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- Klinische proef NCT02360163
The "Peripheral Access Utilizing Sonographic Evaluation" Study (PAUSE)
Studie Overzicht
Toestand
Conditie
Gedetailleerde beschrijving
The purpose of this study is to reduce, by using the ultrasound guided technique, the minor surgical procedures that might be required to deliver fluids into the blood of critically ill patients simply because the patients' veins cannot be located through the manual technique.
The ultrasound assisted technique will increase accessibility to small veins that might be missed via the manual technique. The technique of using an ultrasound machine to assist the administration of fluids into a patient's veins is called ultrasound guided peripheral intravenous access (USGPIVA), while the traditional technique that uses only sight and touch to locate a patient veins without machine assistance is called the traditional landmark technique (TLT). The investigators will compare the effectiveness of USGPIVA with TLT in terms of reducing complications and costs.
Studietype
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
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New Jersey
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Hackensack, New Jersey, Verenigde Staten, 07601
- Hackensack University Medical Center
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- The patient is >= 21 years of age
- Adult critically ill patients in CCU and MICU requiring short peripheral intravenous access
- The patient has been identified as difficult intravenous access (DIVA), defined as at least two failed blind sticks in the antecubital fossa or more distal upper arm veins
- The patient does not otherwise require a CVC
Exclusion Criteria:
The patient has a PICC line on the same side as IV placement and has the following:
- Has a condition poses risk for DIC, inadequate flow, or infection.
- Has been identified as a site for "Save the Vein" protocol implementation, unless permission is otherwise obtained by the patient's physician.
- Has a hemodialysis fistula in place on that upper arm side.
The patient is expected to require therapeutic agent or procedure that necessitates central venous access such as:
- central venous monitoring
- Total Parenteral Nutrition
- Antibiotic requiring central venous access
- Chemotherapy
- Vesicants
- Medications pH less than 5 or more than 9
- Medications of glucose concentrations above 10%
- Solution with protein concentrations above 5% (Vascular Access Management, n.d.)
- The patient already has a central venous catheter access, for reasons other than DIVA, through which therapy can be infused
- The patient has renal disease and a "Save The Vein" order is anticipated or pending (serum creatinine >2mg/dL and GFR <20) for one of the patient's arms, unless permission is otherwise obtained by the patient's physician
- The patient has a bleeding disorder, unless permission is otherwise obtained by the patient's physician
- The clinician believes the patient is not a good fit for the study or that the procedure is not appropriate for patient at the given moment
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Actieve vergelijker: Landmark Technique Attempt
Patients will undergo an additonal TLT attempt
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Experimenteel: USGPIVA Technique Attempt
Patients will be offered a USGPIVA attempt after two failed attempts using the traditional landmark technique (TLT)
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
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Reduction in number of minor surgical procedures that may be required to deliver fluids into the blood of critically ill patients by using the ultrasound guided technique
Tijdsspanne: 1 Day
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1 Day
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Nancy Van Buitenen, MSN, APN, RN, Hackensack UMC
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- Pro 2921
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
Klinische onderzoeken op Traditional Landmark Technique (TLT)
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University Health Network, TorontoBeëindigdRegionale anesthesieCanada