Aging Clinical and Experimental Research

, Volume 29, Issue 2, pp 335–339 | Cite as

Effects of a new device to guide venous puncture in elderly critically ill patients: results of a pilot randomized study

  • Stefano Fumagalli
  • Gionatan Torricelli
  • Marta Massi
  • Silvia Calvani
  • Serena Boni
  • Anna T. Roberts
  • Elisabetta Accarigi
  • Stefania Manetti
  • Niccolò Marchionni
Short Communication



Novel devices based on the emission of near-infrared electromagnetic radiation (NIR) have been developed to minimize venous puncture failures. These instruments produce an “augmented reality” image, in which subcutaneous veins are depicted on a LCD display. We compared the new technique with standard venipuncture in a population of elderly patients.


Patients admitted in Intensive Care Unit were randomized to standard or to NIR assisted procedure.


In the 103 enrolled patients (age 74 ± 12 years; standard venipuncture—N = 56; NIR—N = 47), no differences were found in procedure length, number of attempts, and referred pain. With NIR there was a lower incidence of hematomas and fewer anxiety and depressive symptoms.


The use of the novel NIR-based device is safer and more psychologically tolerable, and it is not associated to an increase of procedure length or number of attempts.


Elderly Hematoma Intensive care unit Near-infrared electromagnetic radiation Nursing Venous puncture 


Compliance with ethical standards

Conflict of interest

Gionatan Torricelli and Marta Massi are employees at InSono SrL, Calenzano, Florence, Italy. The other authors have no conflict of interest to declare.

Ethical approval

All procedures were performed in accordance with the principles of the Declaration of Helsinki and approved by the appropriate institutional review committee.

Informed consent

All subjects gave their informed consent to participate to the protocol.


  1. 1.
    Lamperti M, Pittiruti M (2013) II. Difficult peripheral veins: turn on the lights. Br J Anaesth 110:888–891CrossRefPubMedGoogle Scholar
  2. 2.
    Yen K, Riegert A, Gorelick MH (2008) Derivation of the DIVA score: a clinical prediction rule for the identification of children with difficult intravenous access. Pediatr Emerg Care 24:143–147CrossRefPubMedGoogle Scholar
  3. 3.
    Ogden-Grable H, Gill G (2005) Phlebotomy puncture juncture: preventing phlebotomy errors—potential for harming your patients. Lab Med 36:430–433CrossRefGoogle Scholar
  4. 4.
    Williamson A, Hoggart B (2005) Pain: a review of three commonly used pain rating scales. J Clin Nurs 14:798–804CrossRefPubMedGoogle Scholar
  5. 5.
    Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370CrossRefPubMedGoogle Scholar
  6. 6.
    Juric S, Zalik B (2014) An innovative approach to near-infrared spectroscopy using a standard mobile device and its clinical application in the real-time visualization of peripheral veins. BMC Med Inform Decis Mak 14:100CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Crowley M, Brim C, Proehl J et al (2012) Emergency Nursing Resource: difficult intravenous access. J Emerg Nurs 38:335–343CrossRefPubMedGoogle Scholar
  8. 8.
    Katsogridakis YL, Seshadri R, Sullivan C et al (2008) Veinlite transillumination in the pediatric emergency department: a therapeutic interventional trial. Pediatr Emerg Care 24:83–88CrossRefPubMedGoogle Scholar
  9. 9.
    Lapostolle F, Catineau J, Garrigue B et al (2007) Prospective evaluation of peripheral venous access difficulty in emergency care. Intensive Care Med 33:1452–1457CrossRefPubMedGoogle Scholar
  10. 10.
    Parienti JJ, Mongardon N, Megarbane B et al (2015) Intravascular Complications of Central Venous Catheterization by Insertion Site. N Engl J Med 373:1220–1229CrossRefPubMedGoogle Scholar
  11. 11.
    Leidel BA, Kirchhoff C, Bogner V et al (2009) Is the intraosseous access route fast and efficacious compared to conventional central venous catheterization in adult patients under resuscitation in the emergency department? A prospective observational pilot study. Patient Saf Surg 3:24CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Potet J, Thome A, Curis E et al (2013) Peripherally inserted central catheter placement in cancer patients with profound thrombocytopaenia: a prospective analysis. Eur Radiol 23:2042–2048CrossRefPubMedGoogle Scholar
  13. 13.
    Bisogni S, Dini C, Olivini N et al (2014) Perception of venipuncture pain in children suffering from chronic diseases. BMC Res Notes 7:735CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Fumagalli S, Boncinelli L, Lo Nostro A et al (2006) Reduced cardiocirculatory complications with unrestrictive visiting policy in an intensive care unit: results from a pilot, randomized trial. Circulation 113:946–952CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Stefano Fumagalli
    • 1
  • Gionatan Torricelli
    • 2
  • Marta Massi
    • 2
  • Silvia Calvani
    • 1
  • Serena Boni
    • 1
  • Anna T. Roberts
    • 1
  • Elisabetta Accarigi
    • 1
  • Stefania Manetti
    • 3
  • Niccolò Marchionni
    • 1
  1. 1.Intensive Care Unit, Geriatric Cardiology and Medicine Division, Experimental and Clinical Medicine DepartmentUniversity of Florence and AOU CareggiFlorenceItaly
  2. 2.InSono SrLCalenzanoItaly
  3. 3.School of NursingUniversity of FlorenceFlorenceItaly

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