Clinical trial NCT02285712: Ultrasound-Guided Peripheral Intravenous Access by Critical Nurses.
Official title: Contribution of Ultrasound for Peripheral Intravenous Catheter Placement by Intensive Care Nurses
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Venous Catheterization
Keywords: Peripheral venous catheter
ultrasound
nurse
Intensive Care Units
Lead sponsor: Central Hospital, Nancy, France
Sponsor class: OTHER
First posted: 2014-11-07
Enrollment: 114
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Peripheral intravenous access is a major intervention in patients admitted to an intensive care unit. Systematically performed by nurses, it is also an essential intervention when the central venous access has to be removed. However, in the intensive care unit, patient centered-characteristics such as previous history of intravenous drug abuse, obesity, history of multiple vascular punctures or fluid overload most often affect the success rate of this procedure. For these patients, failure consequences are numerous: 1) delayed discharge from the intensive care unit, 2) increased pain and dissatisfaction, 3) increased incidence of catheter-related bloodstream infections. The use of ultrasound has gained increasing popularity particularly for obtaining central venous access. We hypothesize that, among trained nurses, ultrasound-guided peripheral venous access could represent an attractive alternative compared to the traditional anatomical method in order to increase the success rate.


Eligibility criteria: Inclusion Criteria:

* patient admitted in ICU
* patient not able to express his opposition
* central venous access that need to be removed
* need for a peripheral venous access
* no clinical instability
* no visible superficial vein due to: BMI\> 30, fluid overload, previous history of IV drug abuse, previous history of chemotherapy ,

Exclusion Criteria:

* patient \< 18 yo
* pregnancy
* patient under protective supervision
* need for a central venous access

Primary outcomes:
measure: number of peripheral venous catheterization attempts
timeFrame: up to day 2
Secondary outcomes:
measure: Number of central lines removed
timeFrame: intraoperative
measure: central venous catheter dwell time
timeFrame: intraoperative
measure: peripheral venous catheter dwell time
timeFrame: intraoperative
measure: number of central line catheter related infection
timeFrame: intraoperative
measure: number of central line catheter related colonization
timeFrame: intraoperative
measure: Diameter of the inserted peripheral venous catheter
timeFrame: day 0, or day 1 or day 2
measure: patient satisfaction
timeFrame: intraoperative
measure: nurse satisfaction
timeFrame: intraoperative
measure: Proportion of peripheral venous catheter successful placement
timeFrame: at day 0, day 1, day 2
Other outcomes:
Locations:
city: Vandoeuvre-les-Nancy
country: France
facility: CHU Nancy - Service de Réanimation Médicale Brabois
Study officials:
affiliation: Intensive care unit
name: Antoine Kimmoun, M.D
role: PRINCIPAL_INVESTIGATOR
References:
citation: Bridey C, Thilly N, Lefevre T, Maire-Richard A, Morel M, Levy B, Girerd N, Kimmoun A. Ultrasound-guided versus landmark approach for peripheral intravenous access by critical care nurses: a randomised controlled study. BMJ Open. 2018 Jun 9;8(6):e020220. doi: 10.1136/bmjopen-2017-020220.