Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2022 Jun;31(11-12):1628-1635.
doi: 10.1111/jocn.16017. Epub 2021 Aug 29.

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

Alexandra Usclade  1   2 , Nathalie Blanc  3 , Margot Kohlmuller  4 , Aurélie Torres  5 , Sophie Siret  2 , Christophe Tachet  2 , Brigitte Favard  2 , Etienne Merlin  2   6 , Bruno Pereira  1 , Emmanuelle Rochette  2   6
Affiliations
Randomized Controlled Trial

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

Alexandra Usclade et al. J Clin Nurs. 2022 Jun.

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.

Keywords: AccuVein; DIVA score; Peripheral venous catheter; paediatric; pain; vein viewer.

PubMed Disclaimer

References

REFERENCES

    1. AFSSAPS Recommandations de bonne pratique. (2019). PRISE EN CHARGE MEDICAMENTEUSE DE LA DOULEUR AIGUË ET CHRONIQUE CHEZ L’ENFANT. https://pediadol.org/wp-content/uploads/2004/11/Afssaps_reco.pdf
    1. Afssaps_reco.pdf. (s. d.). Consulté 2 avril 2020, à l’adresse. 2004. https://pediadol.org/wp-content/uploads/2004/11/Afssaps_reco.pdf
    1. AlZahrani, F. , Crosby, M. , & Fiorillo, L. (2019). Use of AccuVein AV400 for identification of probable RICH. JAAD Case Reports, 5(3), 213-215. https://doi.org/10.1016/j.jdcr.2018.11.022
    1. Aulagnier, J. , Hoc, C. , Mathieu, E. , Dreyfus, J. F. , Fischler, M. , & Le Guen, M. (2014). Efficacy of AccuVein to facilitate peripheral intravenous placement in adults presenting to an emergency department: A randomized clinical trial. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine, 21(8), 858-863. https://doi.org/10.1111/acem.12437
    1. Avelar, A. F. M. , Peterlini, M. A. S. , & da Luz Gonçalves Pedreira, M. (2015). Ultrasonography-guided peripheral intravenous access in children: A randomized controlled trial. Journal of Infusion Nursing: The Official Publication of the Infusion Nurses Society, 38(5), 320-327. https://doi.org/10.1097/NAN.0000000000000126

Publication types

LinkOut - more resources