Infrared augmented reality device versus standard procedure for peripheral venous catheterisation in children less than 3 years old: A quasi‐experimental cluster randomised controlled trial

Abstract

Aim and objective The objective of this study was to evaluate the AccuVeinAV400® viewing device for peripheral venous catheter insertion in children on the first try. Background Inserting a peripheral venous catheter is the most frequent invasive procedure carried out by healthcare professionals in hospitalised children. Several attempts are sometimes necessary, and veins can be damaged. Design A quasi‐experimental cluster randomised controlled trial based on the CONSORT 2010 guidelines. Methods This randomised study comparing standard practice to the use of AccuVein400® was carried out on children who were less than 3 years old, with difficult intravenous access (DIVA Score), hospitalised in three paediatric units and who needed cannulation. Result A total of 304 children were included (156 in the AccuVein arm and 148 in the standard arm). There was no significant difference between AccuVein and standard groups in age (respectively, 2.5 ± 0.9 years vs. 2.5 ± 0.8), or mean DIVA score (respectively 5.9 ± 1.3 vs. 5.5 ± 1.2). The success of cannulation on the first attempt was 40.38% in the AccuVein arm vs. 41.2% in the standard arm (p = .6). The caregiver's assessment of pain on the Face Legs Activity Cry Consolability scale was 4.8 ± 0.2 in the AccuVein arm vs. 5.0 ± 0.2 (p = .4). Conclusions The use of AccuVein400® did not lead to greater success in intravenous insertion at the first attempt in children under 3 years of age with difficult intravenous access. Relevance to clinical practice This device can therefore be used according to the healthcare professionals' situation and needs. It is widely used in paediatric wards, and our study shows that it offers a support tool that reassures healthcare professionals and helps validate their choice of vein easiest to catheterise.

Vein Visualization With a Near Infrared Imaging Device and Its Impact on Students’ and Nurses’ Skills in an Academic Teaching University Hospital

“…In pediatric patients, most studies found no significant improvement in first-attempt success of intravenous cannulation, number of attempts, or the amount of time or pain when using an NIR imaging device for vein visualization. 8,9 The training of medical and nursing students concerning venipuncture usually does not follow a systematic scheme. 10 Some approaches to improve these teaching techniques include theoretical lectures, e-learning courses, video lessons, and practical exercises with a manikin or haptic devices, as well as with simulation-based training.…”

“…Its simple, cheap, noninvasive, and quick applicability is especially highlighted by some authors. In pediatric patients, most studies found no significant improvement in first-attempt success of intravenous cannulation, number of attempts, or the amount of time or pain when using an NIR imaging device for vein visualization 8,9…”

Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study

“…Due to increased body fat and patterns of distribution, IV placement is challenging in the younger pediatric population [7]. Though age [1,8] is a known risk factor for difficult IV access and a predictive factor included in the difficult intravenous access (DIVA) score [8,9], few studies have focused on the use of this device exclusively in infant and toddler populations [2,8]. The primary objective of our study was to compare the efficacy of an IR vein visualization device with the standard cannulation technique (i.e., no IR device) in children (age < 2 years) presenting for elective magnetic resonance imaging (MRI) procedures under general anesthesia.…”

The infrared-assisted peripheral intravenous catheterization in pediatric patients: A systematic review and meta-analysis

“…It leads to more attempts to establish the PIVC and cause the vein damage. 1,2 Previous randomized studies done with PIVC mentioned first time success rates ranging from 44% to 53% and required second or third attempts for successful PIVC insertion in pediatric patients. 3,4 Therefore, the PIVC on the pediatric patients was a challenging task for the healthcare professionals in the clinical care and practice.…”