Near Infrared Light Source Versus Naked Eye Visualization for Establishing Intravenous Access in Neonates: A Randomized Control Trial

Authors

  • Bichitrananda Raut Department of Neonatology, IMS and SUM Hospital, SOA Deemed to be University, Bhubaneswa Odisha, India.
  • Satish Saluja Department of Neonatology, Sir Ganga Ram Hospital Marg, Old Rajinder Nagar, New Rajinder Nagar, New Delhi, India.
  • Arun Soni Department of Neonatology, Sir Ganga Ram Hospital Marg, Old Rajinder Nagar, New Rajinder Nagar, New Delhi, India.
  • Manoj Modi Department of Neonatology, Sir Ganga Ram Hospital Marg, Old Rajinder Nagar, New Rajinder Nagar, New Delhi, India.

DOI:

https://doi.org/10.36570/jduhs.2022.3.1602

Keywords:

Near Infrared Light, Neonate, Vein Viewer

Abstract

Objective: To compare efficacy of near infrared light (NIR) versus naked eye (NE) visualization for intravenous access in the neonates.
Methods: This was a randomized controlled trial carried out in a tertiary care center in New Delhi, India from 2015 to 2017. A total of 480 admitted neonates, who required placement of intravenous catheter were randomized to receive intravenous access attempt with NE group or using NIR source group. Primary outcome was first attempt success rate of establishing intravenous access. Secondary outcomes were to compare the time to establish intravenous access, number of pricks taken, and cost of consumables used.
Results: Of 240 neonates in each group the mean birth weight of neonates in NE group and NIR group being 1665 ± 820 grams and 1600 ± 778 grams, respectively (p-value = 0.363). Mean gestational age of neonates were 31.78 ± 3.9 weeks in NE group and 31.79 ± 3.9 weeks in NIR group (p-value= 0.972). First-attempt success rate in NE group and NIR group was 122 (50.8%) and 124 (51.7%) respectively. The median(IQR) of time taken to establish intravenous access was 37.5 (13- 134.7) sec and 43 (17-221.2) sec in the NE group and NIR group, respectively (p-value = 0.307). There was no significant difference between the groups for secondary outcomes.
Conclusion: Use of NIR source as compared to NE visualization, for establishment of intravenous access in neonates, does not improve first attempt success rate.
Keywords: Near Infrared Light, Neonate, Vein Viewer.
Clinical Trial Registry #: CTRI/2017/01/007693

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References

Phipps K, Modic A, O'Riordan MA, Walsh M. A randomi-zed trial of vein viewer versus standard technique for placement of peripherally inserted central catheters in neonates. J Perinatol 2011; 32:498-501.

doi:10.1038/jp.2011.129

Szmuk P, Steiner J, Pop RB, Farrow-Gillespie A, Mascha EJ, Sessler DI. The vein viewer vascular imaging system worsens first-attempt cannulation rate for experienced nurses in infants and children with anticipated difficult intravenous access. Anesth Analg 2013; 116: 1087-92.

doi:10.1213/ANE.0b013e31828a739e

Kim MJ, Park JM, Rhee N, Je SM, Hong SH, Le YM, et al. Efficacy of Vein Viewer in pediatric peripheral intravenous access: a randomized controlled trial. Eur J Pediatr 2012; 171: 1121-5.

doi: 10.1007/s00431-012-1713-9

Hess H. A biomedical device to improve pediatric vasc-ular access success. Pediatr Nurs 2010; 36: 259-63.

Perry A, Caviness A, Hsu D. Efficacy of a near infrared light device in pediatric intravenous cannulation. Pediatr Emerg Care 2011; 27: 5-10.

doi:10.1097/PEC.0b013e3182037caf

Yen K, Riegert A, Gorelick MH. Derivation of the DIVA score: A clinical prediction rule for the identification of children with difficult intravenous access. Pediatr Emerg Care 2008; 24:143-7.

doi:10.1097/PEC.0b013e3181666f32

Carr PJ, Rippey JC, Budgeon CA, Cooke ML, Higgins N, Rickard CM. Insertion of peripheral intravenous cannulae in the Emergency Department: factors associated with first-time insertion success. J Vasc Access 2016; 17:182-90.

doi:10.5301/jva.5000487

Cuper NJ, de Graaff JC, van Dijk AT, Verdaasdonk RM, van der Werff DB, Kalkman CJ. Predictive factors for difficult intravenous cannulation in pediatric patients at a tertiary pediatric hospital. Paediatr Anaesth 2012; 22:223-9.

doi:10.1111/j.1460-9592.2011.03685.x

Jacobson AF, Winslow EH. Variables influencing intrav-enous catheter insertion difficulty and failure: an analysis of 339 intravenous catheter insertions. Heart Lung 2005; 34:345-59.

doi:10.1016/j.hrtlng.2005.04.002

Choden J, Carr PJ, Brock AR, Esterman A. Nurse performed peripheral intravenous catheter first time insertion success in pediatric patients in Bhutan: An

observational study. J Vasc Access 2019; 20:184-9.

doi:10.1177/1129729818792826.

Lapostolle F, Catineau J, Garrigue B, Monmarteau V, Houssaye T, VecciI,Treoux V, et al. Prospective evaluation of peripheral venous access difficulty in emergency care. Intensive Care Med 2007; 33:1452-7. doi:10.1007/s00134-007-0634-y

Riker MW, Kennedy C, Winfrey BS, Yen K, Dowd MD. Validation and refinement of the difficult intravenous access score: a clinical prediction rule for identifying children with difficult intravenous access. Acad Emerg Med 2011; 18:1129-34.

doi:10.1111/j.1553-2712.2011.01205.x

Witting MD. IV access difficulty: incidence and delays in an urban emergency department. J Emerg Med 2012; 42:483-7. doi:10.1016/j.jemermed.2011.07.030

O'Neill MB, Dillane M, Hanipah NF. Validating the diffic-ult intravenous access clinical prediction rule. Pediatr Emerg Care 2012; 28:1314-6.

doi:10.1097/PEC.0b013e3182768bc9

Blaivas M. Ultrasound-guided peripheral IV insertion in the ED: A two hour training session improved placement success rates in one ED. Am J Nurs 2005; 105: 54-7.

Katsogridakis YL, Seshadri R, Sullivan C, Waltzman ML. Ultrasound-guided peripheral IV insertion in the ED: A two hour training. Pediatr Emerg Care 2008; 24:83-8.

Aulagnier J, Hoc C, Mathieu E, Dreyfus JF, Fischler M, Le Guen M. Efficacy of AccuVein to facilitate peripheral intravenous placement in adults presenting to an emergency department: a randomized clinical trial. Acad Emerg Med 2014; 21:858-63.

doi:10.1111/acem.12437

Chapman LL, Sullivan B, Pacheco AL, Draleau CP, Bec-ker BM. Vein viewer assisted intravenous catheter placement in pediatric emergency department. Acad Emerg Med 2011; 18: 966-71.

doi:10.1111/j.1553-2712.2011.01155.x

Rothbart A, Yu P, Muller-Lobeck L, Spies CD, Wernecke KD, Nachtigall I. Peripheral intravenous cannulation with support of infrared laser vein viewing system in a preoperation setting in pediatric patients. BMC Res Notes 2015; 8:463.

doi:10.1186/s13104-015-1431-2

Carr PJ, Rippey JC, Budgeon CA, Cooke ML, Higgins N, Rickard CM. Insertion of peripheral intravenous cannulae in the Emergency Department: factors associated with first-time insertion success. J Vasc Access 2016; 17:182-90.

doi:10.5301/jva.5000487

Sun CY, Lee KC, Lin IH, Wu CL, Huang HP, Lin YY, et al. Near-infrared light device can improve intravenous cannulation in critically ill children. Pediatr Neonatol 2013; 54:194-7. doi:10.1016/j.pedneo.2012.12.012

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Published

2022-10-19

How to Cite

Raut, B., Saluja, S., Soni, A., & Modi, M. (2022). Near Infrared Light Source Versus Naked Eye Visualization for Establishing Intravenous Access in Neonates: A Randomized Control Trial. Journal of the Dow University of Health Sciences (JDUHS), 16(3), 107–112. https://doi.org/10.36570/jduhs.2022.3.1602

Issue

Vol. 16 No. 3

Section

Original Articles

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Copyright (c) 2022 Bichitrananda Raut, Satish Saluja, Arun Soni, Manoj Modi

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