• Olga C P van der Woude, Natascha J Cuper, Chavalleh Getrouw, Cor J Kalkman, and Jurgen C de Graaff.
• Department of Pediatric Anesthesia, Wilhelmina Children's Hospital, Division of Anesthesiology, Intensive Care and Emergency Medicine, University Medical Center Utrecht, the Netherlands.
• Anesth. Analg.. 2013 Jun 1;116(6):1266-71.

BackgroundPoor vein visibility can make IV cannulation challenging in children with dark skin color. In the operating room, we studied the effectiveness of a near-infrared vascular imaging device (VascuLuminator) to facilitate IV cannulation in children with dark skin color.MethodsIn the operating room of a general hospital in Curacao, all consecutive children (0-15 years of age) requiring IV cannulation were included in a pragmatic cluster randomized clinical trial. The VascuLuminator was made available to anesthesiologists at the operating complex in randomized clusters of 1 week.ResultsSuccess at first attempt was 63% (27/43, 95% confidence interval [CI], 47%-77%) in the VascuLuminator group vs 51% (23 of 45 patients, 95% CI, 36%-66%) in the control group (P = 0.27). Median time to successful cannulation was 53 seconds (interquartile range: 34-154) in the VascuLuminator group and 68 seconds (interquartile range: 40-159) in the control group (P = 0.54), and hazard ratio was 1.12 (95% CI, 0.73-1.71).ConclusionThe VascuLuminator has limited value in improving success at first attempt of facilitating IV cannulation in children with dark skin color.

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