University of Adelaide Library

Adelaide Research and Scholarship : Schools and Disciplines : School of Medicine : Anaesthesia and Intensive Care : Anaesthesia and Intensive Care Publications

Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/74026

Type: Journal article
Title: A randomized controlled trial comparing the AccuVein AV300 device to standard insertion technique for intravenous cannulation of anesthetized children
Author: Kaddoum, Roland N.
Anghelescu, Doralina L.
Parish, Mary
Wright, Becky B.
Trujillo, Luis
Wu, Jianrong
Wu, Yanan
Burgoyne, Laura Lee-Anne
Citation: Paediatric Anaesthesia, 2012; 22(9):884-889
Publisher: Blackwell Publishing Ltd
Issue Date: 2012
ISSN: 1155-5645
School/Discipline: School of Medicine : Anaesthesia and Intensive Care
Statement of
Responsibility: 
Roland N. Kaddoum, Doralina L. Anghelescu, Mary E. Parish, Becky B. Wright, Luis Trujillo, Jianrong Wu, Yanan Wu, Laura L. Burgoyne
Abstract: Objectives and Aims: To evaluate the efficacy of the AccuVein AV300 device in improving the first-time success rate of intravenous cannulation of anesthetized pediatric patients. Background: The AccuVein AV300 device was developed to assist venepuncture and intravenous cannulation by enhancing the visibility of superficial veins. It uses infrared light to highlight hemoglobin so that blood vessels are darkly delineated against a red background. Methods/Materials: Patients were randomized to cannulation with the AccuVein AV300 device or standard insertion by experienced pediatric anesthesiologists. An observer recorded the number of skin punctures and cannulation attempts required, and the time between tourniquet application and successful cannulation or four skin punctures, whichever came first. Results and Conclusions: There were 146 patients with a median age of 4.6 years (range, 0.18–17.1 years), 46.6% were male, 80.8% were light skin colored, and 15.7% were younger than 2 years. The first-attempt success rates were 75% (95% CI, 63.8–84.2%) using AV300 and 73% (95% CI, 61.9–81.9%) using the standard method (P = 0.85). Patients with dark or medium skin color were 0.38 times less likely to have a successful first attempt than patients with light skin color. The difference between the two treatment groups in number of skin punctures and the time to insertion was not significant. Although the AV300 was easy to use and improved visualization of the veins, we found no evidence that it was superior to the standard method of intravenous cannulation in unselected pediatric patients under anesthesia.
Keywords: anesthesia; pediatric; intravenouscannulation; equipment
Rights: © 2012 Blackwell Publishing Ltd.
RMID: 0020121043
DOI: 10.1111/j.1460-9592.2012.03896.x
Appears in Collections:Anaesthesia and Intensive Care Publications
View citing articles in: Google Scholar
Scopus

There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

© 2008 The University of Adelaide
library@adelaide.edu.au
CRICOS Provider Number 00123M
Service Charter | Copyright | Privacy | Disclaimer