Related Experiment Video

Updated: May 30, 2026

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique
09:47

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique

Published on: April 26, 2015

VeinViewer-assisted Intravenous catheter placement in a pediatric emergency department

Laura L Chapman1, Brenna Sullivan, Amanda L Pacheco

  • 1Department of Pediatric Emergency Medicine, Hasbro Children's Hospital, Providence, RI, USA. chapml@gmail.com

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|August 23, 2011
PubMed

Insights

The VeinViewer device may reduce the time to place peripheral intravenous catheters (PIVs) in young children (0-2 years). This study found no overall benefit for all pediatric patients but showed promising results in the youngest age group.

Area of Science:

  • Pediatric Emergency Medicine
  • Medical Device Technology
  • Vascular Access

Background:

  • Peripheral intravenous catheter (PIV) placement is a common yet challenging procedure for children in emergency departments.
  • The VeinViewer uses near-infrared light to visualize veins, potentially aiding PIV insertion.
  • Limited research exists on its efficacy in pediatric emergency settings.

Purpose of the Study:

  • To evaluate the effectiveness of the VeinViewer device in improving PIV placement in children.
  • To compare time to PIV placement, number of attempts, and pain scores between standard PIV cannulation and VeinViewer-assisted PIV cannulation.

Main Methods:

  • A prospective, randomized study enrolled 323 children (0-17 years) requiring nonemergent PIV placement in a pediatric emergency department.
  • Participants were randomized to standard PIV placement (SC) or VeinViewer-assisted placement (VV).
  • Primary outcome was time to PIV placement; secondary outcomes included PIV attempts and pain scores (Visual Analog Scale).

Main Results:

  • No significant differences were found in time to PIV placement, number of attempts, or pain scores for the overall study group.
  • A subgroup analysis of children aged 0 to 2 years (n=107) showed a significantly shorter mean time to PIV placement with VeinViewer (121s vs. 167s, p=0.047).
  • Nurses' perception of pain was also significantly lower in the VeinViewer group for this younger subgroup (median VAS 34 vs. 46, p=0.01).

Conclusions:

  • The VeinViewer did not demonstrate significant benefits for PIV placement in the overall pediatric population studied.
  • However, findings suggest the VeinViewer may be beneficial for reducing PIV placement time in very young children (0-2 years).
  • Further research may explore targeted use of this technology in specific pediatric age groups.
Abstract

More Related Videos

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock09:09

Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock

Published on: November 3, 2023

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...