European Journal of Pediatrics

, Volume 171, Issue 7, pp 1121–1125 | Cite as

Efficacy of VeinViewer in pediatric peripheral intravenous access: a randomized controlled trial

  • Min Joung Kim
  • Joon Min Park
  • Nuga Rhee
  • Sang Mo Je
  • Seong Hee Hong
  • Young Mock Lee
  • Sung Phil ChungEmail author
  • Seung Ho Kim
Short Communication


Peripheral venous access in infants and children is technically challenging, because their veins are small and located deep in subcutaneous tissue, which makes them difficult to palpate or visualize. The VeinViewer® (Luminetx Corporation, Memphis, TN, USA) is a near-infrared light device that delineates the running course of subcutaneous veins. In this study, we investigated whether the use of the VeinViewer® in infants and children facilitated peripheral venous access, especially in difficult cases. This study was a randomized, controlled trial of a convenience sample of pediatric patients between the ages of 1 month and 16 years who required peripheral venous access in the pediatric ward. Prior to randomization, difficult intravenous access (DIVA) score, a four-variable clinical prediction rule for first-attempt success, was estimated. We compared the first-attempt success rates and procedural times between the VeinViewer® group and a control group. We evaluated 111 patients: 54 in the VeinViewer® group and 57 in the control group. Patient demographics and factors related to the success of vein access were similar for both groups. The overall first-attempt success rate was 69.4%: i.e., 77/111 in the VeinViewer® group and 38/57 in the control group, a difference that was not statistically significant. However, the first-attempt success rate increased from 5/20 in the control group to 14/24 in the VeinViewer® group for difficult veins with a DIVA score greater than 4 (p = 0.026). There were no significant differences in procedural time between the two groups. Conclusion: The VeinViewer® facilitated peripheral venous access for pediatric patients with difficult veins, which enhanced first-attempt success rates.


Child Peripheral catheterization Vascular access Near-infrared light 


Conflict of interest

None of the authors have any conflict of interest.


  1. 1.
    Chapman LL, Sullivan B, Pacheco AL, Draleau CP, Becker BM (2011) VeinViewer-assisted intravenous catheter placement in a pediatric emergency department. Acad Emerg Med 18(9):966–971PubMedCrossRefGoogle Scholar
  2. 2.
    Doniger SJ, Ishimine P, Fox JC, Kanegaye JT (2009) Randomized controlled trial of ultrasound-guided peripheral intravenous catheter placement versus traditional techniques in difficult-access pediatric patients. Pediatr Emerg Care 25(3):154–159PubMedCrossRefGoogle Scholar
  3. 3.
    Elia F, Ferrari G, Molino P, Converso M, De Filippi G, Milan A et al (2011) Standard-length catheters vs long catheters in ultrasound-guided peripheral vein cannulation. Am J Emerg Med Jun 22Google Scholar
  4. 4.
    Hess HA (2010) A biomedical device to improve pediatric vascular access success. Pediatr Nurs 36(5):259–263PubMedGoogle Scholar
  5. 5.
    John JM (2007) Transillumination for vascular access: old concept, new technology. Paediatr Anaesth 17(2):197–198PubMedCrossRefGoogle Scholar
  6. 6.
    Katsogridakis YL, Seshadri R, Sullivan C, Waltzman ML (2008) Veinlite transillumination in the pediatric emergency department: a therapeutic interventional trial. Pediatr Emerg Care 24(2):83–88PubMedCrossRefGoogle Scholar
  7. 7.
    Kuhns LR, Martin AJ, Gildersleeve S, Poznanski AK (1975) Intense transillumination for infant venipuncture. Radiology 116(3):734–735PubMedGoogle Scholar
  8. 8.
    Oakley E, Wong AM (2010) Ultrasound-assisted peripheral vascular access in a paediatric ED. Emerg Med Australas 22(2):166–170PubMedCrossRefGoogle Scholar
  9. 9.
    Perry AM, Caviness AC, Hsu DC (2011) Efficacy of a near-infrared light device in pediatric intravenous cannulation: a randomized controlled trial. Pediatr Emerg Care 27(1):5–10PubMedCrossRefGoogle Scholar
  10. 10.
    Riker MW, Kennedy C, Winfrey BS, Yen K, Dowd MD (2011) Validation and refinement of the difficult intravenous access score: a clinical prediction rule for identifying children with difficult intravenous access. Acad Emerg Med 18(11):1129–1134PubMedCrossRefGoogle Scholar
  11. 11.
    Simhi E, Kachko L, Bruckheimer E, Katz J (2008) A vein entry indicator device for facilitating peripheral intravenous cannulation in children: a prospective, randomized, controlled trial. Anesth Analg 107(5):1531–1535PubMedCrossRefGoogle Scholar
  12. 12.
    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(3):143–147PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Min Joung Kim
    • 1
  • Joon Min Park
    • 2
  • Nuga Rhee
    • 1
  • Sang Mo Je
    • 1
  • Seong Hee Hong
    • 3
  • Young Mock Lee
    • 4
  • Sung Phil Chung
    • 1
    Email author
  • Seung Ho Kim
    • 1
  1. 1.Department of Emergency MedicineYonsei University College of MedicineSeoulKorea 135-720
  2. 2.Department of Emergency MedicineInje University Ilsan Paik HospitalGoyangKorea
  3. 3.Pediatric inpatient wardGangnam Severance HospitalSeoulKorea
  4. 4.Department of PediatricsYonsei University College of MedicineSeoulKorea

Personalised recommendations