SPECIAL FEATURES: EMERGENCY DEPARTMENT TECHNIQUES AND TECHNOLOGIESTransillumination of the palm for venipuncture in infantsGOREN, AVNER MD; LAUFER, JOSEPH MD; YATIV, NIR MD; KUINT, JACOB MD; ACKON, MICHAEL BEN MD; RUBINSHTEIN, MARINA MD; PARET, GIDEON MD; AUGARTEN, ARIE MD Author Information From the Pediatric Center (A. Goren), Maccabi Health Services, Ramat Hasharon, and the Department of Pediatric Emergency Medicine (J. Laufer, N. Yativ, J. Kuint, M. Ben Ackon, M. Rubinshtein, G. Paret, A. Augarten), The Chaim Sheba Medical Center, Tel-Hashomer, affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel. Address for reprints: Arie Augarten MD, The Department of Pediatric Emergency Medicine, The Chaim Sheba Medical Center, Tel-Hashomer Israel 52621; e-mail: [email protected] Pediatric Emergency Care: April 2001 - Volume 17 - Issue 2 - p 130-131 Buy Abstract Aim To assess the efficacy of transillumination of the palm of the hand in establishing venous access in small infants. Methods One hundred infants aged 2 to 36 months were considered for venipuncture under transillumination following failure to find an accessible vein or a failed venipuncture attempt. Results In 40 of the 100 infants, a vein was visible with transillumination. In 22 of these children, previous attempts to achieve a venous line failed (mean number of failed venipunctures 2.11 ± 0.6) and in 18 infants, no vein could be identified. Using transillumination, venous access was established with just one venipuncture in 39 of the 40 patients. Conclusions Transillumination of the palm can aid in establishing venous access in infants. This can be easily carried out using a common otoscope. © 2001 Lippincott Williams & Wilkins, Inc.