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Ultrasound IV Study

NCT ID: NCT01100593

Last Updated: 2012-11-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2009-11-30

Brief Summary

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The purpose of this study is to compare catheter length and extravasation rates for Ultrasound (US)-guided peripheral intravenous (IV) catheter insertion in a subset of emergency department patients with difficult IV access. Physicians, Emergency RNs, and Emergency Technicians can be taught to use US guidance to start peripheral IV in the ED. The optimal length of catheter to use for this procedure is unknown. This study will provide data on the length of catheter required to minimize extravasation. There is no guideline on catheter length selection for US-guided peripheral vascular access. This study may decrease extravasation rates for US-guided peripheral vascular access by providing guidance on catheter length selection.

Detailed Description

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The purpose of this study is to compare catheter length and extravasation rates for US guided peripheral IV insertion in a subset of emergency department patients with difficult IV access. Physicians, Emergency RNs, and Emergency Technicians can be taught to use US guidance to start peripheral IV in the ED. The optimal length of catheter to use for this procedure is unknown. This study will provide data on the length of catheter required to minimize extravasation. There is no guideline on catheter length selection for US-guided peripheral vascular access. This study may decrease extravasation rates for US-guided peripheral vascular access by providing guidance on catheter length selection.

The study design is a randomized non-blinded clinical trial of extravasation rates of US guided peripheral vascular access related to intravenous catheter length and venous depth in the ED. Primary endpoint is duration of usable vascular access. Secondary endpoints are catheter length, venous depth, time of procedure, successful cannulation, reasons for failure, number of skin punctures, site of cannulation, sonographic technique, type of provider obtaining access and complications.

Conditions

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IV Access Ultrasound Use

Keywords

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Ultrasound IV catheters Extravasation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Blinding Strategy

NONE

Study Groups

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1.75 inch catheter length

Length of catheter to be used

Group Type ACTIVE_COMPARATOR

length of IV catheter

Intervention Type PROCEDURE

Subjects will be randomized to one of two IV catheter lengths

2.5 inch catheter length

length of catheter to be used

Group Type ACTIVE_COMPARATOR

length of IV catheter

Intervention Type PROCEDURE

Subjects will be randomized to one of two IV catheter lengths

Interventions

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length of IV catheter

Subjects will be randomized to one of two IV catheter lengths

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* two failed traditional IV attempts by a nurse
* need for IV access as determined by the treating physician
* age 18 and greater

Exclusion Criteria

* less than age 18
* subjects needing a central venous catheter
* patients unable to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Christiana Care Health Services

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Paul Sierzenski, MD, RDMS

Role: STUDY_DIRECTOR

Christiana Care Health Services

Locations

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Christiana Care Health Services

Newark, Delaware, United States

Site Status

Countries

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United States

Other Identifiers

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28195

Identifier Type: -

Identifier Source: org_study_id