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Completed

NCT Number: NCT03709394

Pre-hospital Ultrasound Guided Peripheral Venous Catheter Insertion

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.

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Key information

Conditions

Prehospital

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Emergency Medical Service of the Central Bohemian Region

Beroun, Central Bohemia, Czechia

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Awake patient indicated for peripheral venous catheter placement while treated by emergency medical service

Exclusion criteria

  • Coma
  • Age <18 years
  • Patient disagreement with the insertion of peripheral venous catheter
  • Disagreement of the patient with inclusion in a clinical trial
  • Contraindication of ultrasound examination of the venous system
  • Contraindication of the introduction of peripheral venous cannula on both upper limbs
  • Investigator's opinion that ultrasonic control cannulation would cause undue delay and a other procedure is required

Treatment and study plan

Full utrasound guidance

Procedure

The target vein is directly identified by portable ultrasound device and the complete procedure of peripheral venous cathether insertion is controlled by ultrasound guidance in real time

Partial ultrasound guidance

Procedure

The target vein is directly identified by ultrasound but the procedure of peripheral venous cathether insertion is performed conventionally, without ultrasound guidance

No ultrasound guidance

Procedure

The target vein is identified and peripheral venous catheter is inserted by conventional approach without use of any guiding devices

Primary outcomes

  1. Frequency of the patients with successful the first cannulation attempt of peripheral venous catheter insertion

    Time frame: 60 minutes

    Frequency of the patients in which only one cannulation attempt was necessary

Secondary outcomes

  1. Frequency of the patients with successful peripheral venous catheter insertion irrespective of the number of attempts

    Time frame: 60 minutes

    Frequency of the patients in which peripheral venous catheter was inserted, irrespective of the number of attempts

  2. The number of attempts required for successful peripheral venous catheter insertion

    Time frame: 60 minutes

    The number of attempts required for successful peripheral venous catheter insertion

  3. Time required to introduce peripheral venous catheter

    Time frame: 60 minutes

    Time required to introduce peripheral venous catheter

Sponsors and collaborators

Lead sponsor

Emergency Medical Service of the Central Bohemian Region, Czech Republic

Other

Collaborators

  • Masaryk Hospital Usti nad Labem

Registry information

Official study title

Two Different Techniques for Ultrasound Guided Peripheral Venous Catheter Insertion in Pre-hospital Emergency Care - Randomized Study

Important dates

Study start
2017
Primary completion
2018
Study completion
2019
First posted
Oct 17, 2018
Registry last updated
Jul 21, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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