Ultrasound-guided Peripheral Intravenous Catheter Placement in an Oncologic Emergency Department - a Prospective, Randomized Controlled Trial of Catheter Lengths

M.D. Anderson Cancer Center

Status: Enrolling

Conditions: Oncologic Complications and Emergencies

Treatments: Device: Introcan Safety IV Catheter

Study type: Interventional

Funder types: Other

Identifiers

NCT06217783

NCI-2024-00503 (Other Identifier)

2023-0848

Details and patient eligibility

About

To learn about the effects of the length of the catheter on the failure and success rate of USIV placement.

Full description

Primary Objectives:

• The rate of catheter failure, defined as removal of the catheter for any reason other than "Care Complete" (i.e. a composite of removal due to "infiltration," "leaking," "catheter damage," "occlusion"), by day 10.

Secondary Objectives:

1. Time from catheter placement to removal (i.e. survival or dwell time).
2. Per catheter length rate of failure analysis
3. Rate of repeat catheterization
4. Rate of infection
5. Rate of thrombosis

Enrollment: 400 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age > 18 years old.
2. Provision of signed and dated informed consent form.
3. Predetermined to have difficult IV access necessitating USIV placement
4. Expected admission to hospital with anticipated stay > 48 hours (per discussion with treating physician).

Exclusion criteria

1. Expected/anticipated discharge disposition from the ACCC (per discussion with treating physician).
2. Inability to give informed consent.
3. Pregnant women.
4. Non-English speaking participants.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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400 participants in 2 patient groups

Group A

Experimental group

Description:

Participants will receive a catheter that is up to 1.75 inches long based on what the nurse thinks is best for you.

Treatment:

Device: Introcan Safety IV Catheter

Group B

Experimental group

Description:

Participants will receive a catheter that is either 1.75 or 2.5 inches long based on what the nurse thinks is best for you.

Treatment:

Device: Introcan Safety IV Catheter