NCT02125552

Ultrasound Guided IV Access in a Pediatric Emergency Department

A Randomized Control Trial of Ultrasound Guided IV Access in the Pediatric Emergency Department

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 163 (actual)
• Sponsor: Children's Hospital of Philadelphia · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The primary objective is to determine whether the use of ultrasound guidance compared to standard IV access improves the proportion of successful IV placement on a first attempt for children in a pediatric emergency department who have predicted difficult access by a validated score. Secondary objectives include determining whether ultrasound-guided IV access lowers the overall number of IV attempts and/or reduces time to IV access. The investigators will also examine the duration of IV access and any complications related to IV access in both the traditional and ultrasound guided IV access group.

Detailed description

The proposed study is a randomized trial of ultrasound guided IV access compared to traditional IV access in patients determined to have difficult IV access based on the Difficult Intravenous Access (DIVA) scale. Patients enrolled in the study will be randomized to traditional IV access or ultrasound guided IV access. If randomized to ultrasound guided IV access, the IV will be placed under direct visualization. Following IV placement or when attempts at IV access have ceased, the patient and family will be asked to complete a series of questions related to their satisfaction regarding IV placement. The follow-up phase examining duration of the IV and any related complications will continue until the IV placed as part of the study has been removed.

Conditions

• Difficult Intravenous Access in Pediatrics

Interventions

Type	Name	Description
PROCEDURE	Ultrasound guidance	The ultrasound machine will be used to guide intravenous line placement in patients randomized to the ultrasound guided intravenous line group
PROCEDURE	Traditional intravenous access	Placement by experienced nurse using standard IV techniques

Timeline

• Start date: 2014-05-01
• Primary completion: 2016-12-02
• Completion: 2017-03-01
• First posted: 2014-04-29
• Last updated: 2018-05-15

Locations

1 site across 1 country: United States