Ultrasound-Guided Peripheral Intravenous Access by Critical Nurses.

Not Applicable

Completed

• Conditions: Venous Catheterization
• Interventions: Device: Vascular ultrasound system

• Registration Number: NCT02285712
• Lead Sponsor: Central Hospital, Nancy, France

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2014-11-05
• Study First Submitted QC: 2014-11-06
• Study First Posted: 2014-11-07
• Study Start: 2015-03
• Primary Completion: 2017-01
• Study Completion: 2017-01
• Status Verified: 2017-02
• Last Update Submitted: 2017-02-28
• Last Update Posted: 2017-03-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 114

Inclusion Criteria

• 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 ,

Exclusion Criteria

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Ultrasound guided peripheral venous catheterization	Vascular ultrasound system	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.

Primary Outcome Measures

Name	Time	Method
number of peripheral venous catheterization attempts	up to day 2	Each day, only 3 attempts are allowed

Secondary Outcome Measures

Name	Time	Method
Number of central lines removed	intraoperative
number of central line catheter related infection	intraoperative
peripheral venous catheter dwell time	intraoperative	defined period between insertion and removal of the peripheral catheter with a maximum of 3 days.
number of central line catheter related colonization	intraoperative
Diameter of the inserted peripheral venous catheter	day 0, or day 1 or day 2	at peripheral venous catheter insertion
patient satisfaction	intraoperative	assessed by an analogic scale
central venous catheter dwell time	intraoperative	defined period between insertion and removal of the central venous line
nurse satisfaction	intraoperative	assessed by a survey form
Proportion of peripheral venous catheter successful placement	at day 0, day 1, day 2

Trial Locations

Locations (1)

CHU Nancy - Service de Réanimation Médicale Brabois; 🇫🇷 Vandoeuvre-les-Nancy, France