Patient Preference, Patient Satisfaction
Conditions
Keywords
IV access, ultrasound guided IV, emergency care
Brief summary
This study examines the patient satisfaction and perspective on the use of ultrasound guided midline intravenous catheters compared to standard ultrasound guided peripheral catheters.
Interventions
PROCEDUREUltrasound Guided Vascular Access - Midline catheter
Ultrasound guided vascular access with a midline IV catheter
PROCEDUREUltrasound Guided Vascular Access - peripheral IV
Ultrasound guided vascular access with a peripheral IV catheter
Sponsors
Wake Forest University Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient in the emergency department * Failed 2 or more conventional attempts at vascular access \*or\* * history of requiring US guided vascular access * US Fellowship trained physician available
Exclusion criteria
* basilic vein access is contraindicated * patient undergoing advanced resuscitation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction with Procedure | Immediately after procedure/Baseline | Score describes a patient's satisfaction with a healthcare decision. It measures satisfaction across 6 domains via 6 questions scored on a 5 point scale. Score ranges from 6 to 30. A low score signifies dissatisfaction, a high score signifies high satisfaction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of Successful Access | up to 48 hours | IV/Cath dwell time in hours |
| Number of Needle Sticks | up to 48 hours | Prior to gaining successful access |
| Number of Insertion Attempts | up to 48 hours | For ultrasound guided access |
| Emergency Department (ED) Length of Stay | up to 48 hours | in hours |
| Number of needle punctures in a 24 hour period (patient reported) | up to 48 hours | — |
| Patient Satisfaction | immediately post intervention/baseline and at 48 hours past baseline | this is a single question measuring satisfaction with the intervention overall on a Likert Scale 1-10, |
| Number of Insertion Related Complications | up to 48 hours | Includes failed attempts, arterial punctures, infiltrations, hematoma formations |
| Number of Dwell Related Complications | up to 48 hours | Includes inability to flush, catheter dislodgement, leakage around the catheter site, insertion site erythema, insertion site pain, drainage from catheter, edema, ecchymosis, superficial thrombosis, Deep vein thrombosis (DVT), line associated infection, vesicant extravasation, skin necrosis, neurovascular injury, arterial injury |
| Time to Access | up to 24 hours | minutes from procedure start to procedure completion |
| Hospital Length of Stay | up to 48 hours | in hours |
Outcome results
None listed