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The placement of an intravenous (IV) line is a common procedure when treating adult patients in critical care, in the emergency room or in the operating room. This simple and minimally invasive procedure can sometimes be made difficult depending on the patient's morphology or their clinical condition. The procedure then becomes time-consuming, anxiety-provoking, painful and its success is uncertain.
The placement of intravenous (IV) lines under ultrasound by nurses is a rapidly developing alternative in intensive care, emergencies and the operating room.
The main objective is to test the hypothesis that intravenous puncture guided by an ultraportable ultrasound machine is faster than puncture guided by a conventional ultrasound machine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard ultrasound | Other | Comparator |
|
| Ultra-portable ultrasound | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard ultrasound | Device | Placement of IV line using standard ultrasound. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Intravenous (IV) line placement time | Time in minutes between tourniquet placement and dressing application after placement. | Day 0 |
| Measure | Description | Time Frame |
|---|---|---|
| Placement of the IV line successfully obtained from the first puncture | Percentage of cases where the placement of the IV line was obtained from the first puncture | 12 months (estimated) |
| Number of skin perforations |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Joseph Saint Luc Hospital | Recruiting | Lyon | Auvergne-RhƓne-Alpes | 69007 | France |
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| Ultra-portable ultrasound |
| Device |
Placement of IV line using ultra-portable ultrasound. |
|
Number of skin perforations required to establish the IV line
| Day 0 |
| Overall success rate after 3 punctures | Overall success rate after 3 punctures | Day 0 |
| Use an alternative solution (central catheter) | Need to use an alternative solution (central catheter) | Day 0 |
| Patient satisfaction with IV line placement | Patient satisfaction with intravenous line placement (assessed by Likert scale) | Day 0 |
| Nurse satisfaction with IV line placement | Nurse satisfaction with intravenous line placement (assessed by Likert scale) | Day 0 |
| Immediate complications related to intravenous access | Number of immediate complications related to intravenous access, including arterial puncture and/or hematoma formation | Day 0 |
| Delayed complications related to intravenous access | Number of delayed complications related to intravenous access, including extravasation and/or the occurrence of infectious thrombophlebitis | Day 7 |
| Date of IV line placement and removal | Delays between IV line placement and removal | Day 7 |