Effect of vein imaging device use on first-attempt peripheral intravenous catheter insertion success and catheter complications in children: A randomized controlled trial.

BACKGROUND

Vein imaging device technologies can enhance the success rate of peripheral intravenous catheter (PIC) placement. This study evaluated the effect of Veinlite PEDI2 on first-attempt PIC insertion success, procedural pain, and complication rates in children aged 0-6 years in the Pediatric Emergency Department (PED).

METHODS

This study was designed as a randomized controlled trial. There were two groups in this study: the vein imaging group (n = 105) and the control group (n = 101). The first-attempt PIC insertion success, PIC characteristics, Difficult Intravenous Access scores, PIC insertion time, and procedural pain, cause of PIC removal, PIC complications, and indwelling time were recorded.

RESULTS

The first-attempt PIC insertion success rate was significantly higher in the vein imaging group (78.1%) compared to the control group (29.7%; p < .001). There was a statistical difference in terms of first-attempt PIC insertion success (X2 = 48.594, df = 3, p = .000). Procedural pain was also significantly lower in the imaging group (FLACC: 7.3 ± 2.8 vs. 8.7 ± 2.0; F = 20.962, p = .000). No significant differences were observed regarding insertion time, complication rates, or indwelling time (p > .05).

CONCLUSION

Veinlite PEDI2 significantly improved first-attempt PIC insertion success and reduced procedural pain in the PED.

APPLICATION TO PRACTICE: The results of our study will serve as an example using the vein imaging device, aiming to increase first-attempt PIC insertion success in the PED.

CLINICALTRIALS: gov: NCT07006038.