Two Different Techniques for Ultrasound Guided Peripheral Venous Catheter Insertion in Pre-hospital Emergency Care - Randomized Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Prehospital
- Sponsor
- Emergency Medical Service of the Central Bohemian Region, Czech Republic
- Enrollment
- 300
- Locations
- 1
- Primary Endpoint
- Frequency of the patients with successful the first cannulation attempt of peripheral venous catheter insertion
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This study evaluates two different techniques for ultrasound guided peripheral venous catheter insertion in pre-hospital emergency care in comparison with conventional approach without any ultrasound guidance.
Detailed Description
Peripheral venous catheter placement is one of the most common interventions in emergency medicine. When performed by conventional approach, the failure of the first attempt occurs up to 22 % and cannulation time exceed 2 minutes in up to 15 %. Ultrasound guidance of peripheral venous catheter (PVC) insertion may improve both. However, this approach has not been verified in the setting of pre-hospital emergency care so far.
Investigators
Roman Skulec
Head physician for science and research
Emergency Medical Service of the Central Bohemian Region, Czech Republic
Eligibility Criteria
Inclusion Criteria
- •Awake patient indicated for peripheral venous catheter placement while treated by emergency medical service
Exclusion Criteria
- •Age \<18 years
- •Patient disagreement with the insertion of peripheral venous catheter
- •Disagreement of the patient with inclusion in a clinical trial
- •Contraindication of ultrasound examination of the venous system
- •Contraindication of the introduction of peripheral venous cannula on both upper limbs
- •Investigator's opinion that ultrasonic control cannulation would cause undue delay and a other procedure is required
Outcomes
Primary Outcomes
Frequency of the patients with successful the first cannulation attempt of peripheral venous catheter insertion
Time Frame: 60 minutes
Frequency of the patients in which only one cannulation attempt was necessary
Secondary Outcomes
- Frequency of the patients with successful peripheral venous catheter insertion irrespective of the number of attempts(60 minutes)
- The number of attempts required for successful peripheral venous catheter insertion(60 minutes)
- Time required to introduce peripheral venous catheter(60 minutes)