The effectiveness of a near-infrared vascular imaging device to support intravenous cannulation in children with dark skin color: a cluster randomized clinical trial

Olga C P van der Woude; Natascha J Cuper; Chavalleh Getrouw; Cor J Kalkman; Jurgen C de Graaff

doi:10.1213/ANE.0b013e31828e5bde

The effectiveness of a near-infrared vascular imaging device to support intravenous cannulation in children with dark skin color: a cluster randomized clinical trial

Olga C P van der Woude, Natascha J Cuper, Chavalleh Getrouw, Cor J Kalkman, Jurgen C de Graaff

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Poor vein visibility can make IV cannulation challenging in children with dark skin color. In the operating room, we studied the effectiveness of a near-infrared vascular imaging device (VascuLuminator) to facilitate IV cannulation in children with dark skin color.

METHODS: In the operating room of a general hospital in Curacao, all consecutive children (0-15 years of age) requiring IV cannulation were included in a pragmatic cluster randomized clinical trial. The VascuLuminator was made available to anesthesiologists at the operating complex in randomized clusters of 1 week.

RESULTS: Success at first attempt was 63% (27/43, 95% confidence interval [CI], 47%-77%) in the VascuLuminator group vs 51% (23 of 45 patients, 95% CI, 36%-66%) in the control group (P = 0.27). Median time to successful cannulation was 53 seconds (interquartile range: 34-154) in the VascuLuminator group and 68 seconds (interquartile range: 40-159) in the control group (P = 0.54), and hazard ratio was 1.12 (95% CI, 0.73-1.71).

CONCLUSION: The VascuLuminator has limited value in improving success at first attempt of facilitating IV cannulation in children with dark skin color.

Original language	English
Pages (from-to)	1266-1271
Number of pages	6
Journal	Anesthesia and Analgesia
Volume	116
Issue number	6
DOIs	https://doi.org/10.1213/ANE.0b013e31828e5bde
Publication status	Published - Jun 2013

Keywords

Catheterization, Peripheral
Child, Preschool
Color
Female
Humans
Infant
Male
Skin
Spectroscopy, Near-Infrared
Vascular Access Devices
Veins

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10.1213/ANE.0b013e31828e5bde

Cite this

@article{3a54cf4202304f5db3f3bb80645e02cf,

title = "The effectiveness of a near-infrared vascular imaging device to support intravenous cannulation in children with dark skin color: a cluster randomized clinical trial",

abstract = "BACKGROUND: Poor vein visibility can make IV cannulation challenging in children with dark skin color. In the operating room, we studied the effectiveness of a near-infrared vascular imaging device (VascuLuminator) to facilitate IV cannulation in children with dark skin color.METHODS: In the operating room of a general hospital in Curacao, all consecutive children (0-15 years of age) requiring IV cannulation were included in a pragmatic cluster randomized clinical trial. The VascuLuminator was made available to anesthesiologists at the operating complex in randomized clusters of 1 week.RESULTS: Success at first attempt was 63\% (27/43, 95\% confidence interval [CI], 47\%-77\%) in the VascuLuminator group vs 51\% (23 of 45 patients, 95\% CI, 36\%-66\%) in the control group (P = 0.27). Median time to successful cannulation was 53 seconds (interquartile range: 34-154) in the VascuLuminator group and 68 seconds (interquartile range: 40-159) in the control group (P = 0.54), and hazard ratio was 1.12 (95\% CI, 0.73-1.71).CONCLUSION: The VascuLuminator has limited value in improving success at first attempt of facilitating IV cannulation in children with dark skin color.",

keywords = "Catheterization, Peripheral, Child, Preschool, Color, Female, Humans, Infant, Male, Skin, Spectroscopy, Near-Infrared, Vascular Access Devices, Veins",

author = "\{van der Woude\}, \{Olga C P\} and Cuper, \{Natascha J\} and Chavalleh Getrouw and Kalkman, \{Cor J\} and \{de Graaff\}, \{Jurgen C\}",

year = "2013",

month = jun,

doi = "10.1213/ANE.0b013e31828e5bde",

language = "English",

volume = "116",

pages = "1266--1271",

journal = "Anesthesia and Analgesia",

issn = "0003-2999",

publisher = "Lippincott Williams \& Wilkins",

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}

The effectiveness of a near-infrared vascular imaging device to support intravenous cannulation in children with dark skin color: a cluster randomized clinical trial. / van der Woude, Olga C P; Cuper, Natascha J; Getrouw, Chavalleh et al.
In: Anesthesia and Analgesia, Vol. 116, No. 6, 06.2013, p. 1266-1271.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - The effectiveness of a near-infrared vascular imaging device to support intravenous cannulation in children with dark skin color

T2 - a cluster randomized clinical trial

AU - van der Woude, Olga C P

AU - Cuper, Natascha J

AU - Getrouw, Chavalleh

AU - Kalkman, Cor J

AU - de Graaff, Jurgen C

PY - 2013/6

Y1 - 2013/6

N2 - BACKGROUND: Poor vein visibility can make IV cannulation challenging in children with dark skin color. In the operating room, we studied the effectiveness of a near-infrared vascular imaging device (VascuLuminator) to facilitate IV cannulation in children with dark skin color.METHODS: In the operating room of a general hospital in Curacao, all consecutive children (0-15 years of age) requiring IV cannulation were included in a pragmatic cluster randomized clinical trial. The VascuLuminator was made available to anesthesiologists at the operating complex in randomized clusters of 1 week.RESULTS: Success at first attempt was 63% (27/43, 95% confidence interval [CI], 47%-77%) in the VascuLuminator group vs 51% (23 of 45 patients, 95% CI, 36%-66%) in the control group (P = 0.27). Median time to successful cannulation was 53 seconds (interquartile range: 34-154) in the VascuLuminator group and 68 seconds (interquartile range: 40-159) in the control group (P = 0.54), and hazard ratio was 1.12 (95% CI, 0.73-1.71).CONCLUSION: The VascuLuminator has limited value in improving success at first attempt of facilitating IV cannulation in children with dark skin color.

AB - BACKGROUND: Poor vein visibility can make IV cannulation challenging in children with dark skin color. In the operating room, we studied the effectiveness of a near-infrared vascular imaging device (VascuLuminator) to facilitate IV cannulation in children with dark skin color.METHODS: In the operating room of a general hospital in Curacao, all consecutive children (0-15 years of age) requiring IV cannulation were included in a pragmatic cluster randomized clinical trial. The VascuLuminator was made available to anesthesiologists at the operating complex in randomized clusters of 1 week.RESULTS: Success at first attempt was 63% (27/43, 95% confidence interval [CI], 47%-77%) in the VascuLuminator group vs 51% (23 of 45 patients, 95% CI, 36%-66%) in the control group (P = 0.27). Median time to successful cannulation was 53 seconds (interquartile range: 34-154) in the VascuLuminator group and 68 seconds (interquartile range: 40-159) in the control group (P = 0.54), and hazard ratio was 1.12 (95% CI, 0.73-1.71).CONCLUSION: The VascuLuminator has limited value in improving success at first attempt of facilitating IV cannulation in children with dark skin color.

KW - Catheterization, Peripheral

KW - Child, Preschool

KW - Color

KW - Female

KW - Humans

KW - Infant

KW - Male

KW - Skin

KW - Spectroscopy, Near-Infrared

KW - Vascular Access Devices

KW - Veins

U2 - 10.1213/ANE.0b013e31828e5bde

DO - 10.1213/ANE.0b013e31828e5bde

M3 - Article

C2 - 23649104

SN - 0003-2999

VL - 116

SP - 1266

EP - 1271

JO - Anesthesia and Analgesia

JF - Anesthesia and Analgesia

IS - 6

ER -

The effectiveness of a near-infrared vascular imaging device to support intravenous cannulation in children with dark skin color: a cluster randomized clinical trial

Abstract

Keywords

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