Difficult Peripheral IV Access
Conditions
Brief summary
The purpose of this study is to compare ultrasound guided peripheral IV placement with and without the use of a guidewire. Patients in the Emergency Department with difficult peripheral IV access (as defined by 2 failed attempts by nursing staff) will be consented and randomized to standard ultrasound guided peripheral IV placement or ultrasound guided peripheral IV placement with modified seldinger technique using a guidewire.
Interventions
DEVICEUltrasound guided peripheral IV placement
Accucath™ 20 Gax 5.7cm catheter
Sponsors
Brigham and Women's Hospital
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
* Difficult peripheral IV access (2 failed attempts by nursing staff) * Prior history of difficult IV access and patient request for ultrasound guided IV
Exclusion criteria
* Need for emergent access or central venous access * Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| First attempt success rate | 60 minutes | First attempt success is defined as ability to place and use the catheter after only one attempt and will be reported by study staff. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall success rate | 60 minutes | Overall success is defined as ability to place and use the catheter (after 2 or fewer attempts) and will be reported by study staff. |
| Number of skin punctures | 60 minutes | Number of skin punctures will be recorded by study staff. |
| Complications including hematoma, IV infiltration, catheter dislodge | 3 days | Patients will be monitored for complications of IV placement by study staff |
Countries
United States
Outcome results
None listed