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Background Near-Infrared Vascular Imaging: Changes in catheter design and adoption of new imaging techniques have been tried to facilitate line placement.
Near-infrared NIR imaging is a non-invasive and non-ionizing modality that has been employed to improve the success rate of PIV catheter placement in pediatric patients e. In an observational feasibility study, Cuper et al evaluated for Accuvein summary first time the value of visualizing veins by a prototype of a NIR vascular imaging system for venipuncture in children.
The authors concluded that the findings of this study showed promising results on the value of an NIR vascular imaging system in facilitating venipuncture. A prospective, randomized sample of children aged 0 to 17 years who required a non-emergent PIV in a tertiary care pediatric ED were enrolled in this study.
The primary outcome measure was time to PIV placement. Secondary outcome measures included number of PIV attempts and pain scores as reported by the child, parent or guardian, and nurse using a mm visual analog scale VAS.
A total of patients completed the study: Age, sex, and body mass index BMI were not different between groups. There were no differences in time to PIV placement, number of PIV attempts, or pain scores for the overall study group.
The authors concluded that while no results were significant for the overall study group, subgroup analysis of children age 0 to 2 years suggested that the VeinViewer may decrease the time to PIV placement. In a randomized controlled trial, Perry et al examined if the use of a NIR light venipuncture aid VeinViewer would improve the rate of successful first-attempt placement of IV catheters in a high-volume pediatric ED.
Patients younger than 20 years with standard clinical indications for IV access were randomized to have IV placement by ED nurses in 3 groups stratified by 5-year blocks of nursing experience using traditional methods standard group or with the aid of the VeinViewer device group.
If a vein could not be cannulated after 3 attempts, patients crossed-over from one study arm to the other, and study nurses attempted placement with the alternative technique. The primary end point was first-attempt success rate for IV catheter placement. After completion of patient enrollment, a questionnaire was completed by study nurses as a qualitative assessment of the device.
A total of patients median age of 3 years were included in the study: There was no significant difference in first-attempt success rate between the standard The authors concluded that first-attempt success rate for IV placement was non-significantly higher without than with the assistance of the VeinViewer in a high-volume pediatric ED.
They noted that nurses placing IVs did report several benefits to use of the device with specific patient groups, and future research should be carried out to demonstrate the role of the VeinViewer in these patients.
In a randomized controlled trial, Kim et al examined if the use of the VeinViewer in infants and children facilitated peripheral venous access, especially in difficult cases. Pediatric patients between the ages of 1 month and 16 years who required peripheral venous access in the pediatric ward were included in this study.
Prior to randomization, difficult intravenous access DIVA score, a 4-variable clinical prediction rule for first-attempt success, was estimated.
These investigators compared the first-attempt success rates and procedural times between the VeinViewer group and a control group. They evaluated patients: Patient demographics and factors related to the success of vein access were similar for both groups.
The overall first-attempt success rate was There were no significant differences in procedural time between the two groups.
The authors concluded that the VeinViewer facilitated peripheral venous access for pediatric patients with difficult veins, which enhanced first-attempt success rates. The AccuVein AV device was developed to assist venipuncture and IV cannulation by enhancing the visibility of superficial veins.
It uses infrared light to highlight hemoglobin so that blood vessels are darkly delineated against a red background. Sanchez-Morago et al stated that despite major advances that have occurred in medicine and biotechnology in recent years, advances to locate veins have been very limited.
The AccuVein AV is a portable manual instrument that enables nurses to locate certain peripheral veins. This device does not substitute a nurse's traditional skill in locating veins by visual or feeling means, but rather this device supplements their skills and enhances them. This device is lightweight, intuitive, and does not require previous training for its use and hygiene since it never enters into contact with a patient's skin as it emits an infrared light on the skin, which reflects veins drawing them on the surface of the skin.
Kaddoum et al evaluated the effectiveness of the AccuVein AV in improving the first-time success rate of IV cannulation of anesthetized pediatric patients.
Participants were randomized to cannulation with the AccuVein AV or standard insertion by experienced pediatric anesthesiologists. An observer recorded the number of skin punctures and cannulation attempts required, and the time between tourniquet application and successful cannulation or 4 skin punctures, whichever came first.
There were patients with a median age of 4. Patients with dark or medium skin color were 0. The difference between the 2 treatment groups in number of skin punctures and the time to insertion was not significant.
Although the AV was easy to use and improved visualization of the veins, the authors found no evidence that it was superior to the standard method of IV cannulation in unselected pediatric patients under anesthesia.
There were consecutive children referred to pediatric anesthesiologists by the treating pediatrician of the in- and out-patient clinic, because of difficulties with intravenous cannulation, were included in this cluster randomized clinical trial. The presence and use of the NIR vascular imaging device for peripheral intravenous cannulation PIC was randomized in clusters of 1 week.Evaluation of Accuvein in Adult Patients.
Brief Summary: The objective of this study is to evaluate the effectiveness of Accuvein to facilitate venous blood sampling and placement of peripheral intravenous catheters in adults. This clinical protocol is designed to determine whether using Accuvein increases the ease and efficiency of venous.
Near-infrared vein finder, sold under the brand names VeinViewer and Accuvein, are devices used to try to increase the ability of healthcare providers to see veins. They use near-infrared light reflection to create a map of the veins.
Initial evidence, however, has not found that they increase the success of starting intravenous caninariojana.comd: The global leader in vein visualization technology. The AV, is the world’s only hand-held, non-contact vein illumination solution.
Background Near-Infrared Vascular Imaging. Peripheral intravenous (PIV) catheter insertion is a common, painful, and sometimes difficult procedure for many infants and children in the pediatric emergency department (ED) because of the small caliber and impalpability of the veins.
Established in , AccuVein Inc. is a privately-held medical devices and equipment company that specializes in medical imaging solutions. AccuVein's main product, the AccuVein AV, allows health care professionals to view veins in a patient.
Product Catalog AV Vein Viewing System The AccuVein AV digitally displays a map of the vasculature on the surface of the skin in real time, allowing clinicians to verify vein patency and avoid valves or bifurcations.