Infrared Devices vs. Traditional Palpation for PIVC Insertion: Insights from a Systematic Review and Meta-Analysis

Peripheral intravenous catheter (PIVC) insertion is a routine yet frequently challenging procedure, particularly in patients with difficult intravenous access (DIVA). Infrared (IR) vein visualization devices have been introduced to assist clinicians by improving vein detection and cannulation success. This systematic review and meta-analysis examined the effectiveness of IR devices compared to the traditional palpation technique.

Study Overview
Drawing from five randomized controlled trials involving 690 adult patients and 704 catheters, the review assessed whether IR devices improve first-attempt success and overall insertion outcomes.

Key Findings
1. First-attempt success rates were comparable: 42% with IR devices vs. 38% with traditional palpation.

2. There was no significant difference in:

• Overall success rates
• Number of insertion attempts
• Time to successful cannulation
• Patient pain scores

3. Nurse feedback indicated low satisfaction with IR devices, citing limited improvement in visibility.

4. Ultrasound remains the preferred option for DIVA cases, offering deeper vein access and higher success rates.

Clinical Implications
Current evidence does not support the routine use of IR devices for adult PIVC insertion in hospital settings. While they may be beneficial in specific contexts—such as prehospital environments or for novice practitioners—ultrasound guidance remains the standard for improving vascular access outcomes.

Read More: https://onlinelibrary.wiley.com/doi/full/10.1111/jan.17007 

Authors: Bertrand Drugeon, Jessica A. Schults, Gillian Ray-Barruel, Grace (Hui) Xu, Daner Ball, Hideto Yasuda, Rebecca Drugeon, Julie Mercier, Gabor Mihala, Natalie Barker, Olivier Mimoz, Claire M. Rickard