Catheter Related Complication
Conditions
Keywords
Visualization, Needle Guidance, Midline Catheter, Emergency Department Nurse
Brief summary
The purpose of this study was to assess the impact of a continuous needle tracking system on the accuracy, speed, and quality of ultrasound-guided peripheral venous catheter insertion.
Detailed description
A pilot study using simulated tissue was conducted with 49 US-based emergency department nurses to compare insertion of a midline catheter using traditional ultrasound guidance versus an advanced needle-tracking technology along with traditional ultrasound guidance.
Interventions
DEVICERandomized Traditional
Traditional ultrasound guidance was utilized to insert Midlines on simulated veins blocks not live patients
DEVICECue(TM) Needle Tracking Technology
Cue(TM) Needle Tracking Technology with real time needle tip tracking is used to assist ultrasound guided midline insertions on simulated veins blocks not live patients
Sponsors
Becton, Dickinson and Company
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Inclusion criteria
* US-based emergency department nurse who have placed 10 peripheral intravenous catheters in the past 60 days * have placed less than or equal to 15 ultrasound-assisted vascular access devices in the past 60 days and have been practicing ultrasound-assisted vascular access no more than 18 months
Exclusion criteria
* Nurses that don't meet that predetermined inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Insertion Success | 1 hour | Number of attempts required to properly place a needle tip in the simulated vessel |
| Insertion Time | 1 hour | Time required to successfully insert a needle tip into a simulated vessel |
| Backwalling Events | 1 hour | Events where the needle fully transects the simulated blood vessel during the inserting of the needle tip into a simulated vessel |
| Needle redirects | 1 hour | Lateral movement and deflection of the needle tip during insertion into a simulated vessel |
| Accuracy of Needle Placement | 1 hour | Accuracy of needle placement as indicated by the lateral distance from a target |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported subjective measurements | 1 hour | Post-study questions were used to assess confidence during insertion with Cue needle tracking system (likert), confidence when insertion with traditional ultrasound techniques (likert), preference between the cue needle tracking system and the standard of care |
Countries
United States
Outcome results
None listed