Internal Medicine, Neurology, Surgery
Conditions
Keywords
Adult-Difficult IntraVenous Access (A-DIVA), capital venous preservation
Brief summary
In certain cases (e.g.: patient who are difficult to perfuse, thin veins, etc.), an increase in venipunctures performed by study nurses in healthcare services can lead to a loss of venous capital, repeated pain during punctures, discontinuous treatment follow-up and numerous requests for assistance from colleagues, including nurse anesthetists, but often too late. The main objective of project is to reduce the number of punctures to access the venous system after evaluation of adult patients upon entering the hospitalization department using the A-DIVA tool. the A-DIVA score predicts the difficulty in infusing an adult patient
Detailed description
This research evaluates the importance of assessing the venous capital access of hospitalized patients prior to the placement of an intravenous infusion, in order to save time in initiating therapeutic treatment and to prevent or reduce the number of venipunctures and the associated inconveniences (pain, discontinuous treatment monitoring). This approach aims to preserve the patient's venous capital. In the proposed study, investigators will evaluate the patients' venous capital using the Adult-Difficult IntraVenous Access (A-DIVA) tool upon hospital admission and during hospitalization before any peripheral intravenous (IV) catheter placement. During the inclusion visit, after obtaining informed consent, patients will be randomized into one of two groups: * Group A: Patients will undergo an evaluation of their venous capital by a study nurse using the Adult-Difficult IntraVenous Access (A-DIVA) tool prior to any peripheral IV catheter placement during hospitalization. * Group B: Patients will not undergo an evaluation of their venous capital using the Adult-Difficult IntraVenous Access (A-DIVA) tool prior to peripheral IV catheter placement. They will receive standard care as routinely provided in the hospital ward.
Interventions
OTHERevaluation of intravenous access of patients with Adult-Difficult IntraVenous Access (A-DIVA) score prior to puncturing subject
The patient's intravenous access will be evaluated using the A-DIVA score by the study nurse at the time of admission, prior to venipuncture performed by the care nurse
OTHERevaluation of intravenous access of patients with modified Adult-Difficult IntraVenous access(A-DIVA modified) score prior to puncturing subject
The patient's intravenous access will be evaluated using the A-DIVA-m score by the study nurse at the time of admission, prior to venipuncture performed by the care nurse
Sponsors
Centre Hospitalier Intercommunal Robert Ballanger
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
controlled, randomized study
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male and Female Adult Patients Aged 18 Years and Older * written informed consent given by patient * Affiliation to a social security system or equivalence system
Exclusion criteria
* Patients in Intensive Care Units * Patients with Psychiatric Disorders or Under Psychiatric Care * Minor Patients Under 18 Years of Age * Pregnant or Breastfeeding Women * Vulnerable and Protected Individuals as Defined by the Public Health Code (Articles L.1121-5 to L.1121-8 and L.1122-1-2) * Patients Participating in Another Interventional Study * Dying patients * Patients Receiving Infusions of: * Chemotherapy Drugs with a pH \<5 or \>8 * Solutions with an Osmolarity \>900 mOsm/L * Patients refusing to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Venipunctures Performed to Establish the First Peripheral Intravenous Line in the Hospital services | Periprocedural Venipuncture performed by study nurse from Day 0 (date of admission to hospital service) to Day 10 or until hospital discharge subject | Number of Venipunctures Performed to Establish the First Peripheral Intravenous Line in the Hospital services |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain score (numeric rating scale) during venipuncture | During venipuncture from Day 0 to Day 10 or throughout the entire hospitalization period | assess the patient's pain on a scale of 0 to 10 at the time of the puncture. A lower score indicates less painful, a higher score means that patient is more painful. |
| duration of successful catheter placement | During catheter placement from Day 0 to Day 10 or throughout the entire hospitalization period | duration of successful catheter placement |
Countries
France
Contacts
Primary ContactEric MORTUREUX, PI
Outcome results
None listed