Ultrasound Guided IV Access in a Pediatric Emergency Department
| Status: | Completed |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | Any - 18 |
| Updated: | 5/17/2018 |
| Start Date: | May 2014 |
| End Date: | March 2017 |
A Randomized Control Trial of Ultrasound Guided IV Access in the Pediatric Emergency Department
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.
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.
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.
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.
Inclusion Criteria:
- Emergency department patients ages 0-18 years
- Requiring IV access as determined by emergency department attending physician
- Predicted difficult IV access as defined by a revised DIVA score >3
Exclusion Criteria:
- Unstable patients triaged as a Level 1 triage acuity
- Patients who refuse IV access
- Non-English speaking parent/guardian
- No study team member available to enroll patient
- Parent/guardian does not consent
- Allergy to ultrasound gel
We found this trial at
1
site
South 34th Street
Philadelphia, Pennsylvania 19104
Philadelphia, Pennsylvania 19104
215-590-1000
Principal Investigator: Joseph J Zorc, MD, MSCE
Phone: 215-590-5237
Children's Hospital of Philadelphia Since its start in 1855 as the nation's first hospital devoted...
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