Use of Vein Viewer for Insertion of Peripheral Venous Cannula in Pediatric Patients With Difficult Intravenous Access

A single initial data page will be filled out by one of the study team members present with
the IV Team at the time of the cannulation. The data from these forms will be entered by the
investigator or research assistant into a database maintained only for this study. There
will be two groups in this randomized study. One group will receive IV cannulation with the
VV and the second group will receive standard cannulation without the VV. The chance of
receiving either treatment is based on randomly generated computer codes, unknown by the IV
team. We want to evaluate successful IV cannulation on first attempt as well as the time
taken for cannulation. All documents will be de-identified of data that contains HIPAA
protected health information (PHI) at the end of the study. We estimate approximate
enrollment to be 790 children. The study is expected to last 12 months and will only be
conducted at Children's Medical Center Dallas.

Inclusion Criteria:

- Patients age 0-18 requiring IV cannula (ASA 1-4) with a modified DIVA score ≥ 2 at
the time of assessment

Exclusion Criteria:

- Patients with visible veins will be excluded from the study as well as patients with
known difficult IV access which are scheduled for PICC line placement.