Ultrasound Assisted Peripheral Venous Access in Young Children

University of California (UC) Davis

Status: Completed

Conditions: Catheterization, Peripheral

Treatments: Device: standard technique for venipuncture; Device: ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT00557154

S-9400847-018LA (Other Identifier)

200210274

Details and patient eligibility

About

The purpose of this study is to learn how the use of ultrasound helps with the placement of an intravenous (i.v.) catheter in young children.

Full description

In an academic pediatric Emergency Depratment (ED), we performed a randomized clinical trial of children < 7 years of age, who required i.v. access and who had failed the first i.v. attempt. We randomized patients to either continued standard i.v. attempts or ultrasound-assisted attempts. Clinicians involved in the study received one hour of training in ultrasound localization of peripheral veins. In the ultrasound group, vein localization was performed by an ED physician who marked the skin overlying the target vessel. Intravenous cannulation attempts were then immediately performed by a pediatric ED nurse who relied on the skin mark for vessel location. We allowed for technique cross-over after two failed i.v. attempts. We recorded success rate and location of access attempts.

Enrollment: 44 patients

Sex: All

Ages: Under 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Less than 7 years of age
• Emergency Department patients
• Parents available for consent

Exclusion criteria

• Critical illness

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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44 participants in 2 patient groups

1

Experimental group

Description:

Ultrasound used to visualize peripheral venous anatomy. This guides subsequent attempts at venipuncture.

Treatment:

Device: ultrasound

2

Active Comparator group

Description:

Routine venipuncture using standard methods.

Treatment:

Device: standard technique for venipuncture