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CC BY-NC-ND 4.0 · World J Nucl Med 2021; 20(02): 172-175
DOI: 10.4103/wjnm.WJNM_86_20
Original Article

Initial experience with use of infrared assistance for intravenous injection of radiopharmaceuticals

Ashok Kumar
Department of Nuclear Medicine, AIIMS, Rishikesh, Uttarakhand, India
,
Meena Negi
Department of Nuclear Medicine, AIIMS, Rishikesh, Uttarakhand, India
,
Jyoti Khanka
Department of Nuclear Medicine, AIIMS, Rishikesh, Uttarakhand, India
,
Mohit Dhingra
1   Department of Orthopedics, AIIMS, Rishikesh, Uttarakhand, India
,
Ranjeeta Kumari
2   Department of CFM, AIIMS, Rishikesh, Uttarakhand, India
,
Vandana Dhingra
Department of Nuclear Medicine, AIIMS, Rishikesh, Uttarakhand, India
,
Manoj Gupta
3   Department of Radiation Oncology, AIIMS, Rishikesh, Uttarakhand, India
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Abstract

Radiopharmaceutical injection is challenging as it poses radiation exposure to staff as well as patient. Infrared light-assisted devices have been available since many years and have garnered mixed reviews in the pediatric age group. However, there are no data on outcome of infrared assistance for radiopharmaceutical injection. We compared results of first-attempt intravenous access (in cubital veins) with and without infrared assistance device for injection of radiopharmaceuticals. All adult patients who underwent nuclear scan in the initial weeks of infrared device installation were injected utilizing infrared device assistance. These were compared with those who underwent injection without infrared assistance. Three hundred consecutive patients were studied for success of intravenous injection with and without infrared assistance. Of these, 150 were injected with and 150 without infrared assistance. A success rate of 72%/51.3% was noted with and without infrared assistance, respectively, on the first attempt which was statistically significant. In our initial experience, assistance with infrared device was found to improve the outcome of first-attempt intravenous access for injection of radiopharmaceuticals. This method has potential of improving outcome for radiopharmaceutical injection.

Keywords

Infrared assistance - injection - intravenous - radiopharmaceutical

Financial support and sponsorship

Nil.




Publication History

Received: 02 September 2020

Accepted: 27 July 2020

Article published online:
24 March 2022

© 2021. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 National Council on Radiation Protection and Measurements. Report No. 107. Implementation of the Principle of as Low as Reasonably Achievable (ALARA) for Medical and Dental Personnel; NCRP Publications; 1990.
  • 2 Conversano E, Cozzi G, Pavan M, Minute M, Gortan E, Montico M, et al. Impact of near infrared light in pediatric blood drawing Centre on rate of first attempt success and time of procedure. Ital J Pediatr 2018;44:60.
  • 3 Miyake RK, Zeman HD, Duarte FH, Kikuchi R, Ramacciotti E, Lovhoiden G, et al. Vein imaging: A new method of near infrared imaging, where a processed image is projected onto the skin for the enhancement of vein treatment. Dermatol Surg 2006;32:1031-8.
  • 4 Chapman LL, Sullivan B, Pacheco AL, Draleau CP, Becker BM. VeinViewer-assisted intravenous catheter placement in a pediatric emergency department. Acad Emerg Med 2011;18:966-71.
  • 5 Simhi E, Kachko L, Bruckheimer E, Katz J. A vein entry indicator device for facilitating peripheral intravenous cannulation in children: A prospective, randomized, controlled trial. Anesth Analg 2008;107:1531-5.
  • 6 Kim MJ, Park JM, Rhee N, Je SM, Hong SH, Lee YM, et al. Efficacy of VeinViewer in pediatric peripheral intravenous access: A randomized controlled trial. Eur J Pediatr 2012;171:1121-5.
  • 7 Szmuk P, Steiner J, Pop RB, Farrow-Gillespie A, Mascha EJ, Sessler DI. The VeinViewer vascular imaging system worsens first-attempt cannulation rate for experienced nurses in infants and children with anticipated difficult intravenous access. Anesth Analg 2013;116:1087-92.
  • 8 de Graaff JC, Cuper NJ, van Dijk AT, Timmers-Raaijmaakers BC, van der Werff DB, Kalkman CJ. Evaluating NIR vascular imaging to support intravenous cannulation in awake children difficult to cannulate; a randomized clinical trial. Paediatr Anaesth 2014;24:1174-9.
  • 9 Rothbart A, Yu P, Müller-Lobeck L, Spies CD, Wernecke KD, Nachtigall I. Peripheral intravenous cannulation with support of infrared laser vein viewing system in a pre-operation setting in pediatric patients. BMC Res Notes 2015;8:463.
  • 10 van der Woude OC, Cuper NJ, Getrouw C, Kalkman CJ, de Graaff JC. The effectiveness of a near-infrared vascular imaging device to support intravenous cannulation in children with dark skin color: A cluster randomized clinical trial. Anesth Analg 2013;116:1266-71.
  • 11 Sun CY, Lee KC, Lin IH, Wu CL, Huang HP, Lin YY, et al. Near-infrared light device can improve intravenous cannulation in critically ill children. Pediatr Neonatol 2013;54:194-7.
  • 12 Aulagnier J, Hoc C, Mathieu E, Dreyfus JF, Fischler M, Le Guen M. Efficacy of AccuVein to facilitate peripheral intravenous placement in adults presenting to an emergency department: A randomized clinical trial. Acad Emerg Med 2014;21:858-63.
  • 13 Kaddoum RN, Anghelescu DL, Parish ME, Wright BB, Trujillo L, Wu J, et al. A randomized controlled trial comparing the AccuVein AV300 device to standard insertion technique for intravenous cannulation of anesthetized children. Paediatr Anaesth 2012;22:884-9.
  • 14 Cuper NJ, de Graaff JC, Verdaasdonk RM, Kalkman CJ. Near-infrared imaging in intravenous cannulation in children: A cluster randomized clinical trial. Pediatrics 2013;131:e191-7.
  • 15 McNeely HL, Ream TL, Thrasher JM, Dziadkowiec O, Callahan TJ. Utilization of a biomedical device (VeinViewer®) to assist with peripheral intravenous catheter (PIV) insertion for pediatric nurses. J Spec Pediatr Nurs 2018;23:e12208.
  • 16 Park JM, Kim MJ, Yim HW, Lee WC, Jeong H, Kim NJ. Utility of near-infrared light devices for pediatric peripheral intravenous cannulation: A systematic review and meta-analysis. Eur J Pediatr 2016;175:1975-88.
  • 17 de Graaff JC, Cuper NJ, Mungra RA, Vlaardingerbroek K, Numan SC, Kalkman CJ. Near-infrared light to aid peripheral intravenous cannulation in children: A cluster randomised clinical trial of three devices. Anaesthesia 2013;68:835-45.