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Efficacy of Veinlite PEDI in Pediatric Peripheral Intravenous Access: A Randomized Controlled Trial
Merve Gümüş1, Zümrüt Başbakkal
1From the Department of Pediatric Nursing, Faculty of Nursing, Ege University, İzmir, Turkey.
Insights
The Veinlite PEDI device significantly improved first-attempt success rates for peripheral intravenous catheter placement in children. This technology also reduced the number of attempts and time needed for successful IV access.
Area of Science:
- Pediatric Emergency Medicine
- Medical Device Technology
- Vascular Access
Background:
- Peripheral intravenous catheter (PIC) placement is a common but challenging procedure in pediatric emergency care.
- Difficult venous access in children can lead to multiple attempts, increased patient distress, and delayed treatment.
- Novel technologies aim to improve the success rate and efficiency of PIC placement in pediatric populations.
Purpose of the Study:
- To evaluate the efficacy of the Veinlite PEDI device in improving first-attempt success for peripheral intravenous catheter (PIC) placement in pediatric patients.
- To compare the Veinlite PEDI device against standard of care (SoC) in terms of success rate, number of attempts, and time to placement.
Main Methods:
- A randomized controlled study involving 112 pediatric patients aged 1 to 10 years presenting to the emergency department.
- Patients were assigned to either the Veinlite PEDI group or the standard of care (SoC) group.
- Primary outcome was first-attempt success; secondary outcomes included the number of IV attempts and time to PIC placement.
Main Results:
- The Veinlite PEDI group demonstrated a significantly higher first-attempt success rate (92.9%) compared to the SoC group (72.2%) (P < 0.004).
- Fewer IV attempts were required in the Veinlite PEDI group (1.07 ± 0.54) versus the SoC group (1.31 ± 0.25) (P = 0.04).
- Total time for PIC placement was shorter in the Veinlite PEDI group (49.98 ± 18.4 seconds) compared to the SoC group (59.68 ± 22.5 seconds) (P = 0.01).
Conclusions:
- The Veinlite PEDI device significantly enhances first-time success rates for peripheral IV access in children.
- Improved vein visualization with the Veinlite PEDI technology reduces the number of attempts and time needed for PIC placement.
- This new technology offers superior PIC access compared to standard methods using white light transillumination.
Methods:
A total of 112 pediatric patients were enrolled in the study. Children who presented to the emergency department aged 1 to 10 years old were randomly assigned to the Veinlite PEDI (Veinlite) group or standard of care (SoC) group. The primary outcome measure was first attempt success. Secondary outcome measures were number of intravenous (IV) attempts and time to peripheral intravenous catheter (PIC) placement.
Results:
A total of 110 patients completed the study: 58 boys and 52 girls. The first attempt success rate was significantly higher in the Veinlite group compared with the SoC group (92.9% vs 72.2%, P < 0.004). In addition, the Veinlite group had a fewer number of attempts compared with the SoC group (1.07 ± 0.54 vs 1.31 ± 0.25, P = 0.04). The Veinlite group resulted in a shorter total time of attempts per patient compared with the SoC group (49.98 ± 18.4 vs 59.68 ± 22.5 P = 0.01).
Conclusions:
The use of new technology in the Veinlite PEDI (TransLite, Sugar Land, Tex), to assist with peripheral IV access in children, improves the first time success rate for IV access. Improved visualization of veins also reduced the number of attempts and the time required for PIC placement. These results suggest that the new technology of the Veinlite results in better PIC access than Veinlite transilluminaton device with white light.
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