The purpose of this study is to compare ultrasound guided peripheral IV placement with and without the use of a guidewire. Patients in the Emergency Department with difficult peripheral IV access (as defined by 2 failed attempts by nursing staff) will be consented and randomized to standard ultrasound guided peripheral IV placement or ultrasound guided peripheral IV placement with modified seldinger technique using a guidewire.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
70
Accucath™ 20 Gax 5.7cm catheter
Brigham and Women's Hospital
Boston, Massachusetts, United States
First attempt success rate
First attempt success is defined as ability to place and use the catheter after only one attempt and will be reported by study staff.
Time frame: 60 minutes
Overall success rate
Overall success is defined as ability to place and use the catheter (after 2 or fewer attempts) and will be reported by study staff.
Time frame: 60 minutes
Number of skin punctures
Number of skin punctures will be recorded by study staff.
Time frame: 60 minutes
Complications including hematoma, IV infiltration, catheter dislodge
Patients will be monitored for complications of IV placement by study staff
Time frame: 3 days
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