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Ultrasound Assisted Peripheral Venous Access in Young Children

Not Applicable
Completed
Conditions
Catheterization, Peripheral
Interventions
Device: ultrasound
Device: standard technique for venipuncture
Registration Number
NCT00557154
Lead Sponsor
University of California, Davis
Brief Summary

The purpose of this study is to learn how the use of ultrasound helps with the placement of an intravenous (i.v.) catheter in young children.

Detailed Description

In an academic pediatric Emergency Depratment (ED), we performed a randomized clinical trial of children \< 7 years of age, who required i.v. access and who had failed the first i.v. attempt. We randomized patients to either continued standard i.v. attempts or ultrasound-assisted attempts. Clinicians involved in the study received one hour of training in ultrasound localization of peripheral veins. In the ultrasound group, vein localization was performed by an ED physician who marked the skin overlying the target vessel. Intravenous cannulation attempts were then immediately performed by a pediatric ED nurse who relied on the skin mark for vessel location. We allowed for technique cross-over after two failed i.v. attempts. We recorded success rate and location of access attempts.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  • Less than 7 years of age
  • Emergency Department patients
  • Parents available for consent
Exclusion Criteria
  • Critical illness

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
1ultrasoundUltrasound used to visualize peripheral venous anatomy. This guides subsequent attempts at venipuncture.
2standard technique for venipunctureRoutine venipuncture using standard methods.
Primary Outcome Measures
NameTimeMethod
venous visualization (with ultrasound) and venipuncture success rateone year
Secondary Outcome Measures
NameTimeMethod
Anticipated difficulty of venipuncture (rated on visual analog scale)one year

Trial Locations

Locations (1)

University of California, Davis Medical Center

🇺🇸

Sacramento, California, United States

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