Ultrasound-Guided Peripheral Intravenous Access by Critical Nurses. (IDECHO)

February 28, 2017 updated by: Central Hospital, Nancy, France

Contribution of Ultrasound for Peripheral Intravenous Catheter Placement by Intensive Care Nurses

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

114

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
      • Vandoeuvre-les-Nancy, France, 54511
        • CHU Nancy - Service de Réanimation Médicale Brabois

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Classical method of peripheral venous catheterization
Classical method will be applied only on arm and forearm.
Experimental: Ultrasound guided peripheral venous catheterization
Nurse will use a vascular ultrasound system to orient the catheter toward the peripheral vein. Ultrasound method will be applied only on arm and forearm.
Device: Vascular ultrasound system

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
number of peripheral venous catheterization attempts
Time Frame: up to day 2
Each day, only 3 attempts are allowed
up to day 2

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of central lines removed
Time Frame: intraoperative
intraoperative
central venous catheter dwell time
Time Frame: intraoperative
defined period between insertion and removal of the central venous line
intraoperative
peripheral venous catheter dwell time
Time Frame: intraoperative
defined period between insertion and removal of the peripheral catheter with a maximum of 3 days.
intraoperative
number of central line catheter related infection
Time Frame: intraoperative
intraoperative
number of central line catheter related colonization
Time Frame: intraoperative
intraoperative
Diameter of the inserted peripheral venous catheter
Time Frame: day 0, or day 1 or day 2
at peripheral venous catheter insertion
day 0, or day 1 or day 2
patient satisfaction
Time Frame: intraoperative
assessed by an analogic scale
intraoperative
nurse satisfaction
Time Frame: intraoperative
assessed by a survey form
intraoperative
Proportion of peripheral venous catheter successful placement
Time Frame: at day 0, day 1, day 2
at day 0, day 1, day 2

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Central Hospital, Nancy, France

Investigators

  • Principal Investigator: Antoine Kimmoun, M.D, Intensive care unit

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2015

Primary Completion (Actual)

January 1, 2017

Study Completion (Actual)

January 1, 2017

Study Registration Dates

First Submitted

November 5, 2014

First Submitted That Met QC Criteria

November 6, 2014

First Posted (Estimate)

November 7, 2014

Study Record Updates

Last Update Posted (Actual)

March 1, 2017

Last Update Submitted That Met QC Criteria

February 28, 2017

Last Verified

February 1, 2017

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2014-A01143-44

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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