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Comparison of LED-Based Transillumination Device with Traditional Vein Viewing Methods for Difficult Intravenous
Raj Dhar Dutt1, Yogendra Verma1, Borra Ranganath1
1Department of Pediatrics, Gajra Raja Medical College, Gwalior, Madhya Pradesh, 474001, India.
Insights
A transillumination device significantly improves first-attempt success and reduces the number of attempts for peripheral venous cannulation in pediatric patients with difficult venous access. This technology enhances procedural outcomes.
Area of Science:
- Pediatric Emergency Medicine
- Medical Device Technology
- Vascular Access
Background:
- Difficult peripheral venous access is common in pediatric patients.
- Traditional vein visualization methods can be challenging, leading to multiple attempts and patient distress.
Purpose of the Study:
- To compare the effectiveness of a transillumination device versus traditional vein viewing for peripheral venous access in children.
- To evaluate the impact on first-attempt success and the number of attempts required.
Main Methods:
- A nonrandomized controlled trial involving 509 pediatric patients (3-36 months) with a difficult intravenous access score of ≥4.
- Patients were assigned to either a transillumination device group or a traditional vein viewing group.
- Key outcomes measured were the proportion of successful first attempts and the median number of attempts.
Main Results:
- The transillumination device group showed a significantly higher proportion of single-attempt cannulations (p=0.001).
- The median number of attempts was significantly lower in the transillumination group (1 vs. 2, p=0.001).
- Use of the device increased the likelihood of first-attempt success by 2.64 times.
Conclusions:
- Transillumination devices significantly enhance first-attempt success rates for peripheral venous cannulation in children.
- This technology reduces the overall number of attempts needed, improving efficiency and potentially patient comfort.
Objectives:
To compare the utility of transillumination device with traditional vein viewing in situations with difficult peripheral venous access in pediatric patients.
Methods:
This was a nonrandomized, controlled trial. All the children aged between 3 to 36 mo admitted in tertiary care referral hospital, who satisfied difficult intravenous access (DIVA) score of equal to or more than 4 were included in the study. The children were assigned to transillumination device group (intervention) and traditional vein viewing group (traditional). The proportion of successful cannulation in the first attempt and median number attempts required to successfully cannulate in each group were estimated.
Results:
A total of 509 children were included in the study. The proportion of single attempt cannulation was significantly higher in the intervention group as compared to traditional group (p value = 0.001). The median number of attempts to successfully cannulate was found to be significantly less in the interventional group (median 1 vs. 2; p value = 0.001). On bivariate analysis, use of transillumination device was found to have a 2.64 times higher likelihood to successfully cannulate in the first attempt.
Conclusion:
The use of transillumination device significantly improves the first attempt success rate and number of attempts for successful cannulation.
