Abstract

Context: Innovative devices are increasingly being used by healthcare professionals during peripheral venous catheterization for locating invisible and impalpable veins. Objectives: To identify the best evidence available on the effectiveness of the use of vein visualization technologies (near-infrared light or ultrasonography) in patients requiring peripheral venous catheterization. Method of Review: Following the Joanna Briggs Institute’s methodology, this review will use specific search strategies for each database/repository to identify relevant studies. Two independent reviewers will analyze titles/abstracts and compare them based on the inclusion criteria. The included articles will be subjected to methodological quality assessment and data extraction. Presentation and interpretation of results: The critical analysis of existing data on the effectiveness of near-infrared light or ultrasonography on peripheral venous catheterization- related outcomes will contribute to the dissemination of the best evidence available on the topic. Conclusion: The dissemination of the best available evidence will sustain healthcare professionals and managers’ decisions in the selective use of these technologies on peripheral venous catheterization, contributing to the preservation of the patient’s venous network

Highlights

  • The insertion of peripheral venous catheter (PVC) is the most often invasive procedure performed in hospital settings (Wallis et al, 2014)

  • A preliminary search of the JBI Connect+, the Cochrane Database of Systematic Reviews, CINAHL and MEDLINE databases revealed some systematic reviews on the effectiveness of vein visualization technologies on peripheral venous catheterization, namely near-infrared light (Fekonja & Pajnkihar, 2017; Heinrichs, Fritze, Klassen, & Curtis, 2013; Park et al, 2016) and ultrasonography technology (Egan et al, 2012; Heinrichs, Fritze, Vandermeer, Klassen, & Curtis, 2013; Liu, Alsaawi, & Bjornsson, 2014; Stolz et al, 2015)

  • This review focuses on the following question: What is the effectiveness of ultrasonography versus near-infrared light in the first attempt success rate of peripheral venous catheterization or number of attempts needed?

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Summary

Introduction

The insertion of peripheral venous catheter (PVC) is the most often invasive procedure performed in hospital settings (Wallis et al, 2014). Against this recommendation and due to the patient’s therapeutic needs and clinical situation, there is evidence that the total number of puncture attempts amounts to 49 times, at an average of 6.5 times per patient (Braga, 2017) In this regard, health professionals should consider using specific technologies to select the vein and reduce the number of puncture attempts and catheter-related mechanical complications (Infusion Nurses Society, 2016). When compared with the traditional method, this alternative technology showed a lower incidence of hematomas and less anxiety in patients (Fekonja & Pajnkihar, 2017) These technologies were developed with the purpose of improving peripheral venous catheterization success rate, reduce the number and impact of the negative effects of multiple or unsuccessful attempts, and prevent health professionals’ frustration in these settings. The inclusion criteria in some of Revista de Enfermagem Referência - IV - n.o 18 -2018

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