Introduction. This study aims to evaluate for the first time the value of visualizing veins by a prototype of a near-infrared (NIR) vascular imaging system for venipuncture in children. Methods. An observational feasibility study of venipunctures in children (0-6 years) attending the clinical laboratory of a pediatric university hospital during a period of 2 months without (n = 80) and subsequently during a period of 1 month with a prototype of an NIR vascular imaging system (n = 45) was conducted. Failure rate (ie, more than 1 puncture) and time of needle manipulation were determined. Results. With the NIR vascular imaging system, failure rate decreased from 10/80 to 1/45 (P = .05) and time decreased from 2 seconds (1-10) to 1 second (1-4, P = .07). Conclusion . This study showed promising results on the value of an NIR vascular imaging system in facilitating venipunctures.
Zempsky WTOptimizing the management of peripheral venous access pain in children: evidence, impact, and implementation. Pediatrics. 2008 ;122(suppl 3): S121-S124.
2.
Cummings EA, Reid GJ, Finley GA, McGrath PJ, Ritchie JAPrevalence and source of pain in pediatric inpatients. Pain . 1996;68:25-31.
3.
Kennedy RM, Luhmann J., Zempsky WTClinical implications of unmanaged needle-insertion pain and distress in children . Pediatrics. 2008;122:130-133.
4.
Humphrey GB, Boon CMJ, Van Linden Van den Heuvell Gfec , Van de Wiel HBM.The occurrence of high levels of acute behavioral distress in children and adolescents undergoing routine venipunctures. Pediatrics. 1992;90: 87-91.
5.
Yen K., Riegert A., Gorelick MHDerivation of the DIVA score: a clinical prediction rule for the identification of children with difficult intravenous access. Pediatr Emerg Care. 2008;24:143-147.
6.
Masoorli S., Angeles T., Barbone M.Danger points. How to prevent nerve injuries from venipuncture. Nursing. 1998;28:34-39.
7.
Horowitz SHWhat happens when cutaneous nerves are injured during venipuncture ? Muscle & Nerve. 2005;31: 415-417.
Mbamalu D., Banerjee A.Methods of obtaining peripheral venous access in difficult situations . Postgrad Med J. 1999;75:459-462.
10.
Larsson BA, Tannfeldt G., Lagercrantz H., Olsson GLVenipuncture is more effective and less painful than heel lancing for blood tests in neonates. Pediatrics. 1998 ;101:882-886.
11.
Goren A., Laufer J., Yativ N., et al. Transillumination of the palm for venipuncture in infants. Pediatr Emerg Care. 2001;17:130-131.
Simpson CR, Kohl M., Essenpreis M., Cope M.Near-infrared optical properties of ex vivo human skin and subcutaneous tissues measured using the Monte Carlo inversion technique. Phys Med Biol. 1998;43:2465-2478.
14.
Pfefer TJ, Mehrabi A., James R., et al. Optical-thermal characterization of cutaneous transilluminators . Phys Med Biol. 2009;54:6867-6880.
15.
Zeman HD, Lovhoiden G., Vrancken C.The clinical evaluation of vein contrast enhancement. Conf Proc IEEE Eng Med Biol Soc. 2004;2:1203-1206.
16.
Miyake RK, Zeman HD, Duarte FH, et al. Vein imaging: a new method of near infrared imaging, where a processed image is projected onto the skin for the enhancement of vein treatment . Dermatol Surg. 2006;32:1031-1038.
17.
Dunn MR, Shawn C.Utilization of infrared transillumination as an aid for peripheral arterial access [Abstract]. Acad Emerg Med. 2005;12(5 suppl 1):A34-A35. http://www.3.interscience.wiley.com/cgi-bin/fulltext/121421847/PDFSTART. Accessed November 2009.
