Efficiency, and Emergency Department Nurse Preference Between 2 Methods of Visualization: A Pilot Study

Study Overview
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Brief Summary
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The purpose of this study was to assess the impact of a continuous needle tracking system on the accuracy, speed, and quality of ultrasound-guided peripheral venous catheter insertion.

Detailed Description
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A pilot study using simulated tissue was conducted with 49 US-based emergency department nurses to compare insertion of a midline catheter using traditional ultrasound guidance versus an advanced needle-tracking technology along with traditional ultrasound guidance.

Official Title
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Comparative Effectiveness, Efficiency, and Emergency Department Nurse Preference Between 2 Methods of Visualization for Midline Catheter Insertion: A Pilot Study

Conditions
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Catheter Related Complication

Intervention / Treatment
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* Device: Randomized Traditional
* Device: Cue(TM) Needle Tracking Technology


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: US-based emergency department nurse who have placed 10 peripheral intravenous catheters in the past 60 days have placed less than or equal to 15 ultrasound-assisted vascular access devices in the past 60 days and have been practicing ultrasound-assisted vascular access no more than 18 months Exclusion Criteria: Nurses that don't meet that predetermined inclusion criteria
Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Randomized Traditional<br>Randomized to traditional ultrasound guided peripheral insertion placement vs placement with Cue needle tracking technology | Device: Randomized Traditional<br>* Traditional ultrasound guidance was utilized to insert Midlines on simulated veins blocks not live patients<br>* Other names: Randomized Traditional Ultrasound method;Device: Cue(TM) Needle Tracking Technology<br>* Cue(TM) Needle Tracking Technology with real time needle tip tracking is used to assist ultrasound guided midline insertions on simulated veins blocks not live patients<br>|
| Radomized Cue Needle Tracking technology<br>Randomized to traditional ultrasound guided peripheral insertion placement vs placement with Cue needle tracking technology | Device: Randomized Traditional<br>* Traditional ultrasound guidance was utilized to insert Midlines on simulated veins blocks not live patients<br>* Other names: Randomized Traditional Ultrasound method;Device: Cue(TM) Needle Tracking Technology<br>* Cue(TM) Needle Tracking Technology with real time needle tip tracking is used to assist ultrasound guided midline insertions on simulated veins blocks not live patients<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Insertion Success | Number of attempts required to properly place a needle tip in the simulated vessel | 1 hour | 
| Insertion Time | Time required to successfully insert a needle tip into a simulated vessel | 1 hour | 
| Backwalling Events | Events where the needle fully transects the simulated blood vessel during the inserting of the needle tip into a simulated vessel | 1 hour | 
| Needle redirects | Lateral movement and deflection of the needle tip during insertion into a simulated vessel | 1 hour | 
| Accuracy of Needle Placement | Accuracy of needle placement as indicated by the lateral distance from a target | 1 hour | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-reported subjective measurements | Post-study questions were used to assess confidence during insertion with Cue needle tracking system (likert), confidence when insertion with traditional ultrasound techniques (likert), preference between the cue needle tracking system and the standard of care | 1 hour | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Visualization, Needle Guidance, Midline Catheter, Emergency Department Nurse