Ultrasound IV Study

Not Applicable

Completed

• Conditions: IV Access; Ultrasound Use
• Interventions: Procedure: length of IV catheter

• Registration Number: NCT01100593
• Lead Sponsor: Christiana Care Health Services

Brief Summary

The purpose of this study is to compare catheter length and extravasation rates for Ultrasound (US)-guided peripheral intravenous (IV) catheter insertion in a subset of emergency department patients with difficult IV access. Physicians, Emergency RNs, and Emergency Technicians can be taught to use US guidance to start peripheral IV in the ED. The optimal length of catheter to use for this procedure is unknown. This study will provide data on the length of catheter required to minimize extravasation. There is no guideline on catheter length selection for US-guided peripheral vascular access. This study may decrease extravasation rates for US-guided peripheral vascular access by providing guidance on catheter length selection.

Detailed Description

The purpose of this study is to compare catheter length and extravasation rates for US guided peripheral IV insertion in a subset of emergency department patients with difficult IV access. Physicians, Emergency RNs, and Emergency Technicians can be taught to use US guidance to start peripheral IV in the ED. The optimal length of catheter to use for this procedure is unknown. This study will provide data on the length of catheter required to minimize extravasation. There is no guideline on catheter length selection for US-guided peripheral vascular access. This study may decrease extravasation rates for US-guided peripheral vascular access by providing guidance on catheter length selection.

The study design is a randomized non-blinded clinical trial of extravasation rates of US guided peripheral vascular access related to intravenous catheter length and venous depth in the ED. Primary endpoint is duration of usable vascular access. Secondary endpoints are catheter length, venous depth, time of procedure, successful cannulation, reasons for failure, number of skin punctures, site of cannulation, sonographic technique, type of provider obtaining access and complications.

Study Timeline

• Study Start: 2009-06
• Primary Completion: 2009-11
• Study Completion: 2009-11
• Study First Submitted: 2010-04-07
• Study First Submitted QC: 2010-04-07
• Study First Posted: 2010-04-09
• Status Verified: 2012-11
• Last Update Submitted: 2012-11-01
• Last Update Posted: 2012-11-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 22

Inclusion Criteria

• two failed traditional IV attempts by a nurse
• need for IV access as determined by the treating physician
• age 18 and greater

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Exclusion Criteria

• less than age 18
• subjects needing a central venous catheter
• patients unable to provide informed consent

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
1.75 inch catheter length	length of IV catheter	Length of catheter to be used
2.5 inch catheter length	length of IV catheter	length of catheter to be used

Primary Outcome Measures

Name	Time	Method
Extravasation rates	48 hours	compare catheter length and extravasation rates for US guided peripheral IV insertion in a subset of emergency department patients with difficult IV access

Trial Locations

Locations (1)

Christiana Care Health Services; 🇺🇸 Newark, Delaware, United States