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This study will test the feasibility of ultrasound-guided sterile blood sampling for critically ill patients with suspected sepsis requiring blood culture. The aim of the study is to evaluate the feasibility and safety of the use of ultrasound for blood cultures in a population of patients which can present difficult venous access and requiring more than one venipuncture attempt in general clinical practice
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient requiring blood culture | After the request of treating physician of blood culture, each patient deemed eligible, will undergo the prescirbed couple of peripheral blood samples. The first one will be done with the classical blind technique, while the second one with ultrasound guidance. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound-guided venipuncture | Diagnostic Test | Venipuncture will be performed using ultrasound to identify the most appropriate vessel and guide the puncture |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of attempted venipunctures | Evaluation of the feasibility of ultrasound-guided venipuncture for blood samples in patients requiring ,microbiological analysis. Feasibility will be evaluated in terms of number of needed attempts of venipuncture | One hour after clinical decision of blood culture execution |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of possible complications (accidental arterial puncture, visible ematoma) | Evaluation of safety of venipuncture in terms of possible complications (accidental arterial puncture, ematoma) | One hour after clinical decision of blood culture execution |
| Incidence of contamination of ultrasound-guided venipuncture |
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Inclusion Criteria:
Exclusion Criteria:
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Alla adult patients admitted to ICU with a suspected sepsis will be enrolled, when treating physician will prescribe blood culture for microbiological analysis
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Antonio M Dell'Anna, M.D. | Contact | 3803679256 | antoniomaria.dellanna@policlinicogemelli.it |
| Name | Affiliation | Role |
|---|---|---|
| Antonio M Dell'Anna, M.D. | Fondazione Policlinico Universitario Agostino Gemelli IRCCS | Study Chair |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D012772 | Shock, Septic |
| D007239 | Infections |
| D004194 | Disease |
| ID | Term |
|---|---|
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Evaluation of blood sample bacterial contamination compared to blind puncture |
| One hour after clinical decision of blood culture execution |
| D012769 | Shock |