Comparison of Ultrasound Guided Peripheral IV Placement With and Without Use of a Guidewire
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Brigham and Women's Hospital
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- First attempt success rate
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Standard
Standard of care ultrasound guided peripheral IV placement
Experimental
Ultrasound guided peripheral IV placement with the use of a guidewire
Intervention: Ultrasound guided peripheral IV placement (Device)
Outcomes
Primary Outcomes
First attempt success rate
Time Frame: 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 Outcomes
- Number of skin punctures(60 minutes)
- Complications including hematoma, IV infiltration, catheter dislodge(3 days)
- Overall success rate(60 minutes)
Investigators
Heidi Kimberly
Associate Physician Emergency Medicine Brigham and Women's Hospital, Instructor in Emergency Medicine Harvard Medical School
Brigham and Women's Hospital