Effect of a vein illuminator device on the success of peripheral venipuncture in adults with difficult access: randomized controlled trial

INTERVENTION: This is a two‐arm, non‐blind controlled clinical trial. The intervention group will consist of 150 adults undergoing peripheral intravenous catheterization using the AccuVein, which is a vein viewer that uses infrared light. And the control group will consist of 150 adults undergoing peripheral intravenous catheterization with the traditional method. The allocation of participants to each of the groups will occur by randomization, the online platform Random will be used to generate the random sequence. Each patient will participate in the study once and will remain in the same group until the end of the study. The opening of the random sequences will occur by the researcher after applying the eligibility criteria in the study and obtaining consent from the participants. CONDITION: Catheterization, Peripheral SP2.770.750.488 PRIMARY OUTCOME: It is expected to find a difference between the control group and intervention group regarding the success of peripheral intravenous catheterization. Success will be considered when the peripheral intravenous catheter is inserted on the first attempt without resistance, there is blood reflux in the device cannula and it is possible to infuse 10ml of saline solution without the presence of infiltration or other complication. It will be described as yes or no INCLUSION CRITERIA: Patient aged 18 years or over. Both genders. Patient at risk of difficult intravenous access measured by the Adult Difficult Intra Venous Access Scale (A‐DIVA) with a score of 2‐3 (moderate risk) and 4‐5 (high risk). Be subjected to elective peripheral intravenous catheterization during the day. Peripheral intravenous catheterization for the purpose of administering intravenous solutions or medications and patients who do not show signs of clinical deterioration immediately before or during the procedure (National Early Warning Score 2, NEWS‐2) SECONDARY OUTCOME: It is expected to find a difference between the control group and the intervention group in terms of the number of attempts to perform peripheral intravenous catheterization. The number of attempts will be verified by counting the number of punctures required to install a peripheral intravenous catheter. It will be described in integers It is expected to find a difference between the control group and the intervention group in terms of the total time to perform peripheral intravenous catheterization. For the experimental group and the control group, the recording of this variable will be obtained from the sum of the times taken to select the vessel to be catheterized and to successfully perform peripheral intravenous catheterization, regardless of the number of attempts. It will be described in seconds It is expected to find a difference between the control group and the intervention group regarding the time taken to select the vessel. The time for vase selection will be checked by counting time with a stopwatch. In the intervention group, time recording will begin when the AccuVein® light is projected onto the skin and will end when the professional responsible for peripheral intravenous catheterization informs the researcher that he has located the vessel to be catheterized. For the control group, time recording will begin when the professional responsible for peripheral intravenous catheterization applies the tourniquet above the area that will be inspected or palpated and will end when the professional responsible for PIC communicates to the responsible researcher that he or she has located the vessel to be catheterized. It will be described in seconds It is expected to find a difference between the control group and the intervention group regarding the time to perform peripheral intravenous catheterization. The time to perform peripheral intravenous catheterization will be verified by counting the time with a stopwatch. For the experimental group and the control group, the time will begin when the professional responsible for peripheral intravenous catheterization begins antisepsis of the area containing the vessel selected for catheterization and will end with proof of the success of the procedure. It will be described in seconds