The placement of an intravenous (IV) line is a common procedure when treating adult patients in critical care, in the emergency room or in the operating room. This simple and minimally invasive procedure can sometimes be made difficult depending on the patient's morphology or their clinical condition. The procedure then becomes time-consuming, anxiety-provoking, painful and its success is uncertain. The placement of intravenous (IV) lines under ultrasound by nurses is a rapidly developing alternative in intensive care, emergencies and the operating room.
The main objective is to test the hypothesis that intravenous puncture guided by an ultraportable ultrasound machine is faster than puncture guided by a conventional ultrasound machine.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
250
Placement of IV line using standard ultrasound.
Placement of IV line using ultra-portable ultrasound.
Saint Joseph Saint Luc Hospital
Lyon, Auvergne-Rhône-Alpes, France
RECRUITINGIntravenous (IV) line placement time
Time in minutes between tourniquet placement and dressing application after placement.
Time frame: Day 0
Placement of the IV line successfully obtained from the first puncture
Percentage of cases where the placement of the IV line was obtained from the first puncture
Time frame: 12 months (estimated)
Number of skin perforations
Number of skin perforations required to establish the IV line
Time frame: Day 0
Overall success rate after 3 punctures
Overall success rate after 3 punctures
Time frame: Day 0
Use an alternative solution (central catheter)
Need to use an alternative solution (central catheter)
Time frame: Day 0
Patient satisfaction with IV line placement
Patient satisfaction with intravenous line placement (assessed by Likert scale)
Time frame: Day 0
Nurse satisfaction with IV line placement
Nurse satisfaction with intravenous line placement (assessed by Likert scale)
Time frame: Day 0
Immediate complications related to intravenous access
Number of immediate complications related to intravenous access, including arterial puncture and/or hematoma formation
Time frame: Day 0
Delayed complications related to intravenous access
Number of delayed complications related to intravenous access, including extravasation and/or the occurrence of infectious thrombophlebitis
Time frame: Day 7
Date of IV line placement and removal
Delays between IV line placement and removal
Time frame: Day 7
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