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None

D. Equipment

Direct projection vascular imaging device

E. Technique

1. Position the head unit at 90 degrees and approximately

13 inches (33 cm) above the target location

2. Focus the device

3. Switch to and utilize alternate modes

a. Universal (Fig. 13.10)

b. Inverse

c. Resize

d. Fine Detail

References

1. Goren A, Laufer J, Yativ N, et al. Transillumination of the palm

for venipuncture in infants. Pediatr Emerg Care. 2001;17(2):130.

2. Mattson D, O’Connor M. Transilluminatior assistance in neonatal venipuncture. Neonatal Netw. 1986;5:42.

3. Dinner M. Transillumination to facilitate venipuncture in children. Anesth Analg. 1992;74:467.

4. Hosokawa K, Kato H, Kishi C, et al. Transillumination by lightemitting diode facilitates peripheral venous cannulations in

infants and small children. Acta Anaesthesiol Scand. 2010;54:957.

5. John J. Transillumination for vascular access: old concept, new

technology. Pediatr Anesth. 2007;17:189.

6. Sumpelmann R, Osthaus W, Irmler H, et al. Prevention of burns

caused by transillumination for peripheral venous access in neonates. Pediatr Anesth. 2006;16:1094.

7. Perman M, Kauls L. Transilluminator burns in the neonatal

intensive care unit: a mimicker of more serious disease. Pediatr

Dermatol. 2007;24:168.

8. Keroack MA, Kotilainen HR, Griffin BE. A cluster of atypical skin

lesions in well-baby nurseries and a neonatal intensive care unit. J

Perinatol. 1996;16:370.

9. Sajben FP, Gibbs NF, Friedlander SF. Transillumination blisters

in a neonate. J Am Acad Dermatol. 1999;41:264.

10. Withey SJ, Moss ALH, Williams GJP. Cold light, heat burn.

Burns. 2000;26:414.

11. Pettit J. Technological advances for PICC placement and management. Adv Neonatal Care. 2007;7:122.

12. Detaille T, Pirotte T, Veyckemans F. Vascular access in the neonate. Best Pract Res Clin Anaesthesiol. 2010;24:403.

13. Fidler HL. The use of bedside ultrasonography for PICC placement and insertion. Adv Neonatal Care. 2011;11:52.

14. Moureau NL. Using ultrasound to guide PICC insertion.

Nursing. 2003;33:20.

15. Hess HA. A biomedical device to improve pediatric vascular

access success. Pediatr Nurs. 2010;36:259.

16. Perry AM, Caviness AC, Hsu D. Efficacy of a near-infrared light

device in pediatric intravenous cannulation: a randomized controlled trial. Pediatr Emerg Care. 2011;27(1):5.

Fig. 13.10. Near-infrared light image showing the dorsal venous

arch. (Courtesy of Christie Medical Holdings, Inc., Memphis,

Tennessee.)


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