Find out more information about why from Cora Vizcarra in her Infusion Taking Steps to Prevent Infiltrations in Children The incidence of infiltration can occur quickly and cause a great deal of damage.
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 the 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. Accuvein summary total of patients completed the study: Age, sex, and Accuvein summary 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.
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. The AccuVein Learning Center is your go-to place for information on Vein Illumination, Venipuncture and training for the AccuVein product line. The Learning Center provides the latest news, video training and documentation downloads. Welcome to the skills assessment. You should take this assessment after you have viewed the In-Service Video or after you have attended a webinar or a live In-Service.. This short quiz covers the key things you need to know about operating the AV, using Vein Illumination in patient care, and the care and cleaning of the device.
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.A health professional’s guide for use and operation of the AccuVein AV AccuVein AV User Manual English. 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 ashio-midori.comd: 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.
Item Summary for ACCUVEIN AV UV Light. The AV Accuvein Vein Viewing system includes: the AV unit with battery installed, charging cradle and power cord, universal power supply. AccuVein just announced its new vein illumination device, the AV Working on the same infrared detection and light projection technology as before, the new model was designed to be easier to.
Vein illumination with AccuVein’s breakthrough device can aid healthcare professionals in finding a good vein for venipuncture.
Simply hold the device above the skin, and the vasculature is displayed on the surface of the skin. Easy to use, these vein finders may save valuable time for both nurses and patients.