Ultrasound-Guided Peripheral Intravenous Access by Critical Nurses.

NCT02285712 | Completed DMC

• 1 other identifier: 2014-A01143-44
• Study Type: interventional
• Target: 114
• Locations: 1 country
• Sites: 1

Brief Summary

Peripheral intravenous access is a major intervention in patients admitted to an intensive care unit. Systematically performed by nurses, it is also an essential intervention when the central venous access has to be removed. However, in the intensive care unit, patient centered-characteristics such as previous history of intravenous drug abuse, obesity, history of multiple vascular punctures or fluid overload most often affect the success rate of this procedure. For these patients, failure consequences are numerous: 1) delayed discharge from the intensive care unit, 2) increased pain and dissatisfaction, 3) increased incidence of catheter-related bloodstream infections. The use of ultrasound has gained increasing popularity particularly for obtaining central venous access. We hypothesize that, among trained nurses, ultrasound-guided peripheral venous access could represent an attractive alternative compared to the traditional anatomical method in order to increase the success rate.

Conditions

Venous Catheterization

Keywords

Peripheral venous catheter; ultrasound; nurse; Intensive Care Units

Outcome Measures

Primary Outcomes (1)

• number of peripheral venous catheterization attempts

  Each day, only 3 attempts are allowed

  up to day 2

Secondary Outcomes (9)

• Number of central lines removed

  intraoperative

• central venous catheter dwell time

  intraoperative

• peripheral venous catheter dwell time

  intraoperative

• number of central line catheter related infection

  intraoperative

• number of central line catheter related colonization

  intraoperative

Study Arms (2)

Classical method of peripheral venous catheterization

NO INTERVENTION

Classical method will be applied only on arm and forearm.

Ultrasound guided peripheral venous catheterization

EXPERIMENTAL

Nurse will use a vascular ultrasound system to orient the catheter toward the peripheral vein. Ultrasound method will be applied only on arm and forearm.

Device: Vascular ultrasound system

Interventions

Vascular ultrasound system DEVICE

Ultrasound guided peripheral venous catheterization

Eligibility Criteria

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

You may qualify if:

• patient admitted in ICU
• patient not able to express his opposition
• central venous access that need to be removed
• need for a peripheral venous access
• no clinical instability
• no visible superficial vein due to: BMI\> 30, fluid overload, previous history of IV drug abuse, previous history of chemotherapy ,

You may not qualify if:

• patient \< 18 yo
• pregnancy
• patient under protective supervision
• need for a central venous access

Sponsors & Collaborators

• Central Hospital, Nancy, France: lead

Study Sites (1)

CHU Nancy - Service de Réanimation Médicale Brabois

Vandœuvre-lès-Nancy, 54511, France

Location

Related Publications (1)

• Bridey C, Thilly N, Lefevre T, Maire-Richard A, Morel M, Levy B, Girerd N, Kimmoun A. Ultrasound-guided versus landmark approach for peripheral intravenous access by critical care nurses: a randomised controlled study. BMJ Open. 2018 Jun 9;8(6):e020220. doi: 10.1136/bmjopen-2017-020220.

  PMID: 29886442 DERIVED

Study Officials

• Antoine Kimmoun, M.D

  Intensive care unit

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 5, 2014
• First Posted: November 7, 2014
• Study Start: March 1, 2015
• Primary Completion: January 1, 2017
• Study Completion: January 1, 2017
• Last Updated: March 1, 2017

Record last verified: 2017-02

Locations

FR (1)