Can Veinlite Reduce Complications of Peripheral Intravenous Catheter Placement in Children

Study Overview
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Brief Summary
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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
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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; to evaluate the efficacy of the vein imaging device on pediatric pain during intravenous catheterization to evaluate the efficacy of the vein imaging device on catheter dwell time.

Official Title
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Can Veinlite Reduce Complications of Peripheral Intravenous Catheter Placement in Children: Preliminary Results.

Conditions
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Catheterization, Pain, Complication

Intervention / Treatment
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* Device: Veinlite
* Other: Standard care


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional 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
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Standard care of group<br>Patients in standard care of group received traditional peripheral intravenous catheterization | Other: Standard care<br>* Patients received standard intravenous catheterization.<br>|
| Experimental: Veinlite group<br>Patients in veinlite group received peripheral intravenous catheterization with Veinlite | Device: Veinlite<br>* Use of vein imaging device for visualization of veins during peripheral IV placement<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reducing number of complications related with peripheral intravenous catheter | Reducing number of complications related with peripheral intravenous catheter during treatment | Duration of catheter dwell time (up to 168 hours) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain scores during peripheral intravenous catheterization | 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. | Immediately after IV placement | 
| Catheter dwell time | Intravenous catheter survival time during the treatment | Up to 168 hours (1 week) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pain, children, vein imaging device, intravenous complications