Ultrasound-Guided IV Placement Techniques for Venous Access

Overseen By Ryan C Gibbons, MD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Temple University

Disqualifiers: Hemodynamically unstable, unable to consent

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

Duration: 1 day

98 Participants Needed

Trial Summary

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment for ultrasound-guided IV placement techniques for venous access?

Research shows that using ultrasound to guide IV placement increases success rates, especially in patients with difficult veins, compared to the traditional method of feeling for veins by hand. ^{1 2 3 4 5}

Is ultrasound-guided IV placement generally safe for humans?

Research shows that using ultrasound to guide IV placement is generally safe and can reduce complications compared to traditional methods. It is considered safer for both adults and children, regardless of where the IV is inserted. ^{2 6 7 8 9}

How does the ultrasound-guided IV placement technique differ from other treatments for venous access?

Ultrasound-guided IV placement is unique because it uses ultrasound imaging to directly visualize veins and guide the needle, which can improve success rates and reduce complications compared to traditional methods that rely on anatomical landmarks. ^{4 10 11 12 13}

What is the purpose of this trial?

To compare a long axis approach versus short axis when placing peripheral IVs using ultrasound guidance.

Research Team

Ryan C Gibbons, MD

Principal Investigator

Temple University

Eligibility Criteria

This trial is for stable patients who need an ultrasound-guided peripheral IV placed. It's not open to those who are unstable or can't give consent.

Inclusion Criteria

I need an ultrasound-guided IV and my blood pressure is stable.

Exclusion Criteria

My blood pressure is not stable.

I am unable to give consent by myself.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants undergo ultrasound-guided peripheral intravenous access using either long or short axis approach

1 day

1 visit (in-person)

Follow-up

Participants are monitored for complications and success of the procedure

1 day

Treatment Details

Interventions

• Intravenous access method

Trial Overview The study is testing two different ways of placing IVs with ultrasound: the long axis approach and the short axis approach, to see which one works better.

Participant Groups

Group I: Long Axis approach Active Control 1 Intervention

Utilize the longitudinal orientation when placing an USGPIV.

Group II: Short axis approach Active Control 1 Intervention

Utilize the transverse orientation when placing an USGPIV.

Who Is Running the Clinical Trial?

Temple University

Lead Sponsor

Trials

321

Recruited

89,100+

References

1. United States pubmed.ncbi.nlm.nih.gov

A randomized controlled trial assessing the use of ultrasound for nurse-performed IV placement in difficult access ED patients. [2017]

2. England pubmed.ncbi.nlm.nih.gov

Ultrasound guidance for difficult peripheral venous access: systematic review and meta-analysis. [2022]

3. United States pubmed.ncbi.nlm.nih.gov

Needle tip visualization during ultrasound-guided vascular access: short-axis vs long-axis approach. [2010]

4. United States pubmed.ncbi.nlm.nih.gov

Augmentation of peripheral venous diameter for ultrasound-guided peripheral intravenous line insertion. [2023]

5. Spain pubmed.ncbi.nlm.nih.gov

[Ultrasound-guided venous cannulation by inexperienced residents: comparison of 2 methods]. [2022]

6. United States pubmed.ncbi.nlm.nih.gov

Does the real-time ultrasound guidance provide safer venipuncture in implantable venous port implantation? [2018]

7. France pubmed.ncbi.nlm.nih.gov

Guidelines on the use of ultrasound guidance for vascular access. [2016]

8. England pubmed.ncbi.nlm.nih.gov

Association of Anaesthetists of Great Britain and Ireland: Safe vascular access 2016. [2022]

9. United States pubmed.ncbi.nlm.nih.gov

Tunnelling a midline catheter: When the traffic light shifts from yellow to green. [2019]

10. Brazil pubmed.ncbi.nlm.nih.gov

Ultrasound-guided central venous puncture in an obese patient with cervical adenomegaly. [2019]

11. United States pubmed.ncbi.nlm.nih.gov

Ultrasound Guidance for Central Venous Access: Current Evidence and Clinical Recommendations. [2020]

12. Netherlands pubmed.ncbi.nlm.nih.gov

Feasibility of ultrasound-guided vascular access during cardiac implantable device placement. [2018]

13. United States pubmed.ncbi.nlm.nih.gov

Comparison of a novel real-time SonixGPS needle-tracking ultrasound technique with traditional ultrasound for vascular access in a phantom gel model. [2015]