Ultrasound Guided Peripheral Intravenous Catheter Insertion in the Hospitalized Patient: Long vs. Short Axis Placement

Beth Israel Medical Center

Overview

Comparison of peripheral IV catheters inserted by ultrasound using the long axis vs. the short axis technique. Our hypothesis is that long axis ultrasound placement will increase the longevity of the IV catheter.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Conditions

Need for IV Access

Interventions

Long axis IV placement with ultrasoundDEVICE

Peripheral IV placement with the ultrasound probe viewing the vessel in the long axis.

Short axis IV placement with ultrasoundDEVICE

Peripheral IV placement with the ultrasound probe viewing the vessel in the short axis.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * A patient who needs PIV access for intravenous medications and resuscitation either on a medical-surgical floor or in the ICU * After floor team (including RN and/or house staff) and IV Nurse have attempted and failed or is not available Exclusion Criteria: * Need for vasopressors * Need for TPN * Need for hemodynamic monitoring * Non English speaking patient * Patients who are unable to consent

Locations (1)

Beth Isreal Medical Center

New York, New York, United States

Outcomes

Primary Outcomes

catheter survival

How many catheters survived for 3 days or as long as they are needed.

Time frame: 3 days

Secondary Outcomes

Need for central venous access

Time frame: for 3 days

success rate of peripheral IV using ultrasound assistance

Time frame: 30 minutes

Complication rate

Time frame: 3 days

Data from ClinicalTrials.gov

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