Utility of near-infrared light devices for pediatric peripheral intravenous cannulation: a systematic review and meta-analysis.

We investigated the utility of near-infrared (NIR) light devices for peripheral intravenous cannulation (PIVC) in pediatric patients. We searched three databases, MEDLINE, EMBASE, and the Cochrane CENTRAL. Randomized controlled trials that compared PIVC using NIR light devices and the "traditional"...

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Publicado en:European Journal of Pediatrics Vol. 175; no. 12; pp. 1975 - 1989
Autores principales: Park, Joon, Kim, Min, Yim, Hyeon, Lee, Won-Chul, Jeong, Hyunsuk, Kim, Na, Park, Joon Min, Kim, Min Joung, Yim, Hyeon Woo, Kim, Na Jin
Formato: Journal Article
Publicado: Springer Nature Dec2016
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Utility of near-infrared light devices for pediatric peripheral intravenous cannulation: a systematic review and meta-analysis.
      aug:
        au:
          Park, Joon
          Kim, Min
          Yim, Hyeon
          Lee, Won-Chul
          Jeong, Hyunsuk
          Kim, Na
          Park, Joon Min
          Kim, Min Joung
          Yim, Hyeon Woo
          Kim, Na Jin
        affil: Department of Emergency Medicine , Inje University Ilsan Paik Hospital , Goyang Republic of Korea
      sug:
      ab: We investigated the utility of near-infrared (NIR) light devices for peripheral intravenous cannulation (PIVC) in pediatric patients. We searched three databases, MEDLINE, EMBASE, and the Cochrane CENTRAL. Randomized controlled trials that compared PIVC using NIR light devices and the "traditional" method (with no assistive device) were included. The primary outcome was a failure rate at the first attempt, and the effect size was measured by the risk ratio for failure. Subgroup analysis was performed according to control group risk for failure at first attempt as an indicator of difficult procedure (low vs. high). Eleven studies were included in the meta-analysis. There was no significant difference in the primary outcome between the two methods (risk ratio 1.03, confidence interval 0.89-1.20, I 2 = 48 %). In a subgroup analysis, the subgroup difference between subsets of low and high control group risk was significant (I 2 = 83 %). In the subset of the high control group risk, using NIR light devices showed a lower risk for failure than the traditional method (risk ratio 0.81, confidence interval 0.64-1.01, I 2 = 0 %).Conclusion: Using NIR light devices did not have an impact on overall failure rate at the first attempt at PIVC in pediatric patients. What is Known: • Near-infrared light devices have been used to help vascular access especially for the pediatric patients. But, their utilities reported in previous studies were conflicting. What is New: • From this study, we could not find out overall benefit of using near-infrared light devices for pediatric peripheral intravenous cannulation. But, this device might be useful for the patients in a difficult condition of successful cannulation.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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