NCT05708833

Intra-Osseous Access in Difficult Vascular Access Cases

• Status: Terminated
• Phase: N/A
• Study type: Interventional
• Enrollment: 3 (actual)
• Sponsor: Assistance Publique - Hôpitaux de Paris · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Thousands of peripheral venous accesses are inserted every day all over the world. Some of them, such as those inserted in emergency and / or in critical patients, are absolutely vital. In the particular context of prehospital care, the rate of failure of the first attempt to insert a peripheral venous access has been evaluated at 25%. Success rates of successive attempts were about 75%. Nevertheless, the final success rate is close to 100%. Failure or delay in obtaining venous access can be life-threatening. Thus, alternatives to peripheral venous access have been proposed including intraosseous route recently made easier by the development of an automated puncture device (EZ-IO®), but still rarely used, especially on conscious patient. Currently, the place of intraosseous venous access in critical patients is not determined.

Conditions

• Hemodynamic Instability

Interventions

Type	Name	Description
DEVICE	Intraosseous venous access	Immediate placement of humeral intra-osseous venous access (after a first failed attempt of peripheral venous access)
DEVICE	Peripheral venous access	Looking for peripheral venous access, changing the site of puncture, the caliber of the catheter and/or the operator and/or assistance tools (ultrasound, infra-red guidance...) and/or using another route (oral, rectal, subcutaneous, intramuscular route and central venous access)

Timeline

• Start date: 2023-03-02
• Primary completion: 2024-04-24
• Completion: 2024-09-10
• First posted: 2023-02-01
• Last updated: 2025-03-13

Locations

1 site across 1 country: France