1
|
Fehr G, Rigali M, Weller G, Grap SM, Coleman M, Parekh U, Chinchilli VM, Dalal PG. Efficacy of Infrared Vein Visualization versus Standard Technique for Peripheral Venous Cannulation in Infant and Toddler Populations: A Randomized Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1652. [PMID: 37892315 PMCID: PMC10605772 DOI: 10.3390/children10101652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Revised: 09/24/2023] [Accepted: 09/29/2023] [Indexed: 10/29/2023]
Abstract
Establishing intravenous (IV) access in younger patient populations via the traditional cannulation technique for procedures requiring anesthesia is often challenging. Infrared (IR) vein visualization is a modality that aids venous cannulation; however, few reports of this technique exist in the infant and toddler population. The primary aim of this study was to compare the efficacy of IR vein visualization to the standard cannulation technique for obtaining peripheral IV access in infant and toddler populations. Following Institutional Review Board (IRB) approval and written informed consent, children were randomly assigned to either a standard cannulation technique group or an IR vein visualization device group for venous cannulation. The primary outcome variable was the success rate of IV cannulation, and the secondary variables were the total number of attempts and the time to successful cannulation. No difference was noted between either group for first-attempt success rate (standard versus IR: 61.25% vs. 54.4%; p = 0.4) or time to establish IV cannulation (standard versus IR: median [interquartile range], 40 s [24-120] vs. 53 s [26-106]; p = 0.55). The anesthesiologist's grading of the anticipated difficulty of IV cannulation was a significant predictor of cannulation success (p = 0.0016). Our study demonstrated no significant benefit in utilizing the IR vein visualization device in terms of the overall success rate, number of attempts, and time to establish successful IV cannulation when compared to the standard technique. However, in difficult IV access situations, this device proved to be a valuable rescue adjunct.
Collapse
Affiliation(s)
- Graham Fehr
- Department of Anesthesiology, Children’s Hospital of King’s Daughters, Norfolk, VA 23507, USA;
| | - Marisa Rigali
- Department of Anesthesiology, Virginia Commonwealth School of Medicine, Richmond, VA 23219, USA;
| | - Gregory Weller
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
| | - Shannon M. Grap
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
| | - Melissa Coleman
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
| | - Uma Parekh
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
| | - Vernon M. Chinchilli
- Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA 17033, USA;
| | - Priti G. Dalal
- Department of Anesthesiology, Penn State Health, Hershey, PA 17033, USA; (G.W.); (S.M.G.); (M.C.); (U.P.)
| |
Collapse
|
2
|
Anazi SKA, Woodman A, Al Zahrani WA, Alsanad MA, Alzahrani MS, Alanazi FR, Rasheed M. Literature review on the efficacy of near-infrared device in improving peripheral venous access time and number of attempts in pediatric patients. Curr Med Res Opin 2023; 39:1013-1019. [PMID: 37285860 DOI: 10.1080/03007995.2023.2222582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 05/24/2023] [Accepted: 06/05/2023] [Indexed: 06/09/2023]
Abstract
INTRODUCTION The process of peripheral venous access (PVA) in children can be challenging for the patient and the clinician, as failed attempts often exceed the recommended two insertions, which can be painful. To speed up the process and increase success, near-infrared device (NIR) device technology has been introduced. This literature review aimed to investigate and critically evaluate the impact of NIR devices on the number of attempts and the time of the catheterization procedure in pediatric patients from 2015 to 2022. METHODS An electronic search was performed to identify studies in PubMed, Web of Science, Cochrane Library, and CINAHL Plus, from 2015 to 2022. After applying eligibility criteria, seven studies were considered for further review and evaluation. RESULTS The number of successful venipuncture attempts ranged from 1 to 2.41 in control groups and from 1 to 2 in NIR groups. The procedural time required for success ranged from 37.5 s to 252 s in the control group and from 28.47 s to 200 s in the NIR groups. The NIR assistive device could be successfully used in preterm infants and children with special health care needs. CONCLUSIONS While more research is needed to examine the training and application of NIR in preterm infants, some studies have shown improvement in placement success. The number of attempts and time required for a successful PVA may depend on several alternative factors, including general health, age, ethnicity, and knowledge and skills of healthcare providers. Future studies are expected to investigate how the level of experience of a healthcare provider performing venipuncture influences the outcome. More research is needed to explore additional factors that predict the success rate.
Collapse
Affiliation(s)
- Salem Khalaf Al Anazi
- Neuroscience Unit, Technical Consultant Department, Neuromodulation and Pelvic Health, Medtronic, Riyadh, Saudi Arabia
| | | | - Waleed Abdullah Al Zahrani
- Anesthesia Technology Department, Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia
| | - Mohammed Abdulaziz Alsanad
- Department of Anesthesia Technology, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Matar Saeed Alzahrani
- Department of Anesthesia Technology, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Faisal Ramadan Alanazi
- Respiratory Care Department, Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia
| | - Mohammad Rasheed
- Vice Deanship of Postgraduate Studies and Research, Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia
| |
Collapse
|
3
|
Peng Y, Zhou Y. Analysis of influencing factors on the duration of pediatric peripheral intravenous catheter. J Vasc Access 2023; 24:646-652. [PMID: 34538157 DOI: 10.1177/11297298211044024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The application of peripheral intravenous catheter has been an effective guarantee for the success of pediatric therapy. We aimed to investigate the correlative factors that impacting the duration of pediatric peripheral intravenous catheter. METHODS From January 2017 to October 2017, 370 cases of pediatric patients in the First Hospital of Hunan University of Chinese Medicine were collected as the research object. Based on the indwelling time, the collected cases were divided into two groups, namely long time group (>72 h) and short time group (<72 h). The general data and laboratory test results of two groups were collected, and the correlation factors of indwelling time were analyzed by single factor and Logistic multiple factors. RESULTS As the results revealed that compared with short time group, patients in long time group had statistically significant differences in puncture site, phlebitis, extravasation of blood vessels, hemoglobin, white blood cells, platelets, and 75% ethanol sterilization (p < 0.05). Logistic multivariate analysis indicated that scalp puncture was the independent protective factors that affecting the duration of pediatric peripheral intravenous catheter. Moreover, phlebitis represented the independent risk factor that influencing the indwelling time of pediatric peripheral intravenous catheter. And the differences were statistically significant (p < 0.05). CONCLUSIONS Analyze factors influencing indwelling time of pediatric peripheral intravenous catheter and enhance the management of relevant factors are of great significance to prolong the indwelling time, reduce the pain of pediatric patients, and facilitate the clinical medication.
Collapse
Affiliation(s)
- Yanxian Peng
- The First Hospital of Hunan University of Chinese Medicine, The Domestic First-class Discipline Construction Project of Chinese Medicine of Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Yawei Zhou
- The First Hospital of Hunan University of Chinese Medicine, The Domestic First-class Discipline Construction Project of Chinese Medicine of Hunan University of Chinese Medicine, Changsha, Hunan, China
| |
Collapse
|
4
|
Sekiguchi S, Moriyama K, Tokumine J, Lefor AK, Nakazawa H, Tomita Y, Yorozu T. Near-infrared venous imaging may be more useful than ultrasound guidance for novices to obtain difficult peripheral venous access: A crossover simulation study. Medicine (Baltimore) 2023; 102:e33320. [PMID: 36961182 PMCID: PMC10036034 DOI: 10.1097/md.0000000000033320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 02/28/2023] [Indexed: 03/25/2023] Open
Abstract
BACKGROUND Difficult peripheral venous access, especially in obese people, is challenging for novices. We conducted a randomized cross-over study to examine whether near-infrared venous imaging or ultrasound guidance is more useful for novice operators to obtain difficult peripheral venous access. METHODS Medical students were recruited as participants. After receiving basic training using commercial simulators, participants were randomly assigned to obtain simulated venous access using a difficult venous access simulator with near-infrared venous imaging or ultrasound guidance in a randomized cross-over design. A difficult venous access simulator was newly developed with deep and narrow vessels to simulate an obese patient. The primary outcome measure of the study was the first-time success rate (%), and the secondary outcome measures included procedure time (seconds) and the number of 3 consecutive successful attempts, to represent proficiency with the procedure. Pearson chi-square test, the Wilcoxon signed-rank test, and generalized estimating equations were used for statistical analysis. RESULTS Forty-one medical students with no experience performing peripheral venous access were enrolled in this study. The rate of successful first attempts did not differ between the 2 groups (70% for near-infrared; 65% for ultrasound guidance; P = .64). The duration of the procedure for the first attempt was significantly shorter using near-infrared imaging (median: 14; interquartile range: 12-19) compared to ultrasound guidance (median 46; interquartile range: 26-52; P = .007). The number of attempts until 3 consecutive successes was not significantly different comparing the 2 approaches (near-infrared: 3 (3, 7.25), ultrasound guidance: 3 (3, 6.25), P = .63). CONCLUSION There was no difference in success rate of first-time attempts or acquiring proficiency for the 2 methods. However, duration of the first attempt was significantly shorter with near-infrared imaging than with ultrasound guidance. Near-infrared imaging may require less training than ultrasound guidance. Near-infrared venous imaging may be useful for novices to obtain difficult peripheral venous access in obese patients.
Collapse
Affiliation(s)
- Shinichiro Sekiguchi
- Department of Medical Education, Kyorin University School of Medicine, Mitaka, Tokyo, Japan
| | - Kiyoshi Moriyama
- Department of Anesthesiology, Kyorin University School of Medicine, Mitaka, Tokyo, Japan
| | - Joho Tokumine
- Department of Anesthesiology, Kyorin University School of Medicine, Mitaka, Tokyo, Japan
| | - Alan Kawarai Lefor
- Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
| | - Harumasa Nakazawa
- Department of Anesthesiology, Kyorin University School of Medicine, Mitaka, Tokyo, Japan
| | - Yasuhiko Tomita
- Department of Medical Education, Kyorin University School of Medicine, Mitaka, Tokyo, Japan
| | - Tomoko Yorozu
- Department of Anesthesiology, Kyorin University School of Medicine, Mitaka, Tokyo, Japan
| |
Collapse
|
5
|
New dimension on potential factors of successful pediatric peripheral intravenous catheterization. Pediatr Neonatol 2023; 64:19-25. [PMID: 35999154 DOI: 10.1016/j.pedneo.2022.05.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 04/14/2022] [Accepted: 05/10/2022] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Peripheral intravenous catheterization (PIVC) is pivotal to pediatric medical care; however, it is a challenging technique for pediatricians, and the parameters affecting successful pediatric PIVC establishment have not been fully investigated. METHODS This prospective observational study collected data from pediatric patients aged less than 18 years who required PIVC. The participants were categorized into five groups for subgroup analysis: newborn, infant, toddler, pre-school, and student (children and adolescent). Data on demography, biochemistry, and PIVC executors were examined to elucidate the most powerful factors affecting the success of PIVC. RESULTS A total of 935 peripheral venous cannulations conducted within 1 year were studied. Age-subgroup analysis showed the highest failure rate (FR) of PIVC in the infant group (18.4%). No significant difference in BMI standard deviation score was noted among the groups (p-value = 0.430). Compared with those for the success group, more attempts, longer completion time, and more medical staff were needed for the failure group (all p-values < 0.05). A high serum procalcitonin level was correlated with an increased FR (p-value = 0.016). In addition, the success rate was positively associated with the seniority of the operators, except for the 3-year experienced R3 group (93.5%) showing a higher success rate than the 4-year experienced CR group (84.2%). CONCLUSIONS Difficulty in setting up PIVC was the greatest in infants and even greater than that in newborns. Even though seniority was a cardinal factor in successful PIVC, a high FR was still noted despite the lack of continuous and steady practice.
Collapse
|
6
|
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
|
7
|
Kumar A, Negi M, Khanka J, Dhingra M, Kumari R, Dhingra VK, Gupta MK. Initial experience with use of infrared assistance for intravenous injection of radiopharmaceuticals. World J Nucl Med 2021; 20:172-175. [PMID: 34321970 PMCID: PMC8286008 DOI: 10.4103/wjnm.wjnm_86_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2020] [Revised: 09/02/2020] [Accepted: 07/27/2020] [Indexed: 11/13/2022] Open
Abstract
Radiopharmaceutical injection is challenging as it poses radiation exposure to staff as well as patient. Infrared light-assisted devices have been available since many years and have garnered mixed reviews in the pediatric age group. However, there are no data on outcome of infrared assistance for radiopharmaceutical injection. We compared results of first-attempt intravenous access (in cubital veins) with and without infrared assistance device for injection of radiopharmaceuticals. All adult patients who underwent nuclear scan in the initial weeks of infrared device installation were injected utilizing infrared device assistance. These were compared with those who underwent injection without infrared assistance. Three hundred consecutive patients were studied for success of intravenous injection with and without infrared assistance. Of these, 150 were injected with and 150 without infrared assistance. A success rate of 72%/51.3% was noted with and without infrared assistance, respectively, on the first attempt which was statistically significant. In our initial experience, assistance with infrared device was found to improve the outcome of first-attempt intravenous access for injection of radiopharmaceuticals. This method has potential of improving outcome for radiopharmaceutical injection.
Collapse
Affiliation(s)
- Ashok Kumar
- Department of Nuclear Medicine, AIIMS, Rishikesh, Uttarakhand, India
| | - Meena Negi
- Department of Nuclear Medicine, AIIMS, Rishikesh, Uttarakhand, India
| | - Jyoti Khanka
- Department of Nuclear Medicine, AIIMS, Rishikesh, Uttarakhand, India
| | - Mohit Dhingra
- Department of Orthopedics, AIIMS, Rishikesh, Uttarakhand, India
| | | | | | - Manoj Kumar Gupta
- Department of Radiation Oncology, AIIMS, Rishikesh, Uttarakhand, India
| |
Collapse
|
8
|
Francisco MD, Chen WF, Pan CT, Lin MC, Wen ZH, Liao CF, Shiue YL. Competitive Real-Time Near Infrared (NIR) Vein Finder Imaging Device to Improve Peripheral Subcutaneous Vein Selection in Venipuncture for Clinical Laboratory Testing. MICROMACHINES 2021; 12:mi12040373. [PMID: 33808493 PMCID: PMC8067297 DOI: 10.3390/mi12040373] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 03/20/2021] [Accepted: 03/22/2021] [Indexed: 01/29/2023]
Abstract
In this study, near-infrared (NIR) technology was utilized to develop a low-cost real-time near infrared (NIR) guiding device for cannulation. A portable device that can be used by medical practitioners and also by students for their skills development training in performing cannulation. Methods. First, is the development of a reflectance type optical vein finder using three (3) light emitting diode (LED) lights with 960 nm wavelength, complementary metal-oxide-semiconductor-infrared (CMOS-IR) sensor camera with 1920 × 1080 UXGA (1080P), IR filter set for the given wavelength, and an open-source image processing software. Second, is the actual in-vitro human testing in two sites: the arm and dorsal hand of 242 subjects. The following parameters were included, such as gender, age, mass index (BMI), and skin tone. In order to maximize the assessment process towards the device, the researchers included the arm circumference. This augmented subcutaneous vein imaging study using the develop vein finder device compared the difference in the captured vein images through visual and digital imaging approaches. The human testing was performed in accordance with the ethical standards of the Trinity University of Asia—Institutional Ethics Review Committee (TUA—IERC). Results. The NIR imaging system of the developed vein finder in this study showed its capability as an efficient guiding device through real-time vein pattern recognition, for both sites. Improved captured vein images were observed, having 100% visibility of vein patterns on the dorsal hand site. Fourteen (5.79%) out of 242 subjects reported non-visible peripheral subcutaneous veins in the arm sites. Conclusions. The developed vein finder device with the NIR technology and reflected light principle with low-energy consumption was efficient for real-time peripheral subcutaneous vein imaging without the application of a tourniquet. This might be utilized as a guiding device in locating the vein for the purpose of cannulation, at a very low cost as compared to the commercially available vein finders. Moreover, it may be used as an instructional device for student training in performing cannulation.
Collapse
Affiliation(s)
- Mark D. Francisco
- Institute of Biomedical Sciences, National Sun Yat-sen University (NSYSU), Kaohsiung 80424, Taiwan;
- Department of Mechanical and Electro-Mechanical Engineering, NSYSU, Kaohsiung 80424, Taiwan; (C.-T.P.); (M.-C.L.)
- College of Medical Technology, Trinity University of Asia (TUA), Quezon City 1102, Philippines
| | - Wen-Fan Chen
- Institute of Medical Science and Technology, NSYSU, Kaohsiung 80424, Taiwan;
| | - Cheng-Tang Pan
- Department of Mechanical and Electro-Mechanical Engineering, NSYSU, Kaohsiung 80424, Taiwan; (C.-T.P.); (M.-C.L.)
- Institute of Precision Medicine, NSYSU, Kaohsiung 80424, Taiwan
| | - Ming-Cheng Lin
- Department of Mechanical and Electro-Mechanical Engineering, NSYSU, Kaohsiung 80424, Taiwan; (C.-T.P.); (M.-C.L.)
- Department of Mechanical Engineering, R.O.C. Military Academy, Kaohsiung 83059, Taiwan
| | - Zhi-Hong Wen
- Department of Marine Biotechnology and Resources, NSYSU, Kaohsiung 80424, Taiwan;
| | - Chien-Feng Liao
- Department of Emergency Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung City 80284, Taiwan
- Correspondence: (C.-F.L.); (Y.-L.S.)
| | - Yow-Ling Shiue
- Institute of Biomedical Sciences, National Sun Yat-sen University (NSYSU), Kaohsiung 80424, Taiwan;
- Institute of Precision Medicine, NSYSU, Kaohsiung 80424, Taiwan
- Correspondence: (C.-F.L.); (Y.-L.S.)
| |
Collapse
|
9
|
Lee CC, Chuang CC, Lu CL, Lai BC, So EC, Lin BS. A novel optical technology based on 690 nm and 850 nm wavelengths to assist needle thoracostomy. Sci Rep 2021; 11:3874. [PMID: 33594120 PMCID: PMC7887237 DOI: 10.1038/s41598-021-81225-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 01/04/2021] [Indexed: 11/09/2022] Open
Abstract
The sensitivity of pneumothorax diagnosis via handheld ultrasound is low, and there is no equipment suitable for use with life-threatening tension pneumothorax in a prehospital setting. This study proposes a novel technology involving optical fibers and near-infrared spectroscopy to assist in needle thoracostomy decompression. The proposed system via the optical fibers emitted dual wavelengths of 690 and 850 nm, allowing distinction among different layers of tissue in vivo. The fundamental principle is the modified Beer-Lambert law (MBLL) which is the basis of near-infrared tissue spectroscopy. Changes in optical density corresponding to different wavelengths (690 and 850 nm) and hemoglobin parameters (levels of Hb and HbO2) were examined. The Kruskal-Wallis H test was used to compare the differences in parameter estimates among tissue layers; all p-values were < 0.001 relevant to 690 nm and 850 nm. In comparisons of Hb and HbO2 levels relative to those observed in the vein and artery, all p-values were also < 0.001. This study proposes a new optical probe to assist needle thoracostomy in a swine model. Different types of tissue can be identified by changes in optical density and hemoglobin parameters. The aid of the proposed system may yield fewer complications and a higher success rate in needle thoracostomy procedures.
Collapse
Affiliation(s)
- Chien-Ching Lee
- Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan, Taiwan.,Department of Anesthesiology, An Nan Hospital, China Medical University, Tainan, Taiwan.,Department of Medical Sciences Industry, Chang Jung Christian University, Tainan, Taiwan
| | - Chia-Chun Chuang
- Department of Anesthesiology, An Nan Hospital, China Medical University, Tainan, Taiwan.,Department of Medical Sciences Industry, Chang Jung Christian University, Tainan, Taiwan
| | - Chin-Li Lu
- Graduate Institute of Food Safety, College of Agriculture and Natural Resources, National Chung Hsing University, Taichung, Taiwan
| | - Bo-Cheng Lai
- Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan, Taiwan
| | - Edmund Cheung So
- Department of Anesthesiology, An Nan Hospital, China Medical University, Tainan, Taiwan.,Department of Medical Sciences Industry, Chang Jung Christian University, Tainan, Taiwan
| | - Bor-Shyh Lin
- Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan, Taiwan.
| |
Collapse
|
10
|
Lee CC, Chuang CC, Lai BC, Huang YC, Chen JY, Lin BS. A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on Oximetry. SENSORS 2020; 20:s20071891. [PMID: 32235314 PMCID: PMC7180434 DOI: 10.3390/s20071891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 03/25/2020] [Accepted: 03/26/2020] [Indexed: 11/16/2022]
Abstract
In clinical practice, the catheter has to be placed at an accurate position during anesthesia administration. However, effectively guiding the catheter to the accurate position in deeper tissues can be difficult for an inexperienced practitioner. We aimed to address the current issues associated with catheter placement using a novel smart assistance system for blood vessel catheter placement. We used a hollow introducer needle embedded with dual wavelength (690 and 850 nm) optical fibers to advance the tip into the subclavian vessels in anesthetized piglets. The results showed average optical density changes, and the difference between the absorption spectra and hemoglobin concentrations of different tissue components effectively identified different tissues (p < 0.05). The radial basis function neural network (RBFNN) technique was applied to distinguish tissue components (the F-measure value and accuracy were 93.02% and 94%, respectively). Finally, animal experiments were designed to validate the performance of the proposed system. Using this system based on oximetry, we easily navigated the needle tip to the target vessel. Based on the experimental results, the proposed system could effectively distinguish different tissue layers of the animals.
Collapse
Affiliation(s)
- Chien-Ching Lee
- Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan 71150, Taiwan; (C.-C.L.); (B.-C.L.); (Y.-C.H.)
- Department of Anesthesia, An Nan Hospital, China Medical University, Tainan 70965, Taiwan;
- Department of Medical Sciences Industry, Chang Jung Christian University, Tainan 71101, Taiwan
| | - Chia-Chun Chuang
- Department of Anesthesia, An Nan Hospital, China Medical University, Tainan 70965, Taiwan;
- Department of Medical Sciences Industry, Chang Jung Christian University, Tainan 71101, Taiwan
| | - Bo-Cheng Lai
- Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan 71150, Taiwan; (C.-C.L.); (B.-C.L.); (Y.-C.H.)
| | - Yi-Chia Huang
- Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan 71150, Taiwan; (C.-C.L.); (B.-C.L.); (Y.-C.H.)
| | - Jen-Yin Chen
- Department of Anesthesiology, Chimei Medical Center, Tainan 71004, Taiwan;
| | - Bor-Shyh Lin
- Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan 71150, Taiwan; (C.-C.L.); (B.-C.L.); (Y.-C.H.)
- Correspondence: ; Tel.: +886-6-3032121-57835
| |
Collapse
|
11
|
Santos LMD, Santos SA, Silva BSM, Santana RCBD, Avelar AFM. Influência de tecnologias para avaliação/visualização vascular no cateterismo intravenoso periférico: Revisão integrativa. ESCOLA ANNA NERY 2020. [DOI: 10.1590/2177-9465-ean-2019-0355] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo verificar a influência da ultrassonografia vascular, emissão de luz infravermelha e iluminação transdérmica no sucesso da cateterização intravenosa periférica; número de tentativas, tempo para a realização do procedimento, permanência do cateter in situ e ocorrência de complicações em crianças, quando comparadas ao método tradicional. Método trata-se de uma revisão integrativa da literatura realizada no período de 2018 a 2020 na Biblioteca Virtual em Saúde, PubMed, Science Direct, Scopus e Web of Science. Foram selecionados estudos originais, publicados entre 2007 e 2019, que comparassem o uso dessas tecnologias com o método tradicional da cateterização intravenosa periférica em crianças de 0 – 18 anos. Resultados de 52 estudos potenciais, 25 compuseram a amostra final, 10 relacionados ao uso da ultrassonografia vascular e 11 da luz infravermelha e 4 da iluminação transdérmica. Conclusão e implicações para a prática: o ultrassom parece ser a tecnologia mais eficaz para promover a obtenção bem sucedida da cateterização intravenosa periférica, porém há necessidade de realização de mais estudos que determinem melhor a eficácia das tecnologias estudadas na obtenção e manutenção da cateterização intravenosa periférica. Poderá propiciar práticas clínicas baseadas em evidências recentes, melhorando a qualidade da assistência à criança hospitalizada e sua família, através da promoção da segurança do paciente.
Collapse
|
12
|
¿Cuál es la necesidad de colocar un acceso vascular en procedimientos anestésicos en niños? COLOMBIAN JOURNAL OF ANESTHESIOLOGY 2017. [DOI: 10.1016/j.rca.2017.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
|
13
|
What is the need to place a vascular access for anaesthetic procedures in children?☆. COLOMBIAN JOURNAL OF ANESTHESIOLOGY 2017. [DOI: 10.1097/01819236-201712002-00010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
14
|
Echeverry-Marín PC, Mondragón-Duque MC, Meza-Padilla JJ. What is the need to place a vascular access for anaesthetic procedures in children? COLOMBIAN JOURNAL OF ANESTHESIOLOGY 2017. [DOI: 10.1016/j.rcae.2017.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
|
15
|
Elmegarhi SS, Amarin JZ, Hadidi MT, Badran DH, Massad IM, Bani-Hani AM, Shatarat AT. Dorsal metacarpal veins: anatomic variation and potential clinical implications. Anat Sci Int 2017; 93:238-243. [PMID: 28417223 DOI: 10.1007/s12565-017-0403-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Accepted: 03/26/2017] [Indexed: 11/26/2022]
Abstract
The dorsal metacarpal veins are frequently cannulated. Cannulation success is determined by several variable anatomic features. The objective of this study is to classify, for the first time, the anatomic variants of the dorsal metacarpal veins. In this cross-sectional study, 520 university students and staff were conveniently recruited. The dorsal metacarpal veins in 1040 hands were studied. Venous visibility was enhanced by either tourniquet application or near-infrared illumination. Variant patterns of the dorsal metacarpal veins were classified. The final analysis included 726 hands, for an exclusion rate of 30 %. Eight pattern types were identified. Three anatomic features informed the variation. Bilateral symmetry of the dorsal metacarpal veins was present in 352 participants (83 % of the total). The overall frequency distribution of variants in both hands was similar (P = 0.8). The frequency distribution of variants was subject to sexual dimorphism (P = 0.001), ethnic variation (P < 0.001), and technical variation (P < 0.001). The anatomic variants of the dorsal metacarpal veins were sorted into decreasingly frequent primary, secondary, and tertiary groups. The groups may signify a progressive increase in difficulty of peripheral cannulation, in the mentioned order. As such, primary patterns are the most common and likely the easiest to cannulate, while tertiary patterns are the least common and likely the most difficult to cannulate. The preceding premise, in tandem with the bilateral asymmetry of the veins, is clinically significant. With cannulation difficulty likely signifying an underlying tertiary pattern, the contralateral dorsal metacarpal veins are probabilistically characterized by a primary pattern and are, as such, the easier option for peripheral venous cannulation.
Collapse
Affiliation(s)
- Sara S Elmegarhi
- Department of Anatomy and Histology, School of Medicine, University of Jordan, Queen Rania Al-Abdullah Street, Amman, 11942, Jordan
| | - Justin Z Amarin
- School of Medicine, University of Jordan, Queen Rania Al-Abdullah Street, Amman, 11942, Jordan
| | - Maher T Hadidi
- Department of Anatomy and Histology, School of Medicine, University of Jordan, Queen Rania Al-Abdullah Street, Amman, 11942, Jordan
| | - Darwish H Badran
- Department of Anatomy and Histology, School of Medicine, University of Jordan, Queen Rania Al-Abdullah Street, Amman, 11942, Jordan
| | - Islam M Massad
- Department of Anesthesia and Intensive Care, School of Medicine, University of Jordan, Queen Rania Al-Abdullah Street, Amman, 11942, Jordan
| | - Amjad M Bani-Hani
- Department of General Surgery, School of Medicine, University of Jordan, Queen Rania Al-Abdullah Street, Amman, 11942, Jordan
| | - Amjad T Shatarat
- Department of Anatomy and Histology, School of Medicine, University of Jordan, Queen Rania Al-Abdullah Street, Amman, 11942, Jordan.
| |
Collapse
|