Catheterization, Peripheral, Echography, Hospital Units
Conditions
Brief summary
Compare the number of attempts to place a peripheral venous catheter in the group of patients hospitalized in the post-emergency unit and benefiting from echo guidance and therapeutic communication, to the group of patients hospitalized on the post-emergency unit using traditional technique.
Interventions
insertion of a peripheral venous catheter with ultrasound guidance and therapeutic communication
Sponsors
Study design
Eligibility
Inclusion criteria
* Hospitalized in the post-emergency unit * Requiring the placement of a venous catheter in the post-emergency unit * Affiliation to social security or benefiting from such a scheme * Informed and written consent signed
Exclusion criteria
* Protected person (art. L1121-5 to L1121-8 of the CSP) * Patient included in another interventional study * Patient already included for a first catheter placement in the post-emergency unit.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| successful placement of a venous catheter on the first attempt | within the hour after insertion of peripheral venous catheter | percentage of successful placement of a venous catheter on the first attempt |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of attempts to insert a peripheral venous catheter | within the hour during insertion of peripheral venous catheter | Average in each group of the number of attempts |
| number of calls for a second nurse in the service | within the hour during insertion of peripheral venous catheter | Average in each group of the number of service's interveners for a catheter placement |
| number of calls to a nurse anesthetist | within the hour during insertion of peripheral venous catheter | Average in each group of the number of external interveners |
| location of the final placement site | within the hour during insertion of peripheral venous catheter | Proportion of patients in each group according to the location of the final placement site |
| patient experience | within the hour after insertion of peripheral venous catheter | not validated Satisfaction questionnaire and pain scale. score between 0 and 30 corresponding to high satisfaction |
| infectious or thromboembolic events | 4 days | total number of infectious or thromboembolic events at the implantation site during the patient's stay in the post-emergency unit |
| duration of catheter placement | within the hour during insertion of peripheral venous catheter | Average duration, in minutes, of catheter placement in each group |
| functional life of the catheter | 4 days | functional life of the catheter, by group. |
| Satisfaction of nursing staff | at the end of study inclusion, at 6 month | not validated Satisfaction questionnaire for nursing staff in the post-emergency unit . score between 0 and 55 corresponding to a high satisfaction |
| the caliber of the catheter placed | within the hour during insertion of peripheral venous catheter | Proportion of patients in each group according to the caliber of the catheter placed |
Countries
France