Need for IV Access
Conditions
Keywords
Intravenous placement, Ultrasound
Brief summary
Comparison of peripheral IV catheters inserted by ultrasound using the long axis vs. the short axis technique. Our hypothesis is that long axis ultrasound placement will increase the longevity of the IV catheter.
Interventions
DEVICELong axis IV placement with ultrasound
Peripheral IV placement with the ultrasound probe viewing the vessel in the long axis.
DEVICEShort axis IV placement with ultrasound
Peripheral IV placement with the ultrasound probe viewing the vessel in the short axis.
Sponsors
Beth Israel Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* A patient who needs PIV access for intravenous medications and resuscitation either on a medical-surgical floor or in the ICU * After floor team (including RN and/or house staff) and IV Nurse have attempted and failed or is not available
Exclusion criteria
* Need for vasopressors * Need for TPN * Need for hemodynamic monitoring * Non English speaking patient * Patients who are unable to consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| catheter survival | 3 days | How many catheters survived for 3 days or as long as they are needed. |
Secondary
| Measure | Time frame |
|---|---|
| Need for central venous access | for 3 days |
| success rate of peripheral IV using ultrasound assistance | 30 minutes |
| Complication rate | 3 days |
Countries
United States
Outcome results
None listed