Diagnosis, Infections, Sepsis, Septic Shock
Conditions
Brief summary
This study will test the feasibility of ultrasound-guided sterile blood sampling for critically ill patients with suspected sepsis requiring blood culture. The aim of the study is to evaluate the feasibility and safety of the use of ultrasound for blood cultures in a population of patients which can present difficult venous access and requiring more than one venipuncture attempt in general clinical practice
Interventions
DIAGNOSTIC_TESTUltrasound-guided venipuncture
Venipuncture will be performed using ultrasound to identify the most appropriate vessel and guide the puncture
Sponsors
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Study design
Observational model
CASE_CROSSOVER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients (18 year-old) * admitted to intensive care unit * suspected sepsis requiring blood cultrure
Exclusion criteria
* pregnancy * infections requiring respiratory isolation * burns or skin disease involving arms and/or more than 60% of body surface
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of attempted venipunctures | One hour after clinical decision of blood culture execution | Evaluation of the feasibility of ultrasound-guided venipuncture for blood samples in patients requiring ,microbiological analysis. Feasibility will be evaluated in terms of number of needed attempts of venipuncture |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of possible complications (accidental arterial puncture, visible ematoma) | One hour after clinical decision of blood culture execution | Evaluation of safety of venipuncture in terms of possible complications (accidental arterial puncture, ematoma) |
| Incidence of contamination of ultrasound-guided venipuncture | One hour after clinical decision of blood culture execution | Evaluation of blood sample bacterial contamination compared to blind puncture |
Contacts
Primary ContactAntonio M Dell'Anna, M.D.
Outcome results
None listed