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The infrared-assisted peripheral intravenous catheterization in pediatric patients: A systematic review and
Liping Feng1, Bin Huang2,3, Ouying Chen3
1Department of Nosocomial Infection Management, Heping Hospital Affiliated to Changzhi Medical College Changzhi, Shanxi, China.
Insights
Near infrared-assisted peripheral intravenous catheterization (PIVC) improves first-attempt success rates in children. This method reduces the number of attempts and insertion time compared to traditional PIVC techniques.
Area of Science:
- Pediatric Medicine
- Medical Devices
- Interventional Procedures
Background:
- Peripheral intravenous catheter (PIVC) insertion is crucial for pediatric patient care.
- Traditional PIVC methods, like the landmark technique, have variable success rates.
- Near infrared-assisted PIVC offers a potential improvement.
Conclusions:
- Near infrared-assisted PIVC is a viable option for pediatric patients.
- Clinicians and nurses should consider its benefits: higher first-time success, fewer attempts, and shorter duration.
Background:
The peripheral intravenous catheter (PIVC) is an important strategy for the treating the illness of pediatric patients. However, the success rate of traditional PIVC method, such as the landmark technique, might be significantly variable and unstable. The near infrared-assisted PIVC might be another option and the results can be revealed by a systemic review and meta-analysis of randomized clinical trials (RCT).
Methods:
A systematic search and a meta-analysis for the RCT of near infrared-assisted PIVC on pediatric patients. The near infrared-assisted and traditional PIVC was compared to evaluate the first time success rate, number of attempts, and attempt duration. Seven RCT studies and total 1068 pediatric patients were enrolled in this meta-analysis. The subgroup analysis of vessel grade difficulty was also performed.
Results:
The near infrared-assisted PIVC showed a significantly higher odds ratio of first time success rate when compared to traditional PIVC. In addition, the number of attempts and attempt duration were significantly reduced in the group of near infrared-assisted PIVC. At last, the subgroup analysis of vessel grade difficultly showed that the first time success rate was borderline significantly increased in the subgroup of difficult vessel grade. In addition, the number of attempts was significantly reduced in the subgroup of difficult vessel grade.
Conclusions:
The near infrared-assisted PIVC might be an option for the PIVC on pediatric patients. The advantages of increased first time success rate and decreased number of attempts and attempt duration should be considered by the clinicians and nurses.
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