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Interest of a Skin Transilluminator (Such as the VeinViewer®Vision Device) for Peripheral Venous Catheter Placement in the Obese Patient

Not Applicable
Conditions
General Surgery
Interventions
Device: skin transilluminator
Registration Number
NCT02894073
Lead Sponsor
Centre Hospitalier Universitaire, Amiens
Brief Summary

Placement of a peripheral venous catheter (PVC) is the most common invasive procedure in anaesthesia and perhaps even in the field of medicine as a whole.

Detailed Description

Placement of a peripheral venous catheter (PVC) is the most common invasive procedure in anaesthesia and perhaps even in the field of medicine as a whole. This procedure may be challenging in the obese patient - even for the most experienced healthcare professionals.

In a study, PVC placement was considered to be difficult in 46% of obese patients but only 13% of non-obese patients.

Placement of a central venous catheter is an option when PVC placement is impossible, although central access is associated with a non-negligible risk of complications (pneumothorax, infection, arterial puncture, etc.).

Facilitating peripheral venous access in obese patients should shorten the time required for PVC placement, decrease the number of perfusion attempts (a source of dissatisfaction and discomfort for the patients) and limit the use of a central venous catheter.

Although a number of novel vein visualisation devices (such as the VeinViewer®Vision from Christie Medical) have been developed to guide PVC placement, there are no literature data on the value of these devices in the management of difficult venous access in obese patients.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
2
Inclusion Criteria
  • All obese adult patients scheduled for surgery.
  • Social security coverage
Exclusion Criteria
  • Age <18.
  • Contra-indication to PVC placement.
  • Legal guardianship.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
visualisation groupskin transilluminatora skin transilluminator (such as the VeinViewer®Vision) is used to guide PVC placement
Primary Outcome Measures
NameTimeMethod
duration of the PVC placement procedureDay 0

the time between the first puncture and the confirmation of successful PVC placement via the injection of physiological saline

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

CHU Amiens

🇫🇷

Amiens, France

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