Transillumination by light-emitting diode facilitates peripheral venous cannulations in infants and small children

Acta Anaesthesiologica Scandinavica
K HosokawaN Shime

Abstract

Transillumination facilitates the visualization of peripheral veins in infants and children. The clinical usefulness of light-emitting diode (LED)-powered devices has not been thoroughly studied. We randomly assigned 136 infants and children weighing <15 kg, undergoing general anesthesia, to red LED-powered transillumination (TM group, n=67) vs. the usual method (UM group, n=69) of peripheral venous cannulations. Venous puncture was performed following anesthesia induction with sevoflurane and nitrous oxide. The primary and secondary study endpoints were the rate of successful cannulations at initial attempt, and the duration of insertion attempts, respectively. The median score of the estimated cannulation difficulty before attempted puncture was similar in both groups. The success rates at first attempt were 75% and 61% (NS) and mean+/-SD times to successful venous access were 47+/-34 and 68+/-66 s (NS) in the TM and UM groups, respectively. The cannulation procedures were completed significantly earlier in the TM group than in the UM group (hazard ratio, 1.59; 95% confidence interval, 1.03-2.47; P=0.03). In the subgroup of infants and children <2 years old, venous cannulation was successful at first attempt in 73% and 49% in...Continue Reading

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Citations

Jul 6, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·M BensghirN Drissi Kamili
Jan 31, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Adam A VukovicBenjamin T Kerrey
Jun 2, 2017·Acta Anaesthesiologica Scandinavica·D Haile, P K Suominen
Nov 20, 2016·Journal of Advanced Nursing·Shannon I A ParkerK Alix Hayden
Feb 16, 2016·British Journal of Nursing : BJN·Kevin Hugill
Nov 26, 2016·The Journal of Vascular Access·Marsha ElkhunovichThomas Mailhot
Jan 25, 2019·The Journal of Perinatal & Neonatal Nursing·Seda ÇağlarÖzgül Salihoğlu
Apr 2, 2015·Current Opinion in Anaesthesiology·Martin Jöhr, Thomas M Berger
May 26, 2018·Pediatric Emergency Care·Merve Gümüş, Zümrüt Başbakkal

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