Pre-hospital Ultrasound Guided Peripheral Venous Catheter Insertion

Not Applicable

Completed

• Conditions: Prehospital
• Interventions: Procedure: Partial ultrasound guidance; Procedure: Full utrasound guidance; Procedure: No ultrasound guidance

• Registration Number: NCT03709394
• Lead Sponsor: Emergency Medical Service of the Central Bohemian Region, Czech Republic

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.

Study Timeline

• Study Start: 2017-01-01
• Study First Submitted: 2018-05-08
• Primary Completion: 2018-05-31
• Study First Submitted QC: 2018-10-12
• Study First Posted: 2018-10-17
• Study Completion: 2019-03-31
• Status Verified: 2020-07
• Last Update Submitted: 2020-07-20
• Last Update Posted: 2020-07-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 300

Inclusion Criteria

• Awake patient indicated for peripheral venous catheter placement while treated by emergency medical service

Exclusion Criteria

1. Coma
2. Age <18 years
3. Patient disagreement with the insertion of peripheral venous catheter
4. Disagreement of the patient with inclusion in a clinical trial
5. Contraindication of ultrasound examination of the venous system
6. Contraindication of the introduction of peripheral venous cannula on both upper limbs
7. Investigator's opinion that ultrasonic control cannulation would cause undue delay and a other procedure is required

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group B: Partial ultrasound guidance	Partial ultrasound guidance	Catheter insertion under partial ultrasound guidance. Intervention: Ultrasound portable device used only for the identification of the target vein, the catheter placement will be done by conventional approach.
Group A: Full utrasound guidance	Full utrasound guidance	Full utrasound guidance of cathether insertion. Intervention: Ultrasound portable device used for the identification of the target vein and for the ultrasound control of proper catheter placement during the procedure of peripheral venous cannula insertion.
Group C: No ultrasound guidance	No ultrasound guidance	Catheter insertion by conventional approach, without ultrasound guidance

Primary Outcome Measures

Name	Time	Method
Frequency of the patients with successful the first cannulation attempt of peripheral venous catheter insertion	60 minutes	Frequency of the patients in which only one cannulation attempt was necessary

Secondary Outcome Measures

Name	Time	Method
Frequency of the patients with successful peripheral venous catheter insertion irrespective of the number of attempts	60 minutes	Frequency of the patients in which peripheral venous catheter was inserted, irrespective of the number of attempts
The number of attempts required for successful peripheral venous catheter insertion	60 minutes	The number of attempts required for successful peripheral venous catheter insertion
Time required to introduce peripheral venous catheter	60 minutes	Time required to introduce peripheral venous catheter

Trial Locations

Locations (1)

Emergency Medical Service of the Central Bohemian Region; 🇨🇿 Beroun, Central Bohemian Region, Czechia