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Effectiveness of dry heat application on ease of venepuncture in children with difficult intravenous access: A

Eva Suchitra1, Ranjini Srinivasan2

  • 1Department of Pediatric Nursing, ESIC College of Nursing, Gulbarga, Karnataka, India.

Journal for Specialists in Pediatric Nursing : JSPN
|October 11, 2019
PubMed

Insights

Dry heat application significantly improves intravenous (IV) access in children, reducing the number of attempts and insertion time. This method also decreases perceived pain, making IV cannulation easier for pediatric patients with difficult venous access.

Area of Science:

  • Pediatric Nursing
  • Vascular Access Procedures
  • Pain Management

Background:

  • Difficult intravenous (IV) access is a common challenge in pediatric care.
  • Effective strategies are needed to improve venipuncture success rates and minimize patient discomfort.

Purpose of the Study:

  • To evaluate the effectiveness of dry heat application in children experiencing difficult IV access.
  • To determine if pre-application of heat improves IV insertion outcomes and reduces pain.

Main Methods:

  • A randomized controlled trial involving 84 children aged 5-18 years with difficult IV access.
  • The intervention group received a 10-minute application of a 40°C electric heating pad prior to IV insertion.
  • Outcomes measured included the number of IV attempts, time to IV access, and child-reported discomfort using the Oucher scale.

Main Results:

  • All children in the dry heat group required only one IV attempt, compared to 29% in the control group (p < .001).
  • Mean time for IV line insertion was significantly lower in the intervention group (64.56s) versus the control group (110.70s) (p < .001).
  • Children receiving dry heat application reported significantly less discomfort during the procedure (p < .001).

Conclusions:

  • Dry heat application is an effective method for improving venipuncture success in children with difficult IV access.
  • This technique reduces the number of attempts, shortens procedure time, and alleviates pain.
  • Implementing dry heat application is recommended for pediatric patients requiring IV cannulation.
Abstract

Keywords:
childrendry heatease of venepunctureelectric heating padhospitalless discomfort

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