• Jurgen C de Graaff, Natascha J Cuper, Atty T H van Dijk, Brigitte C M S Timmers-Raaijmaakers, Désirée B M van der Werff, and Cor J Kalkman.
• Department of Pediatric Anesthesia, Wilhelmina Children's Hospital, University Medical Center, Utrecht, the Netherlands.
• Paediatr Anaesth. 2014 Nov 1;24(11):1174-9.

BackgroundRecently, various near-infrared vascular imaging devices aimed at facilitating peripheral intravenous cannulation (PIC) were introduced, all claiming to increase success rate of PIC. We evaluated the clinical utility of a near-infrared vascular imaging device (VascuLuminator(®)) in pediatric patients who were referred to the anesthesiologist because of difficult cannulation.MethodsThere were 226 consecutive children referred to pediatric anesthesiologists by the treating pediatrician of the in- and outpatient clinic, because of difficulties with intravenous cannulation, were included in this cluster randomized clinical trial. The presence and use of the near-infrared vascular imaging device for PIC was randomized in clusters of 1 week. Success at first attempt (Fisher exact test) and time to successful cannulation (Log-rank test) were assessed to evaluate differences between groups.ResultsSuccess at first attempt in the group with the VascuLuminator(®) (59%) was not significantly different from the control group (54%, P = 0.41), neither was the median time to successful cannulation: 246 s and 300 s, respectively (P = 0.54).ConclusionsVisualization of blood vessels with near-infrared light and with near-infrared vascular imaging device did not improve success of PIC in pediatric patients who are known difficult to cannulate.© 2014 John Wiley & Sons Ltd.

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