Transillumination of the palm for venipuncture in infants

Avner Goren, Joseph Laufer, Nir Yativ, Jacob Kuint, Michael Ben Ackon, Marnina Rubinshtein, Gideon Paret, Arie Augarten

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: To assess the efficacy of transillumination of the palm of the hand in establishing venous access in small infants. Methods: One hundred infants aged 2 to 36 months were considered for venipuncture under transillumination following failure to find an accessible vein or a failed venipuncture attempt. Results: In 40 of the 100 infants, a vein was visible with transillumination. In 22 of these children, previous attempts to achieve a venous line failed (mean number of failed venipunctures 2.11 ± 0.6) and in 18 infants, no vein could be identified. Using transillumination, venous access was established with just one venipuncture in 39 of the 40 patients. Conclusions: Transillumination of the palm can aid in establishing venous access in infants. This can be easily carried out using a common otoscope.

Original languageEnglish
Pages (from-to)130-131
Number of pages2
JournalPediatric Emergency Care
Volume17
Issue number2
DOIs
StatePublished - 2001
Externally publishedYes

Keywords

  • Infants
  • Transillumination
  • Venipuncture

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