Comparison of Ultrasound Guided Peripheral IV Placement With and Without Use of a Guidewire

Not Applicable

Completed

• Conditions: Difficult Peripheral IV Access
• Interventions: Device: Ultrasound guided peripheral IV placement

• Registration Number: NCT02422472
• Lead Sponsor: Brigham and Women's Hospital

Brief Summary

The purpose of this study is to compare ultrasound guided peripheral IV placement with and without the use of a guidewire. Patients in the Emergency Department with difficult peripheral IV access (as defined by 2 failed attempts by nursing staff) will be consented and randomized to standard ultrasound guided peripheral IV placement or ultrasound guided peripheral IV placement with modified seldinger technique using a guidewire.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2015-04-14
• Study First Submitted QC: 2015-04-16
• Study First Posted: 2015-04-21
• Study Start: 2015-06
• Primary Completion: 2018-06
• Study Completion: 2018-06
• Status Verified: 2019-01
• Last Update Submitted: 2019-01-14
• Last Update Posted: 2019-01-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

• Difficult peripheral IV access (2 failed attempts by nursing staff)
• Prior history of difficult IV access and patient request for ultrasound guided IV

Exclusion Criteria

• Need for emergent access or central venous access
• Inability to provide informed consent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental	Ultrasound guided peripheral IV placement	Ultrasound guided peripheral IV placement with the use of a guidewire

Primary Outcome Measures

Name	Time	Method
First attempt success rate	60 minutes	First attempt success is defined as ability to place and use the catheter after only one attempt and will be reported by study staff.

Secondary Outcome Measures

Name	Time	Method
Number of skin punctures	60 minutes	Number of skin punctures will be recorded by study staff.
Complications including hematoma, IV infiltration, catheter dislodge	3 days	Patients will be monitored for complications of IV placement by study staff
Overall success rate	60 minutes	Overall success is defined as ability to place and use the catheter (after 2 or fewer attempts) and will be reported by study staff.

Trial Locations

Locations (1)

Brigham and Women's Hospital; 🇺🇸 Boston, Massachusetts, United States