Midline Catheters Versus Peripheral Catheters in Internal Medicine Unit

NCT05512117 | Completed

• 1 other identifier: HGUValencia_midline
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to evaluate the rate of complications and the duration of cannulation of a midline intravenous catheter compared to a short peripheral catheter in patients hospitalized in an Internal Medicine service of a Spanish hospital.

Conditions

Vascular Access Complication; Vascular Access Device Complications

Keywords

phlebitis

Outcome Measures

Primary Outcomes (3)

• Length of canalization

  Days of catheter stay

  Four weeks

• Number of punctures

  Number of times a catheter is inserted

  Four weeks

• Phlebitis

  Presence of catheter related phlebitis

  Four weeks

Study Arms (2)

Midline Catheter

EXPERIMENTAL

Midline catheter insertion

Device: Midline insertion

Peripheral intravenous cannulation (PIVC)

NO INTERVENTION

Peripheral intravenous cannulation (PIVC)

Interventions

Midline insertion DEVICE

Midline catheter insertion

Midline Catheter

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• The patients included were those who were hospitalized in the Internal Medicine Service of the Consorcio Hospital General Universitario de Valencia who needed intravenous therapy and who had signed the Informed Consent for placement of a midline at the time of the change of the PIVC placed in the emergency unit.

You may not qualify if:

• Those with a forecast hospitalization of less than one week, those who were receiving palliative or symptomatic treatment, those who were carriers of a CVC or those who had presented difficulty in venous access with midline after two consecutive attempts were excluded

Sponsors & Collaborators

• Hospital General Universitario de Valencia: lead

Study Sites (1)

Hospital General Universitario de Valencia

Valencia, 46014, Spain

Location

Related Publications (13)

• Millington SJ, Hendin A, Shiloh AL, Koenig S. Better With Ultrasound: Peripheral Intravenous Catheter Insertion. Chest. 2020 Feb;157(2):369-375. doi: 10.1016/j.chest.2019.04.139. Epub 2019 Oct 22.

  PMID: 31654617 BACKGROUND

• Prasanna N, Yamane D, Haridasa N, Davison D, Sparks A, Hawkins K. Safety and efficacy of vasopressor administration through midline catheters. J Crit Care. 2021 Feb;61:1-4. doi: 10.1016/j.jcrc.2020.09.024. Epub 2020 Oct 2.

  PMID: 33049486 BACKGROUND

• Nickel B. Does the Midline Peripheral Intravenous Catheter Have a Place in Critical Care? Crit Care Nurse. 2021 Dec 1;41(6):e1-e21. doi: 10.4037/ccn2021818.

  PMID: 34851379 BACKGROUND

• Moureau N, Chopra V. Indications for peripheral, midline and central catheters: summary of the MAGIC recommendations. Br J Nurs. 2016 Apr 28-May 11;25(8):S15-24. doi: 10.12968/bjon.2016.25.8.S15.

  PMID: 27126759 BACKGROUND

• Skaggs MKD, Daniels JF, Hodge AJ, DeCamp VL. Using the Evidence-Based Practice Service Nursing Bundle to Increase Patient Satisfaction. J Emerg Nurs. 2018 Jan;44(1):37-45. doi: 10.1016/j.jen.2017.10.011. Epub 2017 Nov 20.

  PMID: 29167032 BACKGROUND

• Mohn-Brown E. Implementing Quality and Safety Education for Nurses in Postclinical Conferences: Transforming the Design of Clinical Nursing Education. Nurse Educ. 2017 Sep/Oct;42(5S Suppl 1):S18-S21. doi: 10.1097/NNE.0000000000000410.

  PMID: 28832457 BACKGROUND

• Johansen H, Helgesen AK. Palliative care in the community - the role of the resource nurse, a qualitative study. BMC Palliat Care. 2021 Oct 14;20(1):157. doi: 10.1186/s12904-021-00860-w.

  PMID: 34645424 BACKGROUND

• Selby LM, Rupp ME, Cawcutt KA. Prevention of Central-Line Associated Bloodstream Infections: 2021 Update. Infect Dis Clin North Am. 2021 Dec;35(4):841-856. doi: 10.1016/j.idc.2021.07.004.

  PMID: 34752222 BACKGROUND

• Panepinto R, Harris J, Wellette J. A Review of Best Practices Related to Intravenous Line Management for Nurses. Nurs Clin North Am. 2021 Sep;56(3):389-399. doi: 10.1016/j.cnur.2021.05.001.

  PMID: 34366159 BACKGROUND

• Timsit JF, Baleine J, Bernard L, Calvino-Gunther S, Darmon M, Dellamonica J, Desruennes E, Leone M, Lepape A, Leroy O, Lucet JC, Merchaoui Z, Mimoz O, Misset B, Parienti JJ, Quenot JP, Roch A, Schmidt M, Slama M, Souweine B, Zahar JR, Zingg W, Bodet-Contentin L, Maxime V. Expert consensus-based clinical practice guidelines management of intravascular catheters in the intensive care unit. Ann Intensive Care. 2020 Sep 7;10(1):118. doi: 10.1186/s13613-020-00713-4.

  PMID: 32894389 BACKGROUND

• Farina J, Cornistein W, Balasini C, Chuluyan J, Blanco M. [Central venous catheter related infections. Inter-Societies update and recommendations]. Medicina (B Aires). 2019;79(1):53-60. Spanish.

  PMID: 30694189 BACKGROUND

• Scoppettuolo G, Pittiruti M, Pitoni S, Dolcetti L, Emoli A, Mitidieri A, Migliorini I, Annetta MG. Ultrasound-guided "short" midline catheters for difficult venous access in the emergency department: a retrospective analysis. Int J Emerg Med. 2016 Dec;9(1):3. doi: 10.1186/s12245-016-0100-0. Epub 2016 Feb 4.

  PMID: 26847572 BACKGROUND

• Villalba-Nicolau M, Chover-Sierra E, Saus-Ortega C, Ballestar-Tarin ML, Chover-Sierra P, Martinez-Sabater A. Usefulness of Midline Catheters versus Peripheral Venous Catheters in an Inpatient Unit: A Pilot Randomized Clinical Trial. Nurs Rep. 2022 Oct 31;12(4):814-823. doi: 10.3390/nursrep12040079.

  PMID: 36412798 DERIVED

MeSH Terms

Conditions

Phlebitis

Condition Hierarchy (Ancestors)

Peripheral Vascular Diseases; Vascular Diseases; Cardiovascular Diseases; Vasculitis

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Neither care providers nor patients could be masked because the intravenous device is different and it's easy to identify the one we are using. Outcomes assessor only works with anonymized data
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Intravenous access catheter in control group is conventional intravenous catheter (Braun Introcan Safety) Intravenous access catheter in intervention group is a midline catheter 12 cm length (Leader Cath 20 G. Vygon)

Study Record Dates

• First Submitted: August 18, 2022
• First Posted: August 23, 2022
• Study Start: February 1, 2017
• Primary Completion: April 1, 2017
• Study Completion: September 30, 2017
• Last Updated: August 23, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)