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Comparison of First Attempt Success Rate Between using a vein finder and standard Technique in Securing Difficult Peripheral Venous Access Based on diva score in Children Aged 0-10 years
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| Author:
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DR. JOSHUA RAJAN. X
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| Abstract:
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Introduction: Establishing successful intravenous (IV) access in paediatric setting is an important clinical challenge, especially in the emergency/critical care settings. Traditional venous cannulation techniques often fail due to thin/more fragile veins, increased deposition of subcutaneous fat and poor patient cooperation. This challenge is further exacerbated in life saving critical situations where we need rapid and reliable IV access. Pain associated with the procedure is often ignored, despite the fact that it has a substantial impact on a child's physiological, emotional, and behavioural health. Near-infrared (NIR) spectroscopy, a new innovation has been suggested to improve cannulation challenge.
Materials and Methods: This study compared the effectiveness between Near-infrared (NIR) vein finder with the standard technique in successful attainment of peripheral venous access in children aged 0–10 years. The primary outcomes assessed were first-attempt success rate, number of attempts required and the duration for successful cannulation. The study involved 300 paediatric patients with a Difficult Intravenous Access (DIVA) score of =4.
Results: Successful IV access during first attempt was significantly higher in NIR group(78.7%) compared to the standard group (58.7%). There was a significant difference in those requiring fewer than three attempts in the intervention arm (89.3%) compared to the standard arm (67.3%). The median cannulation time also showed significant difference (95 seconds in NIR group Vs 100 seconds in Standard Group. Logistic regression analysis was performed which g identified age, weight, and nutritional status as significant predictors for first-attempt success rates.
Conclusion: The near-infrared (NIR) vein finder was observed to improve first-attempt success rates, reduction in cannulation time and minimized pricks during difficult situations in the paediatric age group. These benefits were even more evident in 0-5 years age group, where conventional methods often fail due to poor vein visibility. The ease of use and affordability the NIR vein finder is considered as a valuable tool for pediatric IV access, especially in the younger age group.
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| Keyword:
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Pediatric IV access, Near-infrared spectroscopy, Successful Cannulation, Difficult Intravenous Access (DIVA), Vein visualization.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2024.16.04.004
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| Download:
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Request For Article
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