV access situations, this device proved to be a valuable rescue adjunct. |
| first_indexed | 2024-03-10T21:20:24Z |
| format | Article |
| id | doaj.art-2843bc5a4c644e73aaf280f495727173 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T21:20:24Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-2843bc5a4c644e73aaf280f4957271732023-11-19T16:05:08ZengMDPI AGChildren2227-90672023-10-011010165210.3390/children10101652Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized StudyGraham Fehr0Marisa Rigali1Gregory Weller2Shannon M. Grap3Melissa Coleman4Uma Parekh5Vernon M. Chinchilli6Priti G. Dalal7Department of Anesthesiology, Children’s Hospital of King’s Daughters, Norfolk, VA 23507, USADepartment of Anesthesiology, Virginia Commonwealth School of Medicine, Richmond, VA 23219, USADepartment of Anesthesiology, Penn State Health, Hershey, PA 17033, USADepartment of Anesthesiology, Penn State Health, Hershey, PA 17033, USADepartment of Anesthesiology, Penn State Health, Hershey, PA 17033, USADepartment of Anesthesiology, Penn State Health, Hershey, PA 17033, USADepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA 17033, USADepartment of Anesthesiology, Penn State Health, Hershey, PA 17033, USAEstablishing intravenous (IV) access in younger patient populations via the traditional cannulation technique for procedures requiring anesthesia is often challenging. Infrared (IR) vein visualization is a modality that aids venous cannulation; however, few reports of this technique exist in the infant and toddler population. The primary aim of this study was to compare the efficacy of IR vein visualization to the standard cannulation technique for obtaining peripheral IV access in infant and toddler populations. Following Institutional Review Board (IRB) approval and written informed consent, children were randomly assigned to either a standard cannulation technique group or an IR vein visualization device group for venous cannulation. The primary outcome variable was the success rate of IV cannulation, and the secondary variables were the total number of attempts and the time to successful cannulation. No difference was noted between either group for first-attempt success rate (standard versus IR: 61.25% vs. 54.4%; <i>p</i> = 0.4) or time to establish IV cannulation (standard versus IR: median [interquartile range], 40 s [24–120] vs. 53 s [26–106]; <i>p</i> = 0.55). The anesthesiologist’s grading of the anticipated difficulty of IV cannulation was a significant predictor of cannulation success (<i>p</i> = 0.0016). Our study demonstrated no significant benefit in utilizing the IR vein visualization device in terms of the overall success rate, number of attempts, and time to establish successful IV cannulation when compared to the standard technique. However, in difficult IV access situations, this device proved to be a valuable rescue adjunct.https://www.mdpi.com/2227-9067/10/10/1652anesthesiaintravenous accesstoddlersinfrared vein visualization |
| spellingShingle | Graham Fehr Marisa Rigali Gregory Weller Shannon M. Grap Melissa Coleman Uma Parekh Vernon M. Chinchilli Priti G. Dalal Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study Children anesthesia intravenous access toddlers infrared vein visualization |
| title | Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study |
| title_full | Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study |
| title_fullStr | Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study |
| title_full_unstemmed | Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study |
| title_short | Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study |
| title_sort | efficacy of infrared vein visualization versus standard technique for peripheral venous cannulation in infant and toddler populations a randomized study |
| topic | anesthesia intravenous access toddlers infrared vein visualization |
| url | https://www.mdpi.com/2227-9067/10/10/1652 |
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