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Vein Visualisation Technology for Peripheral Intravenous Access in Paediatric Patients: A Clinical Decision-Making
Elizabeth Weathers1, Mary Cazzell2, Julie A Thompson3
1School of Nursing, Midwifery, and Health Sciences, University College Dublin, Belfield, Ireland.
Nursing Open
|October 18, 2024
Summary
This study developed a clinical decision tool for vein visualization technologies to improve peripheral intravenous catheter (PIVC) insertion success. The tool recommends specific devices like NIR or transilluminators based on patient age and BMI, enhancing patient care.
Area of Science:
- Medical Devices
- Clinical Decision Support
- Vascular Access
Background:
- Vein visualization technologies (VVT) are recommended to improve peripheral intravenous catheter (PIVC) insertion.
- Adoption and optimal utilization of VVT for PIVC insertion remain limited in clinical practice.
- A need exists for a structured approach to guide VVT selection and application.
Purpose of the Study:
- To develop a clinical decision-making tool for guiding the utilization of vein visualization technologies.
- To enhance the success rate of peripheral intravenous catheter (PIVC) insertion.
- To leverage data from a pediatric medical center's vascular access team.
Main Methods:
- Quantitative, two-phase study design.
- Phase 1: Retrospective chart review of clinician utilization and preferences for VVT.
- Phase 2: Prospective study with post-discharge chart review to confirm VVT use and influencing factors.
Main Results:
- Cluster analysis identified 16 distinct patient groups.
- Near-infrared (NIR) devices demonstrated higher first-attempt success rates for patients over 2 years old, irrespective of BMI or access site.
- Transilluminators were most effective for underweight patients under 2 years old.
Conclusions:
- The developed tool provides evidence-based recommendations for VVT selection in PIVC insertion.
- This is the first study to create a clinical decision-making tool specifically for VVT in PIVC procedures.
- Implementation of this tool can improve PIVC insertion outcomes and efficiency of care.
Keywords:
PIV success ratespaediatric patientsperipheral intravenous accessvascular accessvein visualisation technologyMore Related Videos
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