A Novel Vein Entry Indicator Helps Pediatric IV Cannulation

In healthy children, the device improved first-attempt cannulation success rate almost fourfold in intermediate and difficult veins.

Israeli investigators evaluated the novel Vein Entry Indicator Device (VEID) in 202 pediatric patients (age range, 3 months to 17 years; mean age, 4.5 years) who required an intravenous start for general anesthesia. This small device, approved by the FDA, attaches to any female Luer Lock IV catheter. The device detects pressure changes when the vein is entered, emitting a beep within 0.1 seconds to alert the operator to stop advancing further, thereby reducing the likelihood of exiting the back wall of the vein.

Patients were randomized to undergo either standard peripheral IV cannulation or cannulation with the VEID. After induction of anesthesia and application of a tourniquet, a single anesthesiologist categorized veins as difficult (neit…

Reviewing Author

Ron M. Walls, MD, FRCPC, FAAEM

Disclosures

Speaker's bureauAirway Management Education Center, LLC

EquityAirway Management Education Center, LLC

Grant / Research supportAgency for Health Care Research and Quality

Editorial boardsManual of Emergency Airway Management; Rosen's Emergency Medicine; UpToDate; Scientific American Medicine

Leadership positions in professional societiesAssociation of Academic Chairs in Emergency Medicine (President)

Ron M. Walls, MD, FRCPC, FAAEM

Disclosures

Speaker's bureauAirway Management Education Center, LLC

EquityAirway Management Education Center, LLC

Grant / Research supportAgency for Health Care Research and Quality

Editorial boardsManual of Emergency Airway Management; Rosen's Emergency Medicine; UpToDate; Scientific American Medicine

Leadership positions in professional societiesAssociation of Academic Chairs in Emergency Medicine (President)