Effect of vein imaging device use on first-attempt peripheral intravenous catheter insertion success and catheter complications in children: A randomized controlled trial


Yıldırım B. G., ÖZALP GERÇEKER G., ULUSOY E.

Journal of Pediatric Nursing, cilt.89, ss.293-300, 2026 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 89
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.pedn.2026.04.022
  • Dergi Adı: Journal of Pediatric Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE
  • Sayfa Sayıları: ss.293-300
  • Anahtar Kelimeler: Catheter, Complication, Device, Emergency, Insertion, Pediatric
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Background Vein imaging device technologies can enhance the success rate of peripheral intravenous catheter (PIC) placement. This study evaluated the effect of Veinlite PEDI2 on first-attempt PIC insertion success, procedural pain, and complication rates in children aged 0–6 years in the Pediatric Emergency Department (PED). Methods This study was designed as a randomized controlled trial. There were two groups in this study: the vein imaging group ( n = 105) and the control group ( n = 101). The first-attempt PIC insertion success, PIC characteristics, Difficult Intravenous Access scores, PIC insertion time, and procedural pain, cause of PIC removal, PIC complications, and indwelling time were recorded. Results The first-attempt PIC insertion success rate was significantly higher in the vein imaging group (78.1%) compared to the control group (29.7%; p < .001). There was a statistical difference in terms of first-attempt PIC insertion success (X2 = 48.594, df = 3, p = .000). Procedural pain was also significantly lower in the imaging group (FLACC: 7.3 ± 2.8 vs. 8.7 ± 2.0; F = 20.962, p = .000). No significant differences were observed regarding insertion time, complication rates, or indwelling time (p > .05). Conclusion Veinlite PEDI2 significantly improved first-attempt PIC insertion success and reduced procedural pain in the PED. Application to practice The results of our study will serve as an example using the vein imaging device, aiming to increase first-attempt PIC insertion success in the PED. ClinicalTrials.gov: NCT07006038.