Placement of Peripheral Venous Catheters Under Echo Guidance in a Post-emergency Medical Service

Study Overview
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Brief Summary
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Compare the number of attempts to place a peripheral venous catheter in the group of patients hospitalized in the post-emergency unit and benefiting from echo guidance and therapeutic communication, to the group of patients hospitalized on the post-emergency unit using traditional technique.

Official Title
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Placement of Peripheral Venous Catheters Under Echo Guidance in a Post-emergency Medical Service

Conditions
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Catheterization, Peripheral, Echography, Hospital Units

Intervention / Treatment
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* Device: ultrasound guidance and therapeutic communication


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hospitalized in the post-emergency unit Requiring the placement of a venous catheter in the post-emergency unit Affiliation to social security or benefiting from such a scheme Informed and written consent signed Exclusion Criteria: Protected person (art. L1121-5 to L1121-8 of the CSP) Patient included in another interventional study Patient already included for a first catheter placement in the post-emergency unit.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: echo guidance<br>insertion of a peripheral venous catheter with ultrasound guidance and therapeutic communication | Device: ultrasound guidance and therapeutic communication<br>* insertion of a peripheral venous catheter with ultrasound guidance and therapeutic communication<br>|
| No Intervention: conventional<br>insertion of a peripheral venous catheter conventionally | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| successful placement of a venous catheter on the first attempt | percentage of successful placement of a venous catheter on the first attempt | within the hour after insertion of peripheral venous catheter | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient experience | not validated Satisfaction questionnaire and pain scale. score between 0 and 30 corresponding to high satisfaction | within the hour after insertion of peripheral venous catheter | 
| number of attempts to insert a peripheral venous catheter | Average in each group of the number of attempts | within the hour during insertion of peripheral venous catheter | 
| number of calls for a second nurse in the service | Average in each group of the number of service's interveners for a catheter placement | within the hour during insertion of peripheral venous catheter | 
| number of calls to a nurse anesthetist | Average in each group of the number of external interveners | within the hour during insertion of peripheral venous catheter | 
| location of the final placement site | Proportion of patients in each group according to the location of the final placement site | within the hour during insertion of peripheral venous catheter | 
| the caliber of the catheter placed | Proportion of patients in each group according to the caliber of the catheter placed | within the hour during insertion of peripheral venous catheter | 
| infectious or thromboembolic events | total number of infectious or thromboembolic events at the implantation site during the patient's stay in the post-emergency unit | 4 days | 
| duration of catheter placement | Average duration, in minutes, of catheter placement in each group | within the hour during insertion of peripheral venous catheter | 
| functional life of the catheter | functional life of the catheter, by group. | 4 days | 
| Satisfaction of nursing staff | not validated Satisfaction questionnaire for nursing staff in the post-emergency unit . score between 0 and 55 corresponding to a high satisfaction | at the end of study inclusion, at 6 month |