We’ve compiled recent studies that underscore the importance of vein location, streamlined PIV access and patient satisfaction.

Improving Venous Access
  • Implementation of Near-Infrared Technology (AccuVein AV-400®) To Facilitate Successful PIV Cannulation

    Conclusion: Near-infrared technology vein illumination device (AccuVein AV400®) improved venous cannulation and the availability of near-infrared technology appears to increase staff’s confidence in attempting vein cannulation. There was a 45% declined escalation calls following device implementation. INS 2014 Annual Convention Educational Poster. link

  • Improving Outcomes of Short Peripheral Vascular Access in Oncology and Chemotherapy Administration

    Key Points: Prior to PIVC insertion, it is important that an appropriate insertion site has been selected (the forearm is preferred, avoiding joints). The chosen vein for insertion should be inspected and carefully palpated. Potential aids for improving venous access success should be considered. These may include vein visualisation tools (near infrared light or ultrasound, as available). 

    Studies indicate that the overall IV catheter failure rate (failure before the intended end date of use) lies between 35% and 50%.Whatever the cause, PIVC failure, by its very nature, can lead to personal discomfort for patients and requires additional medical treatment. PIVC failure is costly to healthcare systems, due to the increase in need for medical resources and patient’s additional length of hospital stay. Journal of Vascular Access, 2017.  link

  • AccuVein Vein Illumination Device (AV400) Improves First Attempt Success Rate for IV Placement in Obese Patients

    Conclusion: Use of AccuVein AV400, a vein illumination device based on infrared technology, can significantly improve the success rate of vein cannulation at the first attempt in patients affected by obesity where obtaining vascular access is a well-known challenge.

    Results from this clinical investigation show that using the device will improve the rate of rapidly starting a peripheral IV by more than 3 fold. Also, the beneficial impact of using this medical tool is increased in certain patient categories such as female gender, older subjects and patients with darker skin color as it is demonstrated by the Odds Ratios from a multivariate regression. Whitepaper, 2016. link

Improving Venous Access - Infants and Pediatrics
  • Does the Use of a Vein Visualization Device for Peripheral Venous Catheter Placement Increase Success Rate in Pediatric Patients?

    Abstract: Success was determined based on the number of attempts per patient, the duration of the procedure, and the first stick success rate.This was a randomized, controlled experimental study on 129 children aged 3 to 18 years.The duration of peripheral intravenous catheterization was shorter in the study group (S) than in the control (C) patients (37.24 ± 20.07 vs 172.65 ± 153.21 seconds; P = 0.001), with fewer attempts (S, 1.08 ± 0.28; C, 2.23 ± 1.57; P < 0.01). The first stick success rate was higher in the control group (S, 91.7%; C, 47.4%; P = 0.001).

    Peripheral intravenous catheterization using vein visualization device support reduces the number of attempts per patient and the operation duration and increases the rate of first stick success. We may therefore state that vein visualization device support improves the success of peripheral intravenous catheterization. Pediatric Emergency Care, 2017. link

  • Using a Near Infrared Device to Improve Successful Venous Access in Children with Special Health Care Needs

    Excerpt:  The use of NIR significantly increased intravenous access success rates when compared with visualization or palpation (26% vs 19.6%; P < 0.0001). Modality had a statistically significant effect on the number of attempts (P < 0.0001), but only a slight clinical significance (NIR, up to 1-4 attempts and ultrasound or transillumination combined, 1-6 attempts).

    Conclusions: NIR decreases the number of attempts and improve overall success rates in acquiring PVA in CSHCN. Further studies on maximizing PVA success in this patient population are warranted. Journal of the Association for Vascular Access, 2017. link

  • Comparison of the Efficiency of Two Different Vein Visualization Devices for Peripheral Intravenous Catheter Placement in Preterm Infants: A Randomized Clinical Trial

    Conclusion: While it has been determined that PIVC attempts carried out in conjunction with vein visualization devices reduces both multi-entry attempts and the time spent by the nurse, as well as lowering pain scores, it was seen that the use of the Transilluminator device, used in our study, is not suitable for use on preterm infants. However, the use of an infrared device is effective in reducing the number of procedures, duration, and pain. In this regard, increased use of an infrared device in preterms during the PIVC placement procedure can be recommended, due to its efficacy and reliability. However, many more studies are required regarding the efficacy of vein visualization devices in preterm infants.  2017. link

  • Impact of Peripheral Venous Catheter Placement with Vein Visualization Device Support on Success Rate in Pediatric Patients Ages 0-3

    Conclusion: AccuVein AV400 reduces the procedure time, decreases the number of attempts, increases success rate in first attempt and lowers the pain felt during the PIC placement procedure in pediatric patients aged 0-3. In light of these results, it can be said that the device increases the success of the PIC placement procedure in pediatric patients aged 0-3.  Its use can be recommended for PIC placement procedure, especially in children with difficult veins. Pediatric Emergency Care 2018. link

Difficult Venous Access
  • Establishing a Dedicated Difficult Vascular Access Team in the Emergency Department: A Needs Assessment

    Key Points: Successful venipuncture is critical in providing timely diagnosis and treatments for patients. Multiple attempts and a delay in obtaining vascular access negatively affect patients and ED staff. Failure of clinical technicians or nurses to place SPCs often leads to more advanced procedures, such as the insertion of central vascular access devices (CVADs), which are more costly and increase risks to patient safety. The presence of difficult vein access (DVA) among patients had a profound effect on ED staff and physical resources. Results from the triage vascular access observations showed difficult vascular catheter placements took on average 3 times longer than simple vascular access insertions. Results from this assessment suggest that difficult vascular access represents tangible threats to patient safety and increased use of resources.. Journal of Infusion Nursing, 2017. link

  • Prospective Evaluation of Venous Access Difficulty and a Near-Infrared Vein Visualizer at Four French haemophilia treatment centres.

    Conclusion: DVA occurred in 37% of patients treated at four French Haemophilia Treatment Centers. This high frequency suggests the need for improved approaches in peripheral venous access. AccuVein improved the ability to locate veins among patient with difficult venous access (92.3% of DVA patients were classified as difficult to locate veins while 76% of DVA patients were considered difficult with AccuVein). Since difficulty locating veins was encountered in 92% of DVA patients by conventional methods, new technology to facilitate vein localization could help address the problem. In this study, use of AccuVein NIR vein visualizer was associated with significantly decreased difficulty in vein location and reduced pain. Further investigation of the clinical role for this technology is warranted. Haemophilia, 2015. link

  • The Efficacy of Near-Infrared Devices in Facilitating Peripheral Intravenous Access in Children: A Systematic Review and Subgroup Meta-Analysis

    Conclusion: Near-infrared devices may improve the first-attempt success rate in children with difficult intravenous access by allowing healthcare professionals to visualize the peripheral veins. Therefore, we suggest that the difficult intravenous-access score be used as a screening tool to suggest when to apply near-infrared devices to children with difficult peripheral intravenous access in order to maximize efficacy of treatment. The Journal of Nursing, 2017. link

Costs and Complications
  • Resource Utilization and Cost of Inserting Peripheral Intravenous Catheters in Hospitalized Children.

    Findings: The insertion of peripheral IV catheters in an inpatient setting can be time intensive and requires significant skill.The median cost of the pediatric IV insertions was $41, and 60% of the placements were obtained with the first nurse. Seventy-two percent of the children had a successful IV insertion in 1 to 2 attempts and accounted for 53% of total costs. However, the 28% of children who required > or = 3 IV attempts had a cost range of $69 to more than $125, and they consumed 43% of the total IV costs. This subset was often < 2 years old or dehydrated (P = .0002). Hospital Pediatrics, 2013. link

  • The Risk of Bloodstream Infection Associated with Peripherally Inserted Central Catheters Compared with Central Venous Catheters in Adults: A Systematic Review and Meta-Analysis

    Conclusions: The incidence of PICC related CLABSI is 5.2% (76 of 1423) for hospitalized patients; inpatient use of PICCs has the same incidence of infection as central lines.Although PICCs are associated with a lower risk of CLABSI than CVCs in outpatients, hospitalized patients may be just as likely to experience CLABSI with PICCs as with CVCs. Consideration of risks and benefits before PICC use in inpatient settings is warranted.The Society for Healthcare Epidemiology of America, 2013. link

  • Patient experience and hospital profitability: Is there a link?

    Conclusions: We identified that a positive patient experience is associated with increased profitability and a negative patient experience is even more strongly associated with decreased profitability. Healthcare Management Review, 2017. link

Aesthetic Injectables
  • Use of AccuVein® for Preventing Complications from Accidental Venipuncture when Administering Dermal Filler Injections.

    Abstract:  Near-infrared technology is used to map out superficial veins to improve the safety of esthetic dermal filler injections. The use of the AccuVein™ device is described and illustrated. Possible benefits of regular use of vein finder technology are discussed. Journal of Cosmetic Laser Therapy, 2015. link

  • FDA Alert: possibility of rare, but serious, injuries that may occur due to unintentional injection of soft tissue filler into blood vessels in the face.

    Alert: The FDA is alerting health care providers and consumers about the possibility of rare, but serious, injuries that may occur due to unintentional injection of soft tissue filler into blood vessels in the face. According to the agency, “Rare but serious adverse events that are associated with intravascular injection of soft tissue filler material in the face include (acute or permanent) vision impairment, blindness, cerebral ischemia or cerebral hemorrhage, leading to stroke, skin necrosis, and damage to underlying facial structures.”

    Recommendation: Make sure that you are familiar with the anatomy at and around the site of injection, keeping in mind that blood vessel anatomy can vary among patients.FDA, 2015.  link

Patient Satisfaction
  • Patient experience and hospital profitability: Is there a link?

    Conclusions: We identified that a positive patient experience is associated with increased profitability and a negative patient experience is even more strongly associated with decreased profitability. Healthcare Management Review, 2017. link

  • Patient Preference Study

    Conclusions: In this AccuVein survey 93% of the participants stated that they would give a higher satisfaction score if vein illumination was used. link