Ultrasound Guided Peripheral Intravenous Catheterization in the Pediatric Intensive Care Unit.

Not Applicable

• Conditions: Peripheral Venous Cannulation

• Registration Number: NCT04268225
• Lead Sponsor: Rabin Medical Center

Brief Summary

This is a randomized controlled prospective study. The purpose of this study is to compare a recently described technique of ultrasound (US) guided, dynamic needle tip positioning (DNTP), to the traditional technique of vein visualization and palpation for peripheral venous cannulation in intubated, sedated, and mechanically ventilated pediatric intensive care unit (PICU) patients. First attempt success rate, overall success rate within 3 attempts or 10 minutes (whichever comes first), number of attempts to success, time to success and cannula sizes will be compared between the 2 techniques. The study will include intubated, sedated and mechanically ventilated children, aged 0-18 years, hospitalized in the PICU who require peripheral intravenous (PIV) access for their management.

Detailed Description

Not available

Study Timeline

• Status Verified: 2020-02
• Study First Submitted: 2020-02-09
• Study First Submitted QC: 2020-02-12
• Study First Posted: 2020-02-13
• Study Start: 2020-03
• Last Update Submitted: 2020-03-12
• Last Update Posted: 2020-03-13
• Primary Completion: 2022-03
• Study Completion: 2022-03

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

1. Invasively ventilated
2. Younger than 18 years
3. Peripheral venous access required
4. Difficult intravenous access (DIVA) score of 4 or greater (on a scale of 0-10 with higher scores implying more difficult access)

Exclusion Criteria

1. Refusal to consent
2. Research staff not available

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Success of peripheral IV cannulation on first attempt	10 minutes	Assessment of peripheral IV cannulation success on first attempt (Yes vs No)

Secondary Outcome Measures

Name	Time	Method
Overall peripheral IV cannulation success rate	10 minutes	The overall success rate of peripheral intravenous cannulation within 3 attempts.
Number of attempts to success	up to 10 minutes	Number of puncture attempts (1,2 or 3) needed for achieving a a successful cannulation
Inserted cannula diameter	up to 10 minutes	Cannula diameter (in GA) successfully inserted
Time to successful peripheral IV cannulation	up to 10 minutes	Defined as the time from first skin puncture to successful cannulation (minutes).