Pre-hospital Ultrasound Guided Peripheral Venous Catheter Insertion

Emergency Medical Service of the Central Bohemian Region, Czech Republic

Status: Completed

Conditions: Prehospital

Treatments: Procedure: No ultrasound guidance; Procedure: Partial ultrasound guidance; Procedure: Full utrasound guidance

Study type: Interventional

Funder types: Other

Identifiers

NCT03709394

2017-01

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 300 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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300 participants in 3 patient groups

Group A: Full utrasound guidance

Active Comparator group

Description:

Full utrasound guidance of cathether insertion. Intervention: Ultrasound portable device used for the identification of the target vein and for the ultrasound control of proper catheter placement during the procedure of peripheral venous cannula insertion.

Treatment:

Procedure: Full utrasound guidance

Group B: Partial ultrasound guidance

Active Comparator group

Description:

Catheter insertion under partial ultrasound guidance. Intervention: Ultrasound portable device used only for the identification of the target vein, the catheter placement will be done by conventional approach.

Treatment:

Procedure: Partial ultrasound guidance

Group C: No ultrasound guidance

Active Comparator group

Description:

Catheter insertion by conventional approach, without ultrasound guidance

Treatment:

Procedure: No ultrasound guidance