Patient Perspective Midline Catheter in the Emergency Department

Not Applicable

Withdrawn

• Conditions: Patient Satisfaction; Patient Preference
• Interventions: Procedure: Ultrasound Guided Vascular Access - peripheral IV; Procedure: Ultrasound Guided Vascular Access - Midline catheter

• Registration Number: NCT05607238
• Lead Sponsor: Wake Forest University Health Sciences

Brief Summary

This study examines the patient satisfaction and perspective on the use of ultrasound guided midline intravenous catheters compared to standard ultrasound guided peripheral catheters.

Detailed Description

Not available

Study Timeline

• Status Verified: 2022-10
• Study First Submitted: 2022-10-13
• Study First Submitted QC: 2022-11-04
• Study First Posted: 2022-11-07
• Study Start: 2023-05
• Last Update Submitted: 2023-05-31
• Last Update Posted: 2023-06-02
• Primary Completion: 2023-09
• Study Completion: 2023-09

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Patient in the emergency department
• Failed 2 or more conventional attempts at vascular access *or*
• history of requiring US guided vascular access
• US Fellowship trained physician available

Exclusion Criteria

• basilic vein access is contraindicated
• patient undergoing advanced resuscitation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Ultrasound Guided Peripheral IV	Ultrasound Guided Vascular Access - peripheral IV	Placement of 4-5cm angiocath under ultrasound guidance
Ultrasound Guided Midline Catheter	Ultrasound Guided Vascular Access - Midline catheter	Placement of 10-15cm midline catheter under ultrasound guidance

Primary Outcome Measures

Name	Time	Method
Patient Satisfaction with Procedure	At 48 Hours Post Baseline	Score describes a patient's satisfaction with a healthcare decision. It measures satisfaction across 6 domains via 6 questions scored on a 5 point scale. Score ranges from 6 to 30. A low score signifies dissatisfaction, a high score signifies high satisfaction.

Secondary Outcome Measures

Name	Time	Method
Number of Needle Sticks	up to 48 hours	Prior to gaining successful access
Hospital Length of Stay	up to 48 hours	in hours
Patient Satisfaction	immediately post intervention/baseline and at 48 hours past baseline	this is a single question measuring satisfaction with the intervention overall on a Likert Scale 1-10,
Number of Insertion Related Complications	up to 48 hours	Includes failed attempts, arterial punctures, infiltrations, hematoma formations
Number of Insertion Attempts	up to 48 hours	For ultrasound guided access
Number of needle punctures in a 24 hour period (patient reported)	up to 48 hours
Duration of Successful Access	up to 48 hours	IV/Cath dwell time in hours
Emergency Department (ED) Length of Stay	up to 48 hours	in hours
Number of Dwell Related Complications	up to 48 hours	Includes inability to flush, catheter dislodgement, leakage around the catheter site, insertion site erythema, insertion site pain, drainage from catheter, edema, ecchymosis, superficial thrombosis, Deep vein thrombosis (DVT), line associated infection, vesicant extravasation, skin necrosis, neurovascular injury, arterial injury
Time to Access	up to 24 hours	minutes from procedure start to procedure completion