Prehospital
Conditions
Keywords
ultrasound, peripheral venous catheter
Brief summary
This study evaluates two different techniques for ultrasound guided peripheral venous catheter insertion in pre-hospital emergency care in comparison with conventional approach without any ultrasound guidance.
Detailed description
Peripheral venous catheter placement is one of the most common interventions in emergency medicine. When performed by conventional approach, the failure of the first attempt occurs up to 22 % and cannulation time exceed 2 minutes in up to 15 %. Ultrasound guidance of peripheral venous catheter (PVC) insertion may improve both. However, this approach has not been verified in the setting of pre-hospital emergency care so far.
Interventions
PROCEDUREFull utrasound guidance
The target vein is directly identified by portable ultrasound device and the complete procedure of peripheral venous cathether insertion is controlled by ultrasound guidance in real time
PROCEDUREPartial ultrasound guidance
The target vein is directly identified by ultrasound but the procedure of peripheral venous cathether insertion is performed conventionally, without ultrasound guidance
PROCEDURENo ultrasound guidance
The target vein is identified and peripheral venous catheter is inserted by conventional approach without use of any guiding devices
Sponsors
Masaryk Hospital Usti nad Labem
Emergency Medical Service of the Central Bohemian Region, Czech Republic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Prospective randomized study
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Awake patient indicated for peripheral venous catheter placement while treated by emergency medical service
Exclusion criteria
1. Coma 2. Age \<18 years 3. Patient disagreement with the insertion of peripheral venous catheter 4. Disagreement of the patient with inclusion in a clinical trial 5. Contraindication of ultrasound examination of the venous system 6. Contraindication of the introduction of peripheral venous cannula on both upper limbs 7. Investigator's opinion that ultrasonic control cannulation would cause undue delay and a other procedure is required
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of the patients with successful the first cannulation attempt of peripheral venous catheter insertion | 60 minutes | Frequency of the patients in which only one cannulation attempt was necessary |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of the patients with successful peripheral venous catheter insertion irrespective of the number of attempts | 60 minutes | Frequency of the patients in which peripheral venous catheter was inserted, irrespective of the number of attempts |
| The number of attempts required for successful peripheral venous catheter insertion | 60 minutes | The number of attempts required for successful peripheral venous catheter insertion |
| Time required to introduce peripheral venous catheter | 60 minutes | Time required to introduce peripheral venous catheter |
Countries
Czechia
Outcome results
None listed