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| Name | Class |
|---|---|
| Masaryk Hospital Usti nad Labem | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: Full utrasound guidance | Active Comparator | 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. |
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| Group B: Partial ultrasound guidance | Active Comparator | 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. |
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| Group C: No ultrasound guidance | Active Comparator | Catheter insertion by conventional approach, without ultrasound guidance |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of the patients with successful the first cannulation attempt of peripheral venous catheter insertion | Frequency of the patients in which only one cannulation attempt was necessary | 60 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of the patients with successful peripheral venous catheter insertion irrespective of the number of attempts | Frequency of the patients in which peripheral venous catheter was inserted, irrespective of the number of attempts | 60 minutes |
| The number of attempts required for successful peripheral venous catheter insertion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Roman Skulec, MD, PhD | Emergency Medical Service of Central Bohemian Region, Kladno, Czech republic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Emergency Medical Service of the Central Bohemian Region | Beroun | Central Bohemia | Czechia |
Completely anonymous sharing of IPD
1.5.2018, two months
investigator
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Prospective randomized study
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| 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 |
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| No ultrasound guidance | Procedure | The target vein is identified and peripheral venous catheter is inserted by conventional approach without use of any guiding devices |
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The number of attempts required for successful peripheral venous catheter insertion |
| 60 minutes |
| Time required to introduce peripheral venous catheter | Time required to introduce peripheral venous catheter | 60 minutes |