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Infrared Devices Versus Traditional Palpation Approach for Peripheral Intravenous Catheter Insertion in Adults: A
Bertrand Drugeon1,2,3, Jessica A Schults3,4,5, Gillian Ray-Barruel3,4,5
1CHU de Poitiers, Service des Urgences Adultes-SAS 86-Centre 15, Poitiers, France.
Infrared (IR) devices do not significantly improve first-attempt success for peripheral intravenous catheter (PIVC) insertion compared to traditional palpation. Evidence does not support their routine use for PIVC procedures in adults.
Area of Science:
- Medical Devices
- Clinical Interventions
- Evidence-Based Practice
Background:
- Peripheral intravenous catheter (PIVC) insertion is a common but challenging procedure.
- Difficult Intravascular Access (DIVA) patients often require multiple attempts.
- Infrared (IR) devices aim to improve vein visualization for PIVC insertion.
Purpose of the Study:
- To systematically review and meta-analyze randomized controlled trials (RCTs).
- To compare the efficacy of IR devices versus traditional palpation for first-attempt PIVC success in adults.
Main Methods:
- Systematic review and meta-analysis of five RCTs involving 690 patients.
- Searched major databases (PubMed, Embase, etc.) from January 2000 onwards.
- Assessed risk of bias using RoB2 tool; applied random-effects model.
Main Results:
- First-attempt PIVC success rates were similar: 42% with IR devices vs. 38% with palpation (RR 1.08).
- No significant differences found in overall success, attempts, cannulation time, or patient pain.
- Substantial clinical and statistical heterogeneity observed (I²=83%).
Conclusions:
- Current evidence does not support routine use of IR devices for PIVC insertion.
- Further high-quality research is needed to define the role of IR devices, especially in specialized settings.
- Limited benefit of IR devices in routine clinical practice highlighted.
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