Technique for Successful Ultrasound-guided Peripheral Vascular Access

NCT01975974 | Completed Results

• 1 other identifier: 201307701
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Obtaining peripheral vascular access in medical patients is a necessary procedure for many healthcare providers. Peripheral vascular access is traditionally performed using palpation or visual inspection to identify appropriate points of entry in the vasculature after which a needle and catheter are threaded through the skin and surround fascia into the vessel of interest. This procedure, one of the most common procedures in the medical field including both artery and vein access, is not 100% successfully attempted. Operator skill heavily influences peripheral vascular cannulation. (Frisch et al. 2013) However, certain patient populations have difficult peripheral vessels to identify by palpation or visual inspection and past operators would be forced to perform the procedure blind based on anatomical landmarks. Recently, to aid vascular identification and increase cannulation success, a number of alternative techniques for peripheral vascular access have been described including ultrasound-guided. Ultrasound-guided vascular access has been utilized in vascular access with improved success rate. However, even with ultrasound guidance the first attempt success rate of cannulation was only approximately 65%. A proposed failure of ultrasound guided peripheral vascular access is most likely due to failure to advance the catheter into the vessel even the vessel was successfully punctured. The investigators propose a specific technique and the positive "Target Sign" as a means to obtain almost 100% successful peripheral vascular access. The investigators plan to enroll 100 surgical patients in the above study and study procedures will not differ from what a patient in the operating room under the care of anesthesia faculty would receive. The above study is simply a way to identify the steps regarding a specific technique.

Conditions

Obesity; Vascular Diseases

Keywords

vascular; access; ultrasound

Outcome Measures

Primary Outcomes (1)

• Successful First Attempt Peripheral Venous Cannulation

  we will compare the first attempt success rate using proposed ultrasound technique in total of 100 obese (BMI\>30) surgical patients with existing published data. Mata-analysis of first attempt success rate using ultrasound for intravenous cannulation is 61.8% We predict 90% (50% improvement) success rate using the proposed ultrasound technique. Based on this prediction, a sample size of 100 patients provided more than 90% power to compare there two groups at the 0.05 significance level with a two-sided Chi square test.

  one day

Study Arms (1)

Ultrasound

Ultrasound guided peripheral vascular access

Device: Ultrasound

Interventions

Ultrasound DEVICE

Using ultrasound as a guide for peripheral venous cannulation in obese patients

Ultrasound

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population will be surgical patients requiring peripheral intravenous access.

You may qualify if:

• morbid obese surgical patients requiring large bore IV.
• no visible intravenous access in upper arm

You may not qualify if:

• \) No target vein by US screening

Sponsors & Collaborators

• University of Iowa: lead

Study Sites (1)

University of Iowa Hosptials and Clinics

Iowa City, Iowa, 52242, United States

Location

Related Publications (1)

• Ueda K, Hussey P. Dynamic Ultrasound-Guided Short-Axis Needle Tip Navigation Technique for Facilitating Cannulation of Peripheral Veins in Obese Patients. Anesth Analg. 2017 Mar;124(3):831-833. doi: 10.1213/ANE.0000000000001653.

  PMID: 27984247 DERIVED

MeSH Terms

Conditions

Obesity; Vascular Diseases

Interventions

Ultrasonography

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Results Point of Contact

• Title: Dr. Kenichi Ueda
• Organization: University of Iowa Hospitals and Clinics

kenichi-ueda@uiowa.edu

319-356-2633

Study Officials

• Kenichi Ueda, MD

  University of Iowa

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Associate Professor

Study Record Dates

• First Submitted: August 2, 2013
• First Posted: November 5, 2013
• Study Start: July 1, 2013
• Primary Completion: June 1, 2015
• Study Completion: November 1, 2015
• Last Updated: May 30, 2017
• Results First Posted: December 20, 2016

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)