To identify whether a short axis approach (SAA) or a long axis approach (LAA) to ultrasound guided peripheral cannulation is superior when performed by ED nurses without prior ultrasound experience.
ID
Source
Brief title
Condition
- Vascular therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
- Medical device
Outcome measures
Primary outcome
First attempt success rate at ultrasound guided peripheral cannulation
Secondary outcome
Time to successful cannulation Number of attempts (both total and until successful) Learning curve for specific technique Subjective rating of difficulty of procedure Location of successful cannulation Patient satisfaction (scale 1-5)
Background summary
Peripheral intravenous cannulation is one of the most frequently performed procedures in emergency medicine. In difficult-access patients, ultrasound guidance has emerged as a new asset to effectively improve cannulation success rates. To this date, it remains unclear which ultrasound visualization approach (longitudinal or axial) is superior when ultrasound guided peripheral cannulation (USPC) is performed.
Study objective
To identify whether a short axis approach (SAA) or a long axis approach (LAA) to ultrasound guided peripheral cannulation is superior when performed by ED nurses without prior ultrasound experience.
Study design
Multi-centre cross-over trial.
Intervention
Ultrasound guided IV access
Study burden and risks
Standard risks of peripheral cannulation
Age
Inclusion criteria
- Age (≥ 18 years) - Indication for (additional) IV-access present - Failed attempt for IV access using TPC in the ED or TPC regarded as impossible by at least two attending nurses based on physical exam.
Exclusion criteria
- Direct ultrasound guided cannulation on the patient’s request - No informed consent obtained (refused or lacking capacity)
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL9440 |
| Other | METC UMCG : 201900816 |