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The effect of transilluminator device on successful peripheral venous catheter placement in children: A systematic

Mahbobeh Firooz1, Samad Karkhah2,3, Seyed Javad Hosseini1

  • 1Department of Nursing, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran.

The Journal of Vascular Access
|October 26, 2022
PubMed

Insights

The transilluminator device (TD) significantly increases the first attempt success rate (FASR) for peripheral venous catheter placement (PVCP) in children, according to RCT data. Further high-quality evidence is needed to confirm effectiveness across all study designs.

Area of Science:

  • Pediatric Medicine
  • Medical Devices
  • Evidence-Based Practice

Background:

  • Peripheral venous catheter placement (PVCP) in children is challenging due to small vein diameters in adipose tissue.
  • The transilluminator device (TD) offers a potential solution for improving PVCP success rates.

Purpose of the Study:

  • To assess the effect of the transilluminator device (TD) on the first attempt success rate (FASR), mean number of attempts (MNA), and mean duration of successful PVC placement (MDSPP) in children through a meta-analysis.

Main Methods:

  • A systematic review and meta-analysis of six studies (four RCTs, two non-RCTs) conducted up to December 2021.
  • Data were searched from multiple online databases and analyzed using STATA V.14.0 software.

Main Results:

  • Randomized controlled trials (RCTs) indicated that TD significantly increased FASR by 34% (RR=1.34; CI=1.18-1.53).
  • TD use was associated with a reduction in MNA and MDSPP in some RCT and non-RCT studies, though results varied.
  • Non-RCT data showed an insignificant decrease in FASR (RR=0.95; CI=0.50-1.79).

Conclusions:

  • Based on RCT evidence, the TD significantly improves the FASR for PVCP in children.
  • Conflicting results between RCTs and non-RCTs highlight the need for more high-quality RCT evidence to definitively establish TD's effectiveness.

Keywords:
Transilluminationpediatricsperipheral catheterizationperipheral intravenous catheterperipheral venous cathetervascular access devices

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