A randomized controlled trial comparing the AccuVein AV300 device to standard insertion technique for intravenous cannulation of anesthetized children

Kaddoum, Roland; Anghelescu, Doralina L.; Parish, Mary E.; Wright, Becky B.; Trujillo, Luis; Wu, Jianrong; Wu, Yanan; Burgoyne, Laura L.

doi:10.1111/j.1460-9592.2012.03896.x

Cited by 63 publications

(89 citation statements)

References 20 publications

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“…They were the VeinViewer [1, 66] (Christie Medical Holdings, Memphis, TN, USA), VascuLuminator [67] (De Koningh Medical Systems, Arnhem, NL), and AccuVein [68] (AccuVein LLC, Cold Spring Harbor, NY, USA). The VeinViewer was approved for use by the FDA in 2005 [66].…”

Section: Resultsmentioning

confidence: 99%

“…In the study conducted by Kadddoum et al [68] performed by experienced pediatric anesthesiologists in the operating room (OR) in patients (0–17.1 years old), the efficacy of AccuVein was compared to that of standard care, but this time no difference was seen in the first attempt success rate, number of skin punctures, or the time to successful cannulation of the two groups.…”

Section: Resultsmentioning

confidence: 99%

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Towards a Low-Cost Mobile Subcutaneous Vein Detection Solution Using Near-Infrared Spectroscopy

Juric

Flis

Debevc

et al. 2014

The Scientific World Journal

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Excessive venipunctures are both time- and resource-consuming events, which cause anxiety, pain, and distress in patients, or can lead to severe harmful injuries. We propose a low-cost mobile health solution for subcutaneous vein detection using near-infrared spectroscopy, along with an assessment of the current state of the art in this field. The first objective of this study was to get a deeper overview of the research topic, through the initial team discussions and a detailed literature review (using both academic and grey literature). The second objective, that is, identifying the commercial systems employing near-infrared spectroscopy, was conducted using the PubMed database. The goal of the third objective was to identify and evaluate (using the IEEE Xplore database) the research efforts in the field of low-cost near-infrared imaging in general, as a basis for the conceptual model of the upcoming prototype. Although the reviewed commercial devices have demonstrated usefulness and value for peripheral veins visualization, other evaluated clinical outcomes are less conclusive. Previous studies regarding low-cost near-infrared systems demonstrated the general feasibility of developing cost-effective vein detection systems; however, their limitations are restricting their applicability to clinical practice. Finally, based on the current findings, we outline the future research direction.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Towards a Low-Cost Mobile Subcutaneous Vein Detection Solution Using Near-Infrared Spectroscopy

Juric

Flis

Debevc

et al. 2014

The Scientific World Journal

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“…Several studies assessing the use of infrared technology for the cannulation of children and adults in other clinical settings exist. Kaddoum et al [1] examined its use for cannulation of 146 paediatric cancer patients who had been referred for surgery or diagnostic imaging under anaesthesia. Although the study concluded that the infrared device was easy to use and did improve visualisation of veins, there was no significant statistical difference in the first attempt success rates, number of skin punctures or time to successful cannulation between the standard method (visualisation and palpation) versus the use of the AV300 device.…”

Section: Discussionmentioning

confidence: 99%

Infrared technology to improve efficacy of venous access in burns population

et al. 2015

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Background Obtaining venous access in the burn population is challenging both in the acute and elective surgical settings. In paediatric burns, this is further compounded by smaller veins, thicker subcutaneous fat and poor cooperation. The introduction of infrared technology (Accuvein®) to identify veins up to 10 mm deep has been shown to increase efficacy. It has been promoted in challenging cases. We aim to ascertain whether Accuvein® is a useful clinical tool in the context of burns population. Methods A formal service evaluation of the device was carried out prospectively during a 6-week period. User feedback questionnaires were circulated. We reviewed patient demographics, indication of use, number of attempts and skin quality. We rated user satisfaction using visual analogue scales and a free text comment section. Results Twenty-eight questionnaires were returned. We noted inclination for use of device in paediatric patients compared to adults. Ethnicity included Caucasian, Asians, Afro-Caribbean and Hispanic. Skin quality in majority was described as normal; only four patients had poor quality skin (burn scars, friable thin skin). Fifteen patients had successful first attempts. Ninety-six percent of practitioners felt that the device was useful, although 59 % required assistance initially. We noted that it was not useful in detecting veins through grafted burn sites.Conclusions Accuvein® is a useful adjunct for venous access particularly in the paediatric population. By reducing the number of attempts to obtain venous access, this saves time and improve efficacy of care. However, we noted that it is not helpful over grafted burn sites. This could be attributable to the nature of the initial burn surgery (tangential excision) rather than the thickness of overlying skin. Level of Evidence: Level IV, risk/prognostic study.

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“…These devices have been available for several years now and, despite being easy to use, there is still a paucity of evidence that either device reduces either time to cannulation or number of attempts. 5,6 Ultrasound: ultrasound-guided central venous access in children is faster, has a higher success rate and a reduced complication rate compared to landmark techniques, and has consequently become a standard of care. 7 Ultrasound is also useful for peripheral intravenous cannulation and has been shown to enable faster cannulation after fewer cannulation attempts in children presenting with difficult venous access.…”

Section: Vascular Accessmentioning

confidence: 99%

Equipment and monitoring for paediatric anaesthesia

Leslie¹,

Froom²,

Gildersleve³

2015

Anaesthesia & Intensive Care Medicine

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There have been considerable developments in the equipment and monitoring available for paediatric anaesthesia over the past 3 years. Advances in airway management have come about primarily through the increased use of videolaryngoscopes. Numerous second-generation supraglottic airway devices are also now available with features aimed at improving both their safety profile and utility during difficult airway management. Concerns surrounding the endocrine effects of phthalates have led to the introduction of phthalate-free airway devices. The role of ultrasound continues to expand, with good evidence for its use where vascular access is challenging, while evidence in favour of alternative vascular access aids remains sparse. Smartphones and tablets have become an almost ubiquitous part of the paediatric anaesthetist's armoury, functioning as distraction devices for children and providing a wealth of useful information through applications. A number of cardiac output monitors are now available for use in paediatric anaesthesia and, with the advent of enhanced recovery programmes after surgery, it is likely that their use will increase in the future. This review will discuss a number of these devices and provide insight into the rationale for their use, focusing on those for which the best evidence is available.

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A randomized controlled trial comparing the AccuVein AV300 device to standard insertion technique for intravenous cannulation of anesthetized children

Cited by 63 publications

References 20 publications

Towards a Low-Cost Mobile Subcutaneous Vein Detection Solution Using Near-Infrared Spectroscopy

Towards a Low-Cost Mobile Subcutaneous Vein Detection Solution Using Near-Infrared Spectroscopy

Infrared technology to improve efficacy of venous access in burns population

Equipment and monitoring for paediatric anaesthesia

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