Nurse PIV Insertion Success With and Without Assistive Devices in Patients 0-12 Months of Age

Summary

The purpose of this study is to determine if the use of a vein identification assistive device increases nurse PIV insertion success within the first two attempts in children 0-12 months of age when compared to unassisted methods.

Conditions

• PIV Catheter Insertion
• Vein Visualization

Interventions

PROCEDURE

Unassisted vein visualization

The traditional technique of vein visualization and palpation will be used to identify veins during the PIV insertion procedures. This involves the use of a tourniquet to facilitate venous pooling to see the vein and prevent vein rupture during cannulation. Nurse may use heat application to facilitate vein identification.

PROCEDURE

Wee Sight® Transilluminator

The Wee Sight® Transilluminator (Philips Children's Medical Ventures, Monroeville, PA) is a hand held, non-heat producing, light emitting diode (Class 2), battery operated device. The device is held adjacent to or under the subject's extremity to visualize the venous anatomy superficial veins absorb light and appear as dark lines against the surrounding illuminated tissues. Vein visualization improves with dimmed room lighting and a thin subcutaneous tissue layer. Nurse will assess vascular anatomy using traditional techniques of visualization and palpation with tourniquet/heat application as needed, and add the Wee Sight to assist in vein identification.

PROCEDURE

VeinViewer® (Christie Digital Systems, Cypress, CA)

VeinViewer near infrared light views hemoglobin up to 10 mm beneath skin. Hemoglobin absorbs the light while surrounding tissue scatters it providing a suitable contrast between the vein \& surrounding subcutaneous tissue. This data is captured, digitally processed by video camera, and projected back onto the skin as a visual image of venous anatomy. Nurse will assess vascular anatomy using traditional techniques of visualization and palpation with tourniquet/heat application as needed, and add the VeinViewer to assist in vein identification.

Sponsors & Collaborators

• Children's Hospital and Medical Center, Omaha, Nebraska

  collaborator OTHER

• University of Nebraska

  lead OTHER

Principal Investigators

• Kimberly A Peterson, MSN · Children's Hospital and Medical Center, Omaha, NE

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Max Age

12 Months

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2012-07-01

Primary Completion

2017-02-02

Completion

2017-02-02

Countries

• United States

Study Locations