1
|
Karaavci FA, Karan M. Comparative localization of the courses of superficial veins in rabbits' limbs using latex and VeinViewer systems. Anat Histol Embryol 2023; 52:684-695. [PMID: 37096443 DOI: 10.1111/ahe.12925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/17/2023] [Accepted: 04/10/2023] [Indexed: 04/26/2023]
Abstract
The purpose of this study; It is to reveal whether the veinviewer device, which we have not encountered in animals, can be visualized in rabbits for thoracic and pelvic limb superficial veins. Therefore, the latex method was used as a "gold test" to verify VeinViewer precision. For this purpose, the project was designed with two stages. In the first stage, the extremities of 15 New Zealand white rabbits were imaged using the VeinViewer device, and the results were recorded. In the second stage, the latex injection method was applied to the same animals, the cadavers were dissected, and the obtained results were comparatively analysed. In the rabbits, it was determined that v. cephalica originated from v. jugularis or v. brachialis in the proximity of the insertion of m. omotransversarius and anastomosed with v. mediana at the middle 1/3 level of the antebrachium. It was found that the superficial venous circulation of the pelvic limbs was provided by the branches of v. iliaca externa and v. iliaca interna. The vena saphena medialis was determined to be present in pairs in 80% of the cadavers. All cadavers showed the presence of the ramus anastomoticus cum vena saphena mediali. Additionally, the superficial veins of both the thoracic limbs and pelvic limbs of the rabbits were imaged with the VeinViewer device, which provided results parallel with the results of the latex injection method. Considering that the findings obtained with the latex injection method and the VeinViewer device were compatible, the usage of this device can potentially be considered as an alternative to visualizing superficial veins in animals. Further morphological and clinical studies can prove that the method is applicable.
Collapse
Affiliation(s)
| | - Meryem Karan
- Department of Anatomy, Faculty of Veterinary Medicine, Firat University, Elazig, Turkey
| |
Collapse
|
2
|
Near-infrared system's efficiency for peripheral intravenous cannulation in a level III neonatal intensive care unit: a cross-sectional study. Eur J Pediatr 2022; 181:2747-2755. [PMID: 35482093 DOI: 10.1007/s00431-022-04480-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 04/09/2022] [Accepted: 04/15/2022] [Indexed: 11/03/2022]
Abstract
Venipuncture is a painful and invasive procedure for hospitalised newborns and represents a challenge for neonatal healthcare professionals. This study evaluated the most efficient cannulation method based on the proportion of success at the first attempt, standard care or near-infrared (NIR) device use, and pain assessment. An observational study with two arms was conducted in the neonatal intensive care unit (NICU) of a tertiary-care university hospital in Italy. All newborns undergoing peripheral vein cannulation and only nurses with more than 5 years of professional experience in the NICU were eligible for the first arm. Only newborns with a body weight of >2500 g at cannulation and all nurses working in the NICU were involved in the second arm. In the first arm of the study, no statistically significant differences between the NIR and control groups were found in terms of proportion of successful at the first attempt 60.6% (confidence interval [CI] 95%: 48.8; 72.4) vs. 56.1% (CI 95%: 44.1; 68.0) and the mean premature infant pain profile score 6.3 (CI 95%: 5.4-7.1) vs. 5.8 (CI 95%: 5.0-6.6). In the second arm, only among less experienced nurses (<1 year), we observed a significant increase in the proportion of success in the NIR group compared with the control group, nearly tripling the success rate (72.7% [54.1; 91.3] vs. 23.1% [0.2; 46.0]). Conclusion: This study reported no differences between the NIR and control groups. The results also suggest that using a NIR device may be advantageous for healthcare professionals with less experience during first-time cannulation. What is Known: • Venipuncture is a painful procedure commonly used to place a peripheral venous catheter for administering nutrients or drugs. • Near-infrared light facilitates the visualisation of veins and consequently, the performance of cannulation in the paediatric population. What is New: • The near-infrared light device was not associated with fewer attempts and a lower premature infant pain profile score in placing venous access in newborns than the traditional method. • The near-infrared light device could help nurses with less professional experience place a peripheral venous catheter.
Collapse
|
3
|
Bayram D, Topan A. The efficiency of vein viewing on pain and anxiety of children during peripheral cannula intervention: A randomized controlled study. Jpn J Nurs Sci 2020; 17:e12364. [PMID: 32856410 DOI: 10.1111/jjns.12364] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 05/27/2020] [Accepted: 06/28/2020] [Indexed: 11/30/2022]
Abstract
AIM The purpose of this research is to estimate the efficiency of vein viewing device on 9-12 year-old children's pain and anxiety. METHODS The research has been designed as an experimental study including pre-and post-test and control groups. Data were collected with personal information form, facial expressions rating scale, state anxiety scale, vein viewing device and a peripheral cannula. Both groups were applied to the state anxiety scale before and after the procedure while the facial expressions rating scale was applied during the procedure. RESULTS Statistically significant difference was found between experimental and control groups regarding processing time, number of transaction attempts and facial expressions rating scale score averages. While there was no difference regarding the state anxiety scales average points of children in experimental and control groups before the procedure, a statistically significant difference was found in an advanced level regarding post-processing state anxiety levels. CONCLUSIONS Usage of vein viewing device during peripheral cannula intervention reduces children's pain and anxiety levels and shortens the durations of the initiative.
Collapse
Affiliation(s)
- Dilek Bayram
- Zonguldak Bülent Ecevit University, Health Application and Research Center, Zonguldak, Turkey
| | - Aysel Topan
- Zonguldak Bulent Ecevit University, Faculty of Health Sciences, Dept. of Nursing, Zonguldak, Turkey
| |
Collapse
|
4
|
The past, present, and prospective on UV-VIS-NIR skin photonics and spectroscopy-a wavelength guide. Med Biol Eng Comput 2020; 58:1159-1175. [PMID: 32319030 DOI: 10.1007/s11517-019-02077-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 11/07/2019] [Indexed: 10/24/2022]
Abstract
The study and applications of in vivo skin optics have been openly documented as early as the year 1954, or possibly earlier. To date, challenges in analyzing the complexities of this field remain, with wide scopes requiring more scrutiny. Recent advances in spectroscopic research and multivariate analytics allow a closer look into applications potentially for detecting or monitoring diseases. One of the challenges in this field is in establishing a reference for applications which correspond to certain bandwidths. This article reviews the scope on past research on skin spectroscopy, and the clinical aspects which have or may have applications on disease detection or enhancing diagnostics. A summary is supplied on the technicalities surrounding the measurements reported in literature, focused towards the wavelength-dependent applications in themes central to the respective research. Analytics on the topology of the papers' data cited in this work is also provided for a statistical perspective. In short, this paper strives to immediately inform the reader with possible applications via the spectroscopic devices at hand. Graphical Abstract .
Collapse
|
5
|
A resistance-sensing mechanical injector for the precise delivery of liquids to target tissue. Nat Biomed Eng 2019; 3:621-631. [PMID: 31391590 PMCID: PMC6688633 DOI: 10.1038/s41551-019-0350-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Accepted: 01/11/2019] [Indexed: 11/21/2022]
Abstract
The precision of the delivery of therapeutics to the desired injection site by using syringes and hollow needles typically depends on the operator. Here, we introduce a highly sensitive, completely mechanical and cost-effective injector for targeting tissue reliably and precisely. As the operator pushes on the syringe plunger, the injector senses the loss-of-resistance on encountering a softer tissue or a cavity, stops advancing the needle, and delivers the payload. We demonstrate that the injector can reliably deliver liquids to the suprachoroidal space — a challenging injection site that provides access to the back of the eye — for a wide range of eye sizes, scleral thicknesses and intraocular pressures, and to target sites relevant for epidural injections, subcutaneous injections and intraperitoneal access. The design of this simple and effective injector can be adapted for a broad variety of clinical applications.
Collapse
|
6
|
Çağlar S, Büyükyılmaz F, Bakoğlu İ, İnal S, Salihoğlu Ö. Efficacy of Vein Visualization Devices for Peripheral Intravenous Catheter Placement in Preterm Infants: A Randomized Clinical Trial. J Perinat Neonatal Nurs 2019; 33:61-67. [PMID: 30676463 DOI: 10.1097/jpn.0000000000000385] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
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.
Collapse
Affiliation(s)
- Seda Çağlar
- 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)
| | | | | | | | | |
Collapse
|
7
|
A Technique for the Reduction of Complications Associated With Anterior Portal Placement During Ankle Arthroscopy Using a Peripheral Vein Illumination Device. Arthrosc Tech 2018; 7:e125-e129. [PMID: 29552478 PMCID: PMC5850887 DOI: 10.1016/j.eats.2017.08.060] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Accepted: 08/10/2017] [Indexed: 02/03/2023] Open
Abstract
Ankle arthroscopy is a minimally invasive technique for ankle joint treatment. However, injury to the intermediate dorsal cutaneous nerve (IDCN) and the medial dorsal cutaneous nerve (MDCN) is a common complication during anterior portal placement. To prevent injuries, methods such as palpating the nerves topographically and marking the nerves by transilluminating the skin with an arthroscope have been proposed. Easier and more definitive methods of identifying the IDCN and MDCN should result in a reduction of complications. Recently, a vein imaging system was developed that projects images of subcutaneous vasculature directly onto the skin with the use of near-infrared (NIR) light. Because anatomic studies have shown that superficial veins accompany the IDCN and MDCN, protecting the subcutaneous veins could lower the risk of nerve injury. We introduce our technique for the creation of an ankle arthroscopic portal using an NIR imaging system, which displays the vein image on the skin, to prevent injury to the superficial veins and, consequently, reduce IDCN and MDCN injuries. This is the first technical report on the prevention of vein and nerve injuries using an NIR imaging system. Our technique for avoiding vein injury using a peripheral vein illumination device during anterior portal placement in ankle arthroscopy could lower the risk of complications.
Collapse
|
8
|
Fekonja Z, Pajnkihar M. Use of cutting-edge biomedical devices for intravenous cannulation in the health care of a patient: literature review. OBZORNIK ZDRAVSTVENE NEGE 2017. [DOI: 10.14528/snr.2017.51.1.141] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introduction: Biomedical devices are tools used for locating invisible and impalpable peripheral veins. The purpose of this article is to give a systematic review and analysis of existing studies on the available biomedical devices used for locating peripheral veins and on their effectiveness in clinical practice. Methods: Databases CINAHL, Medline and ScienceDirect were used for the literature review and analysis. The search was performed with the following key words in English: devices, visualization, technology, cannulation, vein, nursing care, with Boolean operators 'AND' and 'OR'. The analysis included randomized and experimental clinical studies published in the English language in the period from 2000 to August 2016. From a total of 1,020 retrieved studies, 17 were included in the detailed analysis. Results: The results of the analysis have shown that the success rate of the first attempt of intravenous cannulation using biomedical devices in more than half of the studies was not significantly higher than when the process was performed using the conventional method. The success of the first attempt of intravenous cannulation mostly depends on the experience and skills of nurses. Biomedical devices are more helpful for novice nurses who do not perform cannulation on a daily basis, for beginners and nursing students. Discussion and conclusions: Based on research, we cannot affirm that biomedical devices significantly contribute to easier peripheral venous cannulation. Further research is required to validate the advantages of such an approach. However, this is limited due to the affordability issues of such biomedical devices.
Collapse
|
9
|
Waller D, Mondy P, Brama T, Fisher J, King A, Malkov K, Wall-Smith D, Ryan L, Irving DO. Determining the effect of vein visualization technology on donation success, vasovagal symptoms, anxiety and intention to re-donate in whole blood donors aged 18-30 years: A randomized controlled trial. Vox Sang 2016; 111:135-43. [DOI: 10.1111/vox.12407] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Revised: 03/20/2016] [Accepted: 03/21/2016] [Indexed: 11/28/2022]
Affiliation(s)
- D. Waller
- Clinical Services and Research; Australian Red Cross Blood Service; Alexandria NSW Australia
| | - P. Mondy
- Clinical Services and Research; Australian Red Cross Blood Service; Alexandria NSW Australia
| | - T. Brama
- Clinical Services and Research; Australian Red Cross Blood Service; Alexandria NSW Australia
| | - J. Fisher
- Clinical Services and Research; Australian Red Cross Blood Service; Alexandria NSW Australia
| | - A. King
- Clinical Services and Research; Australian Red Cross Blood Service; Alexandria NSW Australia
| | - K. Malkov
- Clinical Services and Research; Australian Red Cross Blood Service; Alexandria NSW Australia
| | - D. Wall-Smith
- Manufacturing; Australian Red Cross Blood Service; Alexandria NSW Australia
| | - L. Ryan
- School of Mathematical and Physical Sciences; University of Technology Sydney; The Australian Research Council Centre of Excellence in Mathematical and Statistical Frontiers; Sydney NSW Australia
| | - D. O. Irving
- Clinical Services and Research; Australian Red Cross Blood Service; Alexandria NSW Australia
| |
Collapse
|
10
|
Kimori K, Sugama J. Investigation of vasculature characteristics to improve venepuncture techniques in hospitalized elderly patients. Int J Nurs Pract 2016; 22:300-6. [DOI: 10.1111/ijn.12430] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Revised: 01/13/2016] [Accepted: 01/31/2016] [Indexed: 01/13/2023]
Affiliation(s)
- Keiko Kimori
- Ishikawa Prefectural Nursing University; Kahoku Japan
| | - Junko Sugama
- Wellness Promotion Science Center; Institute of Medical Pharmaceutical and Health Sciences; Kanazawa University; Kanazawa Japan
| |
Collapse
|
11
|
Rothbart A, Yu P, Müller-Lobeck L, Spies CD, Wernecke KD, Nachtigall I. Peripheral intravenous cannulation with support of infrared laser vein viewing system in a pre-operation setting in pediatric patients. BMC Res Notes 2015; 8:463. [PMID: 26391665 PMCID: PMC4576370 DOI: 10.1186/s13104-015-1431-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Accepted: 09/09/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Venous access, a prerequisite for anesthesiological and surgical intervention in pediatric patients, is often difficult to establish and potentially painful. AV300 uses near infrared laser light to improve visibility of peripheral veins and could help cannulating them. The aim of this study was to examine if use of Accuvein(®) AV300 vein viewer could facilitate venous cannulation in children. METHODS From January to March 2011, 238 consecutive pediatric patients (0-17 years) preceding surgical interventions were included. All participants including newborns, infants and children were allocated to groups [control group (124 patients) and intervention group (114 patients)] in a non-random way. Randomization was not feasible because data was acquired retrospectively from a clinical quality management project. In control group, peripheral IV cannulation was performed without supporting device, in intervention group with support of AV300. Time and number of attempts until successful venous cannulation were defined as primary end points. RESULTS Median time until successful cannulation was 2 min (range 0.1-20, quartiles: 25 %: 1; 75 %: 5) in the intervention group and 1 min (range 0.1-18, quartiles: 25 %: 0.2; 75 %: 2) in the control group (p < 0.01). Median number of attempts was higher in the intervention group (2; range 1-6, quartiles: 25 %: 1; 75 %: 3) than in the control group (1; range 1-6, quartiles: 25 %: 1; 75 %: 2, p < 0.01). Rate of cannulations successful at first attempt was 0.45 (51 of 114, 95 % CI 0.35-0.54) in the intervention group and 0.73 (90 of 124, 95 % CI 0.65-0.81) in the control group (p < 0.01). CONCLUSIONS In our study we were not able to reduce neither time nor number of attempts until a successful venous cannulation in children using the vein viewer. Given certain limitations of our study as the lack of randomization and no control for inter-operator variability, the conclusions drawn from it are also limited, but by our results laser-supported cannulation cannot be recommended for standard procedures. TRIAL REGISTRATION ClinicalTrials.gov NCT01434537. Registered 29 July 2011.
Collapse
Affiliation(s)
- Andreas Rothbart
- Department of Anesthesiology and Intensive Care Medicine Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
| | - Peng Yu
- Department of Anesthesiology and Intensive Care Medicine Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. .,Department of Anesthesiology, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.
| | - Lutz Müller-Lobeck
- Department of Anesthesiology and Intensive Care Medicine Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. .,Department of Anesthesiology and Intensive Care Medicine, Pediatric Anesthesia, Clinical Center Barnim, Werner Forssmann Hospital, Eberswalde, Germany.
| | - Claudia D Spies
- Department of Anesthesiology and Intensive Care Medicine Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
| | - Klaus-Dieter Wernecke
- Institute of Medical Biometrics and Clinical Epidemiology, Charité-Universitaetsmedizin Berlin, and SOSTANA GmbH Berlin, Berlin, Germany.
| | - Irit Nachtigall
- Department of Anesthesiology and Intensive Care Medicine Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
| |
Collapse
|
12
|
Predictors of difficult pediatric intravenous access in a community Emergency Department. J Vasc Access 2015; 16:521-6. [DOI: 10.5301/jva.5000411] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2015] [Indexed: 02/02/2023] Open
Abstract
Background Successful intravenous (IV) placement is important in the care of the acutely ill and injured pediatric patient. There are little data that exist regarding predicators of difficult IV access in pediatric Emergency Department (ED) patients who present to community EDs. Methods We retrospectively analyzed all pediatric charts for the calendar year 2012 from a single community teaching hospital. We identified all cases with patients less than 18 years of age in whom an IV or IV medications were ordered. We defined difficult IV access as those requiring more than one attempt, or those where the IV team was required to place the IV. We identified patient, provider, and procedural characteristics. Data were analyzed using descriptive statistics and univariate logistic regression to determine the odds ratio (OR) for predictors of difficult IV access. Results We identified 652 patients, 607 (93%) without difficult access and 45 with difficult access. Increasing age [OR 0.94 (0.89-0.99) p = 0.017] was associated with decreased odds of difficult IV access. IVs attempted in the hand [OR 3.02 (1.06-8.58) p = 0.039] and lower extremity [OR 7.82 (2.27-26.91) p = 0.001)]) were associated with greater odds of difficult access than the antecubital fossa. Non-black/non-white race [2.37 (1.1-5.12) p = 0.028] was also associated with difficult IV access. Other factors (sex, IV catheter size, and so on) were not associated. Conclusions In this retrospective study of pediatric patients in a community ED, decreasing age, non-black/non-white race, and IV attempt location (hand and lower extremity vs. antecubital fossa) were associated with greater odds of difficult IV access.
Collapse
|
13
|
Juric S, Zalik B. An innovative approach to near-infrared spectroscopy using a standard mobile device and its clinical application in the real-time visualization of peripheral veins. BMC Med Inform Decis Mak 2014; 14:100. [PMID: 25421099 PMCID: PMC4251692 DOI: 10.1186/s12911-014-0100-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2014] [Accepted: 10/28/2014] [Indexed: 11/28/2022] Open
Abstract
Background Excessive venipunctures are a significant problem both in emergency rooms and during hospital stays. Near-infrared (NIR) illumination devices improve venipuncture success rate but their usage is limited by their availability and economic cost. The objectives of this study were to develop a low-cost NIR spectroscopy prototype from a standard mobile device, to evaluate its efficacy and acceptance as an educational tool, and in a clinical setting. Methods Through a user-centric design process a prototype device was developed. Its educational efficacy was evaluated through a non-invasive, observational study (20 student clinicians, 25 subjects) and its acceptance was assessed using quantitative and qualitative analysis. A smaller clinical trial was performed by a group of 4 medical professionals over a period of 6 weeks that involved 64 patients. Results The prototype enables real-time visualization of peripheral veins on a variety of Android-based devices. The prototype was 35.2% more successful in visualizing and locating veins (n = 500 attempts) than the nursing students. The acceptance assessment revealed high perception of usefulness, satisfaction, and ease of use. In the clinical trial, 1.6 (SD 1.3) additional veins per patient were identified compared with the traditional visualization methods. Conclusions To the best of our knowledge this is the first study that describes the design, feasibility and application of an NIR spectroscopy prototype developed on a standard mobile device. Electronic supplementary material The online version of this article (doi:10.1186/s12911-014-0100-z) contains supplementary material, which is available to authorized users.
Collapse
|
14
|
Guillon P, Makhloufi M, Baillie S, Roucoulet C, Dolimier E, Masquelier AM. Prospective evaluation of venous access difficulty and a near-infrared vein visualizer at four French haemophilia treatment centres. Haemophilia 2014; 21:21-6. [PMID: 25335191 DOI: 10.1111/hae.12513] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2014] [Indexed: 11/29/2022]
Abstract
Although a serious impediment in haemophilia patients, difficulty accessing peripheral veins has received little attention in clinical studies. New peripheral vein visualization devices could potentially ameliorate difficult venous access (DVA), but their utility remains unproved. The study aim was to survey the frequency, causes and clinical manifestations of DVA and evaluate the clinical utility of a near-infrared (NIR) vein visualizer. In this multicentre prospective study, methods, difficulties and outcomes of venous access were assessed for a single venipuncture in consecutive patients. The impact of an NIR vein visualizer on vein localization, the number of venipuncture attempts and patient stress and pain was determined. Among 450 total patients enrolled, venous access was judged to be difficult in 165 (36.7%), most often because of poor vein condition, young patient age, overweight and difficulty in finding veins. Of the patients with DVA, difficulty in locating veins was encountered in 82.4%, and more than one venipuncture attempt was required in 24.8%. Veins were difficult to locate in significantly fewer DVA patients (P = 0.002) when the NIR vein visualizer was used (76.0%) than not used (92.3%). Pain during venipuncture in DVA patients was also significantly less common (P = 0.019) with use of the NIR vein visualizer (34.0% vs. 55.4%). No effect was observed on venipuncture attempts. DVA affects more than one-third of patients at haemophilia treatment centres. An NIR vein visualizer showed significant promise for facilitating vein location and mitigating patient pain in those patients.
Collapse
Affiliation(s)
- P Guillon
- Centre Régional de Traitement de l'Hémophilie, Niveau 1 Centre de Prélèvement, Centre Hospitalier Universitaire de Caen, Caen, France
| | | | | | | | | | | |
Collapse
|
15
|
Couderc R, Vassault A. Pediatric clinical chemistry: why is it different? Clin Biochem 2014; 47:747-8. [PMID: 24854686 DOI: 10.1016/j.clinbiochem.2014.05.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Rémy Couderc
- Service de Biochimie et biologie moléculaire, Hôpital Armand Trousseau, HUEP, AP-HP, Paris, France.
| | - Anne Vassault
- Service de Biochimie, Hôpital Necker, AP-HP, Paris, France
| |
Collapse
|
16
|
Robotic microsurgery optimization. Arch Plast Surg 2014; 41:225-30. [PMID: 24883272 PMCID: PMC4037767 DOI: 10.5999/aps.2014.41.3.225] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2013] [Revised: 07/31/2013] [Accepted: 07/31/2013] [Indexed: 11/20/2022] Open
Abstract
The increased application of the da Vinci robotic platform (Intuitive Surgical Inc.) for microsurgery has led to the development of new adjunctive surgical instrumentation. In microsurgery, the robotic platform can provide high definition 12×-15× digital magnification, broader range of motion, fine instrument handling with decreased tremor, reduced surgeon fatigue, and improved surgical productivity. This paper presents novel adjunctive tools that provide enhanced optical magnification, micro-Doppler sensing of vessels down to a 1-mm size, vein mapping capabilities, hydro-dissection, micro-ablation technology (with minimal thermal spread-CO2 laser technology), and confocal microscopy to provide imaging at a cellular level. Microsurgical outcomes from the use of these tools in the management of patients with infertility and chronic groin and testicular pain are reviewed. All these instruments have been adapted for the robotic console and enhance the robot-assisted microsurgery experience. As the popularity of robot-assisted microsurgery grows, so will its breadth of instrumentation.
Collapse
|
17
|
Juric S, Flis V, Debevc M, Holzinger A, Zalik B. Towards a low-cost mobile subcutaneous vein detection solution using near-infrared spectroscopy. ScientificWorldJournal 2014; 2014:365902. [PMID: 24883388 PMCID: PMC4032719 DOI: 10.1155/2014/365902] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Accepted: 04/11/2014] [Indexed: 11/18/2022] Open
Abstract
Excessive venipunctures are both time- and resource-consuming events, which cause anxiety, pain, and distress in patients, or can lead to severe harmful injuries. We propose a low-cost mobile health solution for subcutaneous vein detection using near-infrared spectroscopy, along with an assessment of the current state of the art in this field. The first objective of this study was to get a deeper overview of the research topic, through the initial team discussions and a detailed literature review (using both academic and grey literature). The second objective, that is, identifying the commercial systems employing near-infrared spectroscopy, was conducted using the PubMed database. The goal of the third objective was to identify and evaluate (using the IEEE Xplore database) the research efforts in the field of low-cost near-infrared imaging in general, as a basis for the conceptual model of the upcoming prototype. Although the reviewed commercial devices have demonstrated usefulness and value for peripheral veins visualization, other evaluated clinical outcomes are less conclusive. Previous studies regarding low-cost near-infrared systems demonstrated the general feasibility of developing cost-effective vein detection systems; however, their limitations are restricting their applicability to clinical practice. Finally, based on the current findings, we outline the future research direction.
Collapse
Affiliation(s)
- Simon Juric
- Advanced ICT Research Group (AIRG), Farmadent Pharm., 2000 Maribor, Slovenia
- Laboratory of Geometric Modelling and Multimedia Algorithms, Faculty of Electrical Engineering and Computer Science, University of Maribor, 2000 Maribor, Slovenia
| | - Vojko Flis
- Department of Vascular Surgery, University Medical Centre Maribor, 2000 Maribor, Slovenia
| | - Matjaz Debevc
- Institute for Media Communication, Faculty of Electrical Engineering and Computer Science, University of Maribor, 2000 Maribor, Slovenia
| | - Andreas Holzinger
- Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Auenbruggerplatz 2, 8036 Graz, Austria
- Institute of Information Systems and Computer Media, Graz University of Technology, Inffeldgasse 16c, 8010 Graz, Austria
| | - Borut Zalik
- Laboratory of Geometric Modelling and Multimedia Algorithms, Faculty of Electrical Engineering and Computer Science, University of Maribor, 2000 Maribor, Slovenia
| |
Collapse
|
18
|
Vizcarra C, Cassutt C, Corbitt N, Richardson D, Runde D, Stafford K. Recommendations for Improving Safety Practices With Short Peripheral Catheters. JOURNAL OF INFUSION NURSING 2014; 37:121-4. [DOI: 10.1097/nan.0000000000000028] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
19
|
Lamperti M, Pittiruti M. II. Difficult peripheral veins: turn on the lights. Br J Anaesth 2013; 110:888-91. [DOI: 10.1093/bja/aet078] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
20
|
Szmuk P, Steiner J, Pop RB, Farrow-Gillespie A, Mascha EJ, Sessler DI. The VeinViewer Vascular Imaging System Worsens First-Attempt Cannulation Rate for Experienced Nurses in Infants and Children with Anticipated Difficult Intravenous Access. Anesth Analg 2013; 116:1087-1092. [DOI: 10.1213/ane.0b013e31828a739e] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
|
21
|
New biomedical devices that use near-infrared technology to assist with phlebotomy and vascular access. Pediatr Emerg Care 2013; 29:383-5; quiz 386-7. [PMID: 23462399 DOI: 10.1097/pec.0b013e31828680f9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Obtaining intravenous access in children is often challenging. Devices using the novel technology of near-infrared imaging have been developed and marketed to facilitate intravenous catheter placement and phlebotomy. We review the technology of near-infrared imaging and the evidence for its use in the pediatric emergency population.
Collapse
|
22
|
Blugerman G, Schavelzon D, Álvarez J. Near-Infrared Imaging of Veins in Facial Injection of Botulinum Toxin and Hyaluronic Acid. Dermatol Surg 2012; 38:1252-3. [DOI: 10.1111/j.1524-4725.2012.02379.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|