Difficult intravenous access (DIVA)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age >=18 years old. 2.Requiring intravenous infusion therapy during hospitalization. 3.Having suitable veins in the upper extremities for catheter insertion, confirmed by ultrasound evaluation. 4.Meeting the diagnostic criteria for Difficult Intravenous Access (DIVA), requiring ultrasound-guided vascular access establishment. 5.Clinically indicated for contrast-enhanced CT or MRI examination, requiring rapid contrast agent injection via a high-pressure injector. 6.Providing written informed consent and voluntary participation in the study.
Exclusion criteria
Exclusion criteria: 1.Presence of infection, dermatitis, trauma or lymphedema at the catheter insertion site. 2.Known severe allergy to catheter materials (e.g., polyurethane) or dressings. 3.Confirmed or suspected catheter-related bloodstream infection (CRBSI) or deep venous thrombosis (DVT). 4.Severe coagulation dysfunction or thrombocytopenia; 5.Severe renal insufficiency with planned use of hypertonic contrast agent (which increases the risk of renal injury and may affect catheter selection). 6.Limbs on the ipsilateral side after radical mastectomy for breast cancer, or limbs with arteriovenous fistula. 7.Any other conditions deemed unsuitable for participation by the investigators.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall incidence of vascular access-related complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Vascular access-related cost data;One-time success rate of high-pressure contrast injection;First-attempt cannulation success rate; | — |
Countries
China
Contacts
The First Affiliated Hospital of Wenzhou Medical University