Effectiveness of Ultrasound-guided Peripheral Intravenous Catheter (EUPIC) Insertion Versus Traditional (Touch and Feel) Insertion Approaches by Oncology Nurses. A Mixed-methods Randomized Controlled Trial (RCT)
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 98
- 试验地点
- 2
- 主要终点
- First-time insertion success (FTIS) of peripheral intravenous catheter
研究概览
简要总结
What is this study about? This study is comparing two different methods nurses use to place an intravenous (IV) drip, which is needed for many cancer treatments.
Traditional method: The nurse finds a vein by touch and sight.
Ultrasound-guided method: The nurse uses a small, handheld ultrasound scanner to see the vein under the skin to help guide the needle.
Why is it important? Sometimes it can take more than one attempt to get an IV drip in place, which can be uncomfortable. For cancer patients, whose veins can be more fragile, this is a common challenge. This research will help us find out if using ultrasound helps get the IV in successfully on the first try more often, which can make the treatment experience better.
What does participation involve? If you choose to take part, you will be randomly assigned (like a coin toss) to have your IV placed with either the traditional method or the ultrasound method. The research team will then collect some information about the IV placement. Your participation is entirely voluntary and will not affect your standard medical care.
详细描述
Brief Summary:
This study compares two different methods nurses use to place an intravenous (IV) drip, which is needed for many cancer treatments.
Traditional method: The nurse finds a vein by touch and sight.
Ultrasound-guided method: The nurse uses a small, handheld ultrasound scanner to see the vein under the skin to help guide the needle.
Sometimes it can take more than one attempt to get an IV drip in place, which can be uncomfortable. For cancer patients, whose veins can be more fragile, this is a common challenge. This research will help determine if using ultrasound helps achieve successful IV placement on the first try more often, which may improve the treatment experience.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18 years or older.
- •Diagnosed with cancer (all cancer sites eligible).
- •Scheduled to receive systemic anti-cancer therapy (SACT) such as chemotherapy, immunotherapy, or targeted therapies.
- •Requiring peripheral intravenous catheter (PIVC) insertion for treatment.
排除标准
- •Patients younger than 18 years.
- •Individuals unable to provide informed consent.
- •Individuals unable to cooperate with study procedures (e.g., cognitive or physical limitations preventing adherence).
研究组 & 干预措施
Traditional (Touch-and-Feel) Peripheral Intravenous Catheter (PIVC) Insertion
Traditional (Touch-and-Feel) Peripheral Intravenous Catheter (PIVC) Insertion Participants randomized to this arm will receive PIVC insertion performed by oncology nurses using the standard landmark technique. This method relies on visual inspection and palpation of the vein to guide catheter placement, without the use of ultrasound. It reflects current routine clinical practice for establishing intravenous access in oncology patients.
干预措施: Traditional Peripheral Intravenous Catheter Insertion (Other)
Ultrasound-Guided Peripheral Intravenous Catheter (PIVC) Insertion
Ultrasound-Guided Peripheral Intravenous Catheter (PIVC) Insertion Participants randomized to this arm will undergo PIVC insertion performed by trained oncology nurses using real-time ultrasound guidance. The ultrasound device will be used to assess and select a suitable vein, guide needle advancement, and confirm catheter placement. This approach is designed to improve first-time insertion success, preserve vein health, and reduce insertion-related complications compared to the traditional touch-and-feel technique.
干预措施: Ultrasound-Guided Peripheral Intravenous Catheter Insertion (Other)
结局指标
主要结局
First-time insertion success (FTIS) of peripheral intravenous catheter
时间窗: At time of PIVC insertion (single insertion episode; assessed immediately following the procedure)
Proportion of participants with successful peripheral intravenous catheter placement on the first skin-puncture attempt. Success is defined as successful cannulation on the first needle puncture with confirmation of a functioning PIVC by (1) visible/aspirable blood return and (2) ability to flush and infuse a standard 10 mL saline bolus without resistance or infiltration. The outcome is recorded as a binary variable (Yes/No) on the case report form by the treating/research nurse immediately after the procedure and used to calculate the percentage of FTIS per arm.
次要结局
未报告次要终点
研究者
Caitriona Duggan
PhD candidate
University of Galway