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Efficacy of Vein Visualization Devices for Peripheral Intravenous Catheter Placement in Preterm Infants

A Randomized Clinical Trial

Çağlar, Seda, PhD, RN; Büyükyılmaz, Funda, PhD, RN; Bakoğlu, İlkay, RN; İnal, Sevil, PhD, RN; Salihoğlu, Özgül, MD

The Journal of Perinatal & Neonatal Nursing: January/March 2019 - Volume 33 - Issue 1 - p 61–67
doi: 10.1097/JPN.0000000000000385
Feature Articles: Continuing Education

The aim of this randomized controlled trial was to examine the efficacy of vein visualization devices and the routine method for insertion of peripheral intravenous catheters (PIVCs) in preterm infants. The study was conducted between June 2016 and April 2017 in the neonatal intensive care unit of Bakırköy Dr Sadi Konuk Education and Research Hospital. Participants (N = 90) were randomly assigned to the infrared group (n = 30), the transilluminator group (n = 30), or the control group (n = 30). Time to successful cannulation was significantly lower for the infrared group (8.70 ± 2.56 seconds) than for the transilluminator group (45.27 ± 30.83 seconds) and the control group (17.30 ± 8.40 seconds) (P ≤ .001). Success of the first attempt was significantly higher in the infrared and transilluminator groups than in the control group (P ≤ .05). Dwell time of the PIVC in place was significantly higher in the infrared group than in the transilluminator and control groups (P ≤ .05). Neonatal Infant Pain Scale scores were significantly higher in the transilluminator group (0.60 ± 0.855) than in the infrared (0.33 ± 0.182) and control groups (0.33 ± 0.182) while seeking an appropriate vein (P ≤ .001). The use of an infrared device provides efficacy in time to successful cannulation, success of the first attempt, length of the time the catheter is in place, and technique-related pain.

Pediatric Nursing Department (Dr Çağlar) and Fundamentals of Nursing Department (Dr Büyükyılmaz), Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey; Neonatal Intensive Care Unit, Bakirköy Dr Sadi Konuk Education and Research Hospital, Health Sciences University, Istanbul, Turkey (Ms Bakoğlu and Dr Salihoğlu); and Department of Midwifery, Health Sciences Faculty, İstanbul University-Cerrahpasa, Istanbul, Turkey (Dr İnal).

Corresponding Author: Seda Cağlar, PhD, RN, Abide-i Hurriyet Cad, İstanbul Üniversitesi-Cerrahpaşa Florence Nightingale Hemşirelik Fakültesi, 34381 Şişli, Istanbul, Turkey (sedacaglars@gmail.com; sedac@istanbul.edu.tr).

The authors thank the nursing staff for their help, as well as the pediatric patients and their parents for participating in this study.

Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Each author has indicated that he or she has met the journal's requirements for Authorship.

Submitted for publication: April 9, 2018; accepted for publication: November 11, 2018.

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