Condition 1: patients undergoing surgery, requiring successful placement of peripheral vein catheters under ultrasound guidance by comparing outcomes in the antecubital and saphenous veins. Condition 2: Encounter for adjustment and management of vascular access device. Condition 3: Phlebitis and thrombophlebitis of unspecified site. Encounter for adjustment and management of vascular access device Phlebitis and thrombophlebitis of unspecified site
Conditions
Interventions
Intervention 1: Intervention group: In the antecubital group, a tourniquet is applied to the non-dominant arm to cause venous blood congestion. The antecubital area is prepped and draped with betadine
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Patients who are candidates for elective surgery Referred to the operating room with no peripheral venous access No suitable peripheral vein access point based on initial assessment and clinical judgment of the operating room anesthesiologist The duration of the patient's stay in the hospital is three or less days according to the surgeon in charge of the patient
Exclusion criteria
Exclusion criteria: Patients with ASA class greater than 2 Patients needing emergency surgery Patients with coagulation disorder Patients with heart or vascular diseases Patients with infections Patients with chronic kidney disease Patients with diabetes Patients with immunodeficiency diseases Patients who are candidates for surgery with a high bleeding risk Patients who are candidates for long surgery (more than 3 hours) Patients with psychotic diseases or mood disorders or mental retardation Patients with a history of smoking or substance abuse Patients with systolic pressure less than 90 or greater than 160
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The success rate of peripheral vein catheterization under ultrasound guidance in the antecubital and saphenous veins. Timepoint: The primary outcome is measured immediately following catheter placement, and subsequent measurements are taken at 24 hours and 3 days after the intervention. Method of measurement: Examination through ultrasound in the short axis and long axis view, for final confirmation , injection of 3 ml of sterile saline inside the catheter and Examination through the color doppler ultrasound in the long axis view, as well as clinical examination of subcutaneous extravasation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity during catheter placement. Timepoint: immediately following catheter placement. Method of measurement: VAS(Visual analogue scale) pain criteria.;The duration of the procedure. Timepoint: Immediately following catheter placement. Method of measurement: Timing the procedure.;Incidence of hematoma or ecchymosis post-procedure. Timepoint: Immediately following catheter placement, 24 hours and 3 days after intervention. Method of measurement: Visual examination of injection site.;Thrombophlebitis at the site of needling. Timepoint: Immediately following catheter placement, 24 hours and 3 days after intervention. Method of measurement: Visual examination of injection site and Ultrasound.;Delayed extravasation or accumulation of prescribed venous fluid under the skin. Timepoint: Immediately following catheter placement, 24 hours and 3 days after intervention. Method of measurement: Visual examination of injection site.;The amount of changes in mean arterial pressure. Timepoint: Immediately following catheter placement. Method of measurement: MAP(mean arterial pressure) = DP + 1/3(SP – DP) /measure blood pressure using sphygmomanometer.;Heart rate beats per minute. Timepoint: Before procedure and Immediately following catheter placement. Method of measurement: Heart rate monitor.;Longevity of the catheter with successful function. Timepoint: Immediately following catheter placement, 24 hours and 3 days after intervention. Method of measurement: Ultrasound.;Patient satisfaction from the catheter insertion site. Timepoint: 24 hours after intervention. Method of measurement: questionnaire.;Nursing staff's satisfaction with catheter placement site. Timepoint: 24 hours after intervention. Method of measurement: questionnaire.;The need for the peripheral vein access site. Timepoint: During and immediately following catheter placement. Method of measurement: 1. A vein with a bigger anterior-posterior drop equal to 4 mm cannot be found 2. Creating a subcutaneous hem | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactBabak Eslami
Tehran University of Medical Sciences
Outcome results
None listed