Catheterization, Peripheral
Conditions
Brief summary
The purpose of this study is to determine if the use of ultrasound guidance to insert peripheral intravenous catheters will decrease the number of punctures required to successful insertion. The hypothesis is that fewer attempts will be required with the use of ultrasound potentially leading to preservation of vessels, decreased patient pain scores and increased patient/parent satisfaction.
Detailed description
Patients with known or current difficult venous access will be referred to the Vascular Access Team for peripheral intravenous catheter insertion. The Vascular Access Team will randomize patients to ultrasound guidance or non-ultrasound guidance for placement of the peripheral intravenous catheter.
Interventions
DEVICEUltrasound guidance
Ultrasound guidance used to facilitate insertion of PIV catheter
PROCEDURENon-ultrasound guidance
Ultrasound guidance will not be used for insertion of PIV catheter
Sponsors
Children's Hospital Medical Center, Cincinnati
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 17 Years
Healthy volunteers
No
Inclusion criteria
* patients 0-17 years of age requiring peripheral intravenous access * have not had PIV attempt in preceding 24 hours
Exclusion criteria
* patients who are medically unstable * patients who require emergent intravenous access
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of attempts to successful peripheral intravenous access cannulation. | 1 time - baseline visit |
Secondary
| Measure | Time frame |
|---|---|
| Patient pain score rating for PIV access attempt. | 1 time - baseline visit |
Other
| Measure | Time frame | Description |
|---|---|---|
| Parent satisfaction with child's PIV access experience. | 1 time - baseline visit | — |
| PIV extravasations. | 1 time - baseline visit | Cincinnati Children's Hospital has an initiative to reduce the number of PIV extravasations. The investigators will measure the number of extravasations in the study participants to determine if ultrasound guidance has an effect on this number. |
Countries
United States
Outcome results
None listed