The Effect of Near-infrared Spectroscopy on the Success of Peripheral Venous Access (PEDVEIN)

Brno University Hospital

Status: Enrolling

Conditions: Intravenous Cannulation

Treatments: Device: Use of near-infrared imaging by VeinViewer Flex of periferal veins

Study type: Interventional

Funder types: Other

Identifiers

NCT07279701

PEDVEIN

Details and patient eligibility

About

The goal of this clinical trial is to learn if using near-infrared imaging in pediatric vein cannulation is leading to higher success rate. The main question it aims to answer is:

is there higher success of first attempt in periferal vein cannulation? does it lower overall number of attempts to successful cannulation?

Full description

Providing venous access in pediatric anesthesia and intensive care is among the basic and necessary interventions for blood sampling and administration of drugs and possibly transfusion products and derivatives.

In anesthesia, effective provision of venous access is a prerequisite for safe anesthesia. In pediatric patients and newborns, provision of venous access is complicated by patient non-cooperation, but primarily by the smaller diameter of the vessels and often limited possibility of direct visualization, or limited possibility of palpation of the vessel under visual control. Ultrasound is currently used to facilitate provision of IV access, however, imaging under the USG probe and its subsequent puncture requires high skill of medical personnel and is preferentially applied by medical staff in the conditions of the Czech Republic. Near-infrared imaging (IR) allows direct visualization of superficial vascular bed and may potentially be associated with higher puncture success rates (higher first attempt success, reduction of total attempts).

Enrollment: 200 estimated patients

Sex: All

Ages: Under 19 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pediatric patients admitted to the inpatient section of the Department of Pediatric Anesthesiology and Resuscitation, Brno University Hospital
• Pediatric patients in the anesthesia section of the Department of Pediatric Anesthesiology and Resuscitation, Brno University Hospital
• Indicated insertion of peripheral venous access
• Consent of the patient/legal representative to the study

Exclusion criteria

• Disagreement with the study
• Not indicated insertion of peripheral venous access (according to clinical condition and decision of the attending physician)
• A device for near-infrared imaging of the venous bed is not available

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

VeinViewer Flex

Experimental group

Description:

The periferal vein cannulation will be aided by concurrent near-infrared imaging by device VeinViewer Flex using AVIN™ (Active Vascular Imaging Navigation).

Treatment:

Device: Use of near-infrared imaging by VeinViewer Flex of periferal veins

Landmark

No Intervention group

Description:

The peripheral vein cannulatoon will be provided by usual landmark technique, without any other imaging device.