Transillumination by light-emitting diode facilitates peripheral venous cannulations in infants and small children

  1. K. HOSOKAWA,
  2. H. KATO,
  3. C. KISHI,
  4. Y. KATO,
  5. N. SHIME

Article first published online: 12 JUL 2010

DOI: 10.1111/j.1399-6576.2010.02270.x

Issue

Acta Anaesthesiologica Scandinavica

Acta Anaesthesiologica Scandinavica

Volume 54, Issue 8, pages 957–961, September 2010

Additional Information

How to Cite

HOSOKAWA, K., KATO, H., KISHI, C., KATO, Y. and SHIME, N. (2010), Transillumination by light-emitting diode facilitates peripheral venous cannulations in infants and small children. Acta Anaesthesiologica Scandinavica, 54: 957–961. doi: 10.1111/j.1399-6576.2010.02270.x

Author Information

  1. Department of Anesthesiology and Intensive Care, University Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan

*Address: Nobuaki Shime Department of Anesthesiology and Intensive Care University Hospital Kyoto Prefectural University of Medicine 465 Kajii-cho, Kamigyo-ku Kyoto 602-0841 Japan e-mail: shime@koto.kpu-m.ac.jp

Publication History

  1. Issue published online: 3 AUG 2010
  2. Article first published online: 12 JUL 2010
  3. Accepted for publication 11 June 2010

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Background: Transillumination facilitates the visualization of peripheral veins in infants and children. The clinical usefulness of light-emitting diode (LED)-powered devices has not been thoroughly studied.

Methods: We randomly assigned 136 infants and children weighing <15 kg, undergoing general anesthesia, to red LED-powered transillumination (TM group, n=67) vs. the usual method (UM group, n=69) of peripheral venous cannulations. Venous puncture was performed following anesthesia induction with sevoflurane and nitrous oxide. The primary and secondary study endpoints were the rate of successful cannulations at initial attempt, and the duration of insertion attempts, respectively.

Results: The median score of the estimated cannulation difficulty before attempted puncture was similar in both groups. The success rates at first attempt were 75% and 61% (NS) and mean±SD times to successful venous access were 47±34 and 68±66 s (NS) in the TM and UM groups, respectively. The cannulation procedures were completed significantly earlier in the TM group than in the UM group (hazard ratio, 1.59; 95% confidence interval, 1.03–2.47; P=0.03). In the subgroup of infants and children <2 years old, venous cannulation was successful at first attempt in 73% and 49% in the TM group (n=44) and in the UM group (n=47), respectively (P=0.03).

Conclusions: LED-powered transillumination devices facilitated peripheral venous cannulations in small infants and children.

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