Catheterization, Complication, Pain
Conditions
Keywords
pain, children, vein imaging device, intravenous complications
Brief summary
This study was conducted to investigate the use of Veinlite LED+ (TransLite, Sugar Land, Tex) to assist with PIC placement. The Veinlite uses LED (light-emitting diode) lights to enhance the visualization of veins by using orange and red color that are absorbed in venous blood. The investigators' hypothesis for this study was that the vein imaging would reduce the complications related to catheter and the pain that the participants would feel.
Detailed description
Peripheral Intravenous Catheterization (PIC) introduces multiple risks and potential morbidities. Patients with PIC-associated complications have longer length of stay, higher clinical and economic burden, and greater risk of death than patients without. The most serious complications due to intravenous (IV) catheters are infiltration and extravasation. The primary endpoint was to evaluate whether Veinlite LED+ would prevent catheter-related complications. The secondary endpoint were; 1. to evaluate the efficacy of the vein imaging device on pediatric pain during intravenous catheterization 2. to evaluate the efficacy of the vein imaging device on catheter dwell time.
Interventions
DEVICEVeinlite
Use of vein imaging device for visualization of veins during peripheral IV placement
OTHERStandard care
Patients received standard intravenous catheterization.
Sponsors
Ege University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
This study was a prospective randomized controlled clinical study of children treated in a pediatric surgical ward who required PIC. The aim of the research was to evaluate whether the Veinlite would prevent catheter-related complications
Eligibility
Sex/Gender
ALL
Age
5 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Children aged between 5 and 18 * Children with DIVA (Difficult intravenous access score) score 4 or more * That the child and the parent speak Turkish
Exclusion criteria
* needing urgent treatment * a critical health condition * That the child or the parent has a communication problem
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reducing number of complications related with peripheral intravenous catheter | Duration of catheter dwell time (up to 168 hours) | Reducing number of complications related with peripheral intravenous catheter during treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain scores during peripheral intravenous catheterization | Immediately after IV placement | Pain scores by child, nurse, and parent. In this study, numerical rating score was used for determine pain level. The numeric rating scale is one of the most commonly used to obtain self-reports of pain intensity in school-age children, adolescents, and adults. The numerical rating scale (NRS) requires the child to rate her/his pain on a defined scale. For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable. |
| Catheter dwell time | Up to 168 hours (1 week) | Intravenous catheter survival time during the treatment |
Countries
Turkey (Türkiye)
Outcome results
None listed