Ultrasound Guided Peripheral Intravenous Catheterization in Children Hospitalized in the Pediatric Intensive Care Unit: a Randomized Controlled Prospective Trial.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Peripheral Venous Cannulation
- Sponsor
- Rabin Medical Center
- Enrollment
- 90
- Primary Endpoint
- Success of peripheral IV cannulation on first attempt
- Last Updated
- 6 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Invasively ventilated
- •Younger than 18 years
- •Peripheral venous access required
- •Difficult intravenous access (DIVA) score of 4 or greater (on a scale of 0-10 with higher scores implying more difficult access)
Exclusion Criteria
- •Refusal to consent
- •Research staff not available
Outcomes
Primary Outcomes
Success of peripheral IV cannulation on first attempt
Time Frame: 10 minutes
Assessment of peripheral IV cannulation success on first attempt (Yes vs No)
Secondary Outcomes
- Overall peripheral IV cannulation success rate(10 minutes)
- Number of attempts to success(up to 10 minutes)
- Inserted cannula diameter(up to 10 minutes)
- Time to successful peripheral IV cannulation(up to 10 minutes)