IV Line Placement With Ultrasound
Conditions
Keywords
IV line, Ultra-portable ultrasound, Standard ultrasound
Brief summary
The placement of an intravenous (IV) line is a common procedure when treating adult patients in critical care, in the emergency room or in the operating room. This simple and minimally invasive procedure can sometimes be made difficult depending on the patient's morphology or their clinical condition. The procedure then becomes time-consuming, anxiety-provoking, painful and its success is uncertain. The placement of intravenous (IV) lines under ultrasound by nurses is a rapidly developing alternative in intensive care, emergencies and the operating room.
Detailed description
The main objective is to test the hypothesis that intravenous puncture guided by an ultraportable ultrasound machine is faster than puncture guided by a conventional ultrasound machine.
Interventions
DEVICEStandard ultrasound
Placement of IV line using standard ultrasound.
DEVICEUltra-portable ultrasound
Placement of IV line using ultra-portable ultrasound.
Sponsors
Centre Hospitalier Saint Joseph Saint Luc de Lyon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patient aged at least 18 years old 2. Patient with an A-DIVA (Adult Difficult Intravenous Access) score \> 1 3. Supported by a nurse trained in all the techniques used in the protocol 4. Patient having given free, informed and oral consent -
Exclusion criteria
1. Patient who has already been included in the study 2. Patient whose inclusion in the study would lead to a delay in treatment 3. Adult patient protected by law 4. Pregnant woman 5. Patient not benefiting from French Social Security system -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intravenous (IV) line placement time | Day 0 | Time in minutes between tourniquet placement and dressing application after placement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of skin perforations | Day 0 | Number of skin perforations required to establish the IV line |
| Overall success rate after 3 punctures | Day 0 | Overall success rate after 3 punctures |
| Use an alternative solution (central catheter) | Day 0 | Need to use an alternative solution (central catheter) |
| Patient satisfaction with IV line placement | Day 0 | Patient satisfaction with intravenous line placement (assessed by Likert scale) |
| Placement of the IV line successfully obtained from the first puncture | 12 months (estimated) | Percentage of cases where the placement of the IV line was obtained from the first puncture |
| Immediate complications related to intravenous access | Day 0 | Number of immediate complications related to intravenous access, including arterial puncture and/or hematoma formation |
| Delayed complications related to intravenous access | Day 7 | Number of delayed complications related to intravenous access, including extravasation and/or the occurrence of infectious thrombophlebitis |
| Date of IV line placement and removal | Day 7 | Delays between IV line placement and removal |
| Nurse satisfaction with IV line placement | Day 0 | Nurse satisfaction with intravenous line placement (assessed by Likert scale) |
Countries
France
Outcome results
None listed