title: Utility of near-infrared light devices for pediatric peripheral intravenous cannulation: a systematic review and meta-analysis.
abstract: We investigated the utility of near-infrared (NIR) light devices for peripheral intravenous cannulation (PIVC) in pediatric patients. We searched three databases, MEDLINE, EMBASE, and the Cochrane CENTRAL. Randomized controlled trials that compared PIVC using NIR light devices and the "traditional" method (with no assistive device) were included. The primary outcome was a failure rate at the first attempt, and the effect size was measured by the risk ratio for failure. Subgroup analysis was performed according to control group risk for failure at first attempt as an indicator of difficult procedure (low vs. high). Eleven studies were included in the meta-analysis. There was no significant difference in the primary outcome between the two methods (risk ratio 1.03, confidence interval 0.89-1.20, I2= 48 %). In a subgroup analysis, the subgroup difference between subsets of low and high control group risk was significant (I2= 83 %). In the subset of the high control group risk, using NIR light devices showed a lower risk for failure than the traditional method (risk ratio 0.81, confidence interval 0.64-1.01, I2= 0 %).
  
  
  CONCLUSIONS
  Using NIR light devices did not have an impact on overall failure rate at the first attempt at PIVC in pediatric patients. What is Known: • Near-infrared light devices have been used to help vascular access especially for the pediatric patients. But, their utilities reported in previous studies were conflicting. What is New: • From this study, we could not find out overall benefit of using near-infrared light devices for pediatric peripheral intravenous cannulation. But, this device might be useful for the patients in a difficult condition of successful cannulation.
authors: Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea.
authors: Joon Min
authors: JM
authors: Park
authors: Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors: Min Joung
authors: MJ
authors: Kim
authors: Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. y1693@catholic.ac.kr.
authors: Hyeon Woo
authors: HW
authors: Yim
authors: Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors: Won-Chul
authors: WC
authors: Lee
authors: Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors: Hyunsuk
authors: H
authors: Jeong
authors: Medical Library, The Catholic University of Korea, Seoul, Republic of Korea.
authors: Na Jin
authors: NJ
authors: Kim
mesh_terms: D000293:Adolescent; D002406:Catheterization, Peripheral / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016017:Odds Ratio; D016032:Randomized Controlled Trials as Topic; D019265:Spectroscopy, Near-Infrared / Q000295:instrumentation*
keywords: Catheterization; Equipment and supplies; Near-infrared; Peripheral; Spectroscopy; Treatment failure