Ultrasound-Guided Peripheral Intravenous Access by Critical Nurses.

NCT ID: NCT02285712

Last Updated: 2017-03-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 114 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-03-31
• Study Completion Date: 2017-01-31

Brief Summary

Peripheral intravenous access is a major intervention in patients admitted to an intensive care unit. Systematically performed by nurses, it is also an essential intervention when the central venous access has to be removed. However, in the intensive care unit, patient centered-characteristics such as previous history of intravenous drug abuse, obesity, history of multiple vascular punctures or fluid overload most often affect the success rate of this procedure. For these patients, failure consequences are numerous: 1) delayed discharge from the intensive care unit, 2) increased pain and dissatisfaction, 3) increased incidence of catheter-related bloodstream infections. The use of ultrasound has gained increasing popularity particularly for obtaining central venous access. We hypothesize that, among trained nurses, ultrasound-guided peripheral venous access could represent an attractive alternative compared to the traditional anatomical method in order to increase the success rate.

Conditions

Venous Catheterization

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Classical method of peripheral venous catheterization

Classical method will be applied only on arm and forearm.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Ultrasound guided peripheral venous catheterization

Nurse will use a vascular ultrasound system to orient the catheter toward the peripheral vein. Ultrasound method will be applied only on arm and forearm.

Group Type: EXPERIMENTAL

Vascular ultrasound system

Intervention Type: DEVICE

Interventions

Vascular ultrasound system

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• patient admitted in ICU
• patient not able to express his opposition
• central venous access that need to be removed
• need for a peripheral venous access
• no clinical instability
• no visible superficial vein due to: BMI> 30, fluid overload, previous history of IV drug abuse, previous history of chemotherapy ,

Exclusion Criteria

• patient < 18 yo
• pregnancy
• patient under protective supervision
• need for a central venous access

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Central Hospital, Nancy, France

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Antoine Kimmoun, M.D

Role: PRINCIPAL_INVESTIGATOR

Intensive care unit

Locations

CHU Nancy - Service de Réanimation Médicale Brabois

Vandœuvre-lès-Nancy, , France

Countries

France

References

Bridey C, Thilly N, Lefevre T, Maire-Richard A, Morel M, Levy B, Girerd N, Kimmoun A. Ultrasound-guided versus landmark approach for peripheral intravenous access by critical care nurses: a randomised controlled study. BMJ Open. 2018 Jun 9;8(6):e020220. doi: 10.1136/bmjopen-2017-020220.

Reference Type: DERIVED

PMID: 29886442 (View on PubMed)

Other Identifiers

2014-A01143-44

Identifier Type: -

Identifier Source: org_study_id