Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| National Hospital of the Faroe Islands | OTHER_GOV |
| University of the Faroe Islands | OTHER |
| University of Aarhus | OTHER |
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to investigate the clinical efficacy of nurse-performed ultrasound-guided intravenous access in oncology patients on the oncological outpatient unit in the National Hospital of the Faroe Islands.
This project is prospective, interventional, clinical study aligned in four different time stages.
In the first stage, the pre-implementation stage, procedures are as usual, where the patient receives intravenous access via the use of the traditional palpation technique and data will be registered. In the next stage, the training stage, the nurses on the oncological outpatient unit will be trained in the use of the ultrasound-guided technique to place peripheral intravenous catheters and will be supervised by specialists in ultrasound. In the third stage, the implementation stage, the nurses will use the ultrasound technique as a daily routine in their practice. In the fourth stage, the post-implementation stage, the same data registration as in the first stage will be registered (see outcome measures) and the results will be compared in order to see the efficacy before and after implementation of ultrasound guidance. It is estimated a total sample of 100 cannulation procedures with approximately 30 patients needed in the pre-implementation and post-implementation stages.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultrasound-guided peripheral intravenous access | Experimental | The patients in the experimental arm will receive ultrasound-guided peripheral intravenous catheter placement, where the dynamic needle tip (DNTP) approach (short-axis) will be used. |
|
| Traditional palpation intravenous access technique | Active Comparator | The comparator group will receive the traditional palpation intravenous access technique. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound | Device | Ultrasound-guided peripheral intravenous catheter insertion |
|
| Measure | Description | Time Frame |
|---|---|---|
| First attempt success rate | Placement of a functional peripheral intravenous catheter on the first attempt. Defined as retraction of the needle, blood in the plastic catheter, smooth insertion of the plastic catheter and subsequent flush with isotonic saline without signs of extravasal placement. | The time frame for the outcome measure first attempt succes rate for each participant is estimated 1 hour in the pre-implementation stage and 1 hour in the post-implementation stage. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of skin punctures | Total number of insertion attempts i.e., number of skin punctures needed to successfully insert a peripheral intravenous catheter | The time frame for the outcome measure number of attempts for each participant is estimated 1 hour in the pre-implementation stage and 1 hour in the post-implementation stage. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lisa Maria Anderssen, RN, MHS | Contact | (+298) 223820 | lisa.anderssen1989@gmail.com | |
| Maria Skaalum Petersen, MSc, PhD | Contact | (+298) 216695 | maria@health.fo |
| Name | Affiliation | Role |
|---|---|---|
| Peter Juhl-Olsen, MD, PhD | Aarhus University Hospital | Principal Investigator |
| August Gabriel Wang, MD, DMSc | University of the Faroe Islands | Principal Investigator |
Not provided
IPD data can be shared on a collaborative basis, provided the appropriate approvals
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D009369 | Neoplasms |
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
Not provided
Not provided
This is a before and after study, where the patients pre-implementation stage receive intravenous access via the traditional palpation technique and in the post-implementation stage receive ultrsound-guided intravenous cannulation.
Not provided
Not provided
Not provided
| Patient's satisfaction |
Arbitrary Likert scale 0-5 |
| The time frame for the outcome measure patient´s satisfaction for each participant is estimated 1 hour in the pre-implementation stage and 1 hour in the post-implementation stage. |
| Patient's experience of pain | Numerical Rating Scale (NRS) scale 0-10 | The time frame for the outcome measure patient´s experience of pain for each participant is estimated 1 hour in the pre-implementation stage and 1 hour in the post-implementation stage. |
| Durability | Is the chemotherpy session completed successfully (yes/no). Defined as intravenous chemotherapy successfully infused with only one peripheral intravenous catheter used. | The time frame for the outcome measure durability for each participant is estimated 4 hours in the pre-implementation stage and 4 hours in the post-implementation stage. |
| Intravenous complications | Intravenous complications such as e.g., infiltration, extravasation, vessel occlusion etc. | The time frame for the outcome measure intravenous complications for each participant is estimated 4 hours in the pre-implementation stage and 4 hours in the post-implementation stage. |
| Lisa Maria Anderssen, RN, MHS |
| Department of Research, the National Hospital of the Faroe Islands |
| Principal Investigator |