Pre-hospital Ultrasound Guided Peripheral Venous Catheter Insertion

Emergency Medical Service of the Central Bohemian Region, Czech Republic300 enrolled

Overview

This study evaluates two different techniques for ultrasound guided peripheral venous catheter insertion in pre-hospital emergency care in comparison with conventional approach without any ultrasound guidance.

Peripheral venous catheter placement is one of the most common interventions in emergency medicine. When performed by conventional approach, the failure of the first attempt occurs up to 22 % and cannulation time exceed 2 minutes in up to 15 %. Ultrasound guidance of peripheral venous catheter (PVC) insertion may improve both. However, this approach has not been verified in the setting of pre-hospital emergency care so far.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

300

Conditions

Prehospital

Interventions

Full utrasound guidancePROCEDURE

The target vein is directly identified by portable ultrasound device and the complete procedure of peripheral venous cathether insertion is controlled by ultrasound guidance in real time

Partial ultrasound guidancePROCEDURE

The target vein is directly identified by ultrasound but the procedure of peripheral venous cathether insertion is performed conventionally, without ultrasound guidance

No ultrasound guidancePROCEDURE

The target vein is identified and peripheral venous catheter is inserted by conventional approach without use of any guiding devices

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Awake patient indicated for peripheral venous catheter placement while treated by emergency medical service Exclusion Criteria: 1. Coma 2. Age \<18 years 3. Patient disagreement with the insertion of peripheral venous catheter 4. Disagreement of the patient with inclusion in a clinical trial 5. Contraindication of ultrasound examination of the venous system 6. Contraindication of the introduction of peripheral venous cannula on both upper limbs 7. Investigator's opinion that ultrasonic control cannulation would cause undue delay and a other procedure is required

Locations (1)

Emergency Medical Service of the Central Bohemian Region

Beroun, Central Bohemia, Czechia

Outcomes

Primary Outcomes

Frequency of the patients with successful the first cannulation attempt of peripheral venous catheter insertion

Frequency of the patients in which only one cannulation attempt was necessary

Time frame: 60 minutes

Secondary Outcomes

Frequency of the patients with successful peripheral venous catheter insertion irrespective of the number of attempts

Frequency of the patients in which peripheral venous catheter was inserted, irrespective of the number of attempts

Time frame: 60 minutes

The number of attempts required for successful peripheral venous catheter insertion

Time frame: 60 minutes

Time required to introduce peripheral venous catheter

Time frame: 60 minutes

Data from ClinicalTrials.gov

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