Evaluating NIR vascular imaging to support intravenous cannulation in awake children difficult to cannulate; a randomized clinical trial

Summary Background Recently, various near‐infrared vascular imaging devices aimed at facilitating peripheral intravenous cannulation (PIC) were introduced, all claiming to increase success rate of PIC. We evaluated the clinical utility of a near‐infrared vascular imaging device (VascuLuminator®) in...

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Bibliographic Details
Published in:Pediatric anesthesia 2014-11, Vol.24 (11), p.1174-1179
Main Authors: de Graaff, Jurgen C., Cuper, Natascha J., van Dijk, Atty T.H., Timmers-Raaijmaakers, Brigitte C.M.S., van der Werff, Désirée B.M., Kalkman, Cor J.
Format: Article
Language:English
Subjects:
Catheterization, Peripheral - instrumentation
Catheterization, Peripheral - methods
Child
Child, Preschool
Female
Humans
Infant
infrared rays
Male
peripheral catheterization
Risk
Spectroscopy, Near-Infrared - methods
veins
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Summary:Summary Background Recently, various near‐infrared vascular imaging devices aimed at facilitating peripheral intravenous cannulation (PIC) were introduced, all claiming to increase success rate of PIC. We evaluated the clinical utility of a near‐infrared vascular imaging device (VascuLuminator®) in pediatric patients who were referred to the anesthesiologist because of difficult cannulation. Methods There were 226 consecutive children referred to pediatric anesthesiologists by the treating pediatrician of the in‐ and outpatient clinic, because of difficulties with intravenous cannulation, were included in this cluster randomized clinical trial. The presence and use of the near‐infrared vascular imaging device for PIC was randomized in clusters of 1 week. Success at first attempt (Fisher exact test) and time to successful cannulation (Log‐rank test) were assessed to evaluate differences between groups. Results Success at first attempt in the group with the VascuLuminator® (59%) was not significantly different from the control group (54%, P = 0.41), neither was the median time to successful cannulation: 246 s and 300 s, respectively (P = 0.54). Conclusions Visualization of blood vessels with near‐infrared light and with near‐infrared vascular imaging device did not improve success of PIC in pediatric patients who are known difficult to cannulate.
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.12501