Interest of a Skin Transilluminator (Such as the VeinViewer®Vision Device) for Peripheral Venous Catheter Placement in the Obese Patient (VEINVIEW)

Centre Hospitalier Universitaire, Amiens

Status: Unknown

Conditions: General Surgery

Treatments: Device: skin transilluminator

Study type: Interventional

Funder types: Other

Identifiers

NCT02894073

PI2015_843_0010

Details and patient eligibility

About

Placement of a peripheral venous catheter (PVC) is the most common invasive procedure in anaesthesia and perhaps even in the field of medicine as a whole.

Full description

Placement of a peripheral venous catheter (PVC) is the most common invasive procedure in anaesthesia and perhaps even in the field of medicine as a whole. This procedure may be challenging in the obese patient - even for the most experienced healthcare professionals.

In a study, PVC placement was considered to be difficult in 46% of obese patients but only 13% of non-obese patients.

Placement of a central venous catheter is an option when PVC placement is impossible, although central access is associated with a non-negligible risk of complications (pneumothorax, infection, arterial puncture, etc.).

Facilitating peripheral venous access in obese patients should shorten the time required for PVC placement, decrease the number of perfusion attempts (a source of dissatisfaction and discomfort for the patients) and limit the use of a central venous catheter.

Although a number of novel vein visualisation devices (such as the VeinViewer®Vision from Christie Medical) have been developed to guide PVC placement, there are no literature data on the value of these devices in the management of difficult venous access in obese patients.

Enrollment: 2 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All obese adult patients scheduled for surgery.
• Social security coverage

Exclusion criteria

• Age <18.
• Contra-indication to PVC placement.
• Legal guardianship.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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2 participants in 2 patient groups

control group

No Intervention group

Description:

PVC placement performed in the usual manner: visual inspection of the patient's anatomy

visualisation group

Experimental group

Description:

a skin transilluminator (such as the VeinViewer®Vision) is used to guide PVC placement

Treatment:

Device: skin transilluminator