Catheter Related Complication
Conditions
Keywords
peripheral, ultrasound-guided
Brief summary
The purpose of this study is to compare the appearance of complications after the insertion of peripheral venous catheters with two different techniques (traditional and ultrasound-guided).
Detailed description
All patients, whose parents were informed about the study and give written informed consent, will be randomized in a double-blind manner (participant and investigator) in a 1:1 ratio to visualization/palpation or ultrasound-guided peripheral catheter insertion. All participants undergo a 10 days monitoring of the catheter status.
Interventions
Insertion of a short catheter in a peripheral vein with the help of visualization palpation
Insertion of a short catheter in a peripheral vein with the help of an ultrasound device
Sponsors
Study design
Masking description
A random list is generated by a computer randomizer program. Sealed numbered envelopes are prepared with study documents and the technique to be performed. Investigators take envelops in consecutive order as long as participants accept to be included in the study
Intervention model description
Participants are assigned to the traditional or ultrasound-guided insertion group
Eligibility
Inclusion criteria
* Age between 0 and 18 years * Patients in need of a peripheral venous catheter
Exclusion criteria
* Inability of insertion in both forearms (i.e. burnt, amputation) * Patients in need of a central venous catheter
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants presenting peripheral catheter insertion-related complications for each intervention | From catheter insertion until the date of documented complication or catheter withdrawal assessed up to 10 days | Peripheral insertion-related complications: phebitis, infiltration, catheter loss, obstruction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Demographic traits of participants presenting peripheral catheter-related complications | From catheter insertion until the date of documented complication or catheter withdrawal assessed up to 10 days | Age average (years) and gender (male/female) |
| The proportion of canalization aspects in peripheral catheter-related complications | From catheter insertion until the date of documented complication or catheter withdrawal assessed up to 10 days | Catheter size (Ga), operator experience (years), insertion site (hand/forearm/arm/foot/head), insertion ward (PICU/ER) |
| Number of participants that present immobilization of the limb in both techniques | From catheter insertion until the date of documented complication or catheter withdrawal assessed up to 10 days | Immobilization of the limb where the peripheral catheter is inserted (Yes/No) |
| Use of the catheter inserted in participants presenting peripheral catheter-related complications | From catheter insertion until the date of documented complication or catheter withdrawal assessed up to 10 days | Type of fluid infusion, antibiotic administration (Yes/No) |
Countries
Spain