Ultrasound-Guided IV Placement Techniques for Venous Access

RC
Overseen ByRyan C Gibbons, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Temple University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the best method for placing an IV (intravenous line) using ultrasound. Researchers aim to determine whether a long view or a short view of the vein facilitates easier IV placement. The goal is to identify the most effective intravenous access method. The trial seeks participants who need an IV, are stable, and can provide consent. Those who have experienced difficulty with IV placements may find this trial suitable. As an unphased trial, it offers an opportunity to contribute to enhancing IV placement techniques for future patients.

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 prior data suggests that these ultrasound-guided IV placement techniques are safe?

Research has shown that using ultrasound to guide IV placement is generally safe. One study reported a high success rate of 96% for ultrasound-guided IV access in patients with difficult-to-find veins, indicating the effectiveness of these methods. The study did not report any major safety issues with these techniques.

Both methods, known as long axis and short axis, use ultrasound to provide a clear view of the veins, making IV placement more accurate. Research indicates these methods are commonly used and well-tolerated by patients.

In summary, research supports the safety of both ultrasound-guided methods for placing IVs, with no significant adverse events reported.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it compares two ultrasound-guided techniques for placing intravenous lines, which could improve the success rate of IV insertions. The Long Axis approach uses a longitudinal orientation, potentially allowing for better visualization of the needle and vein, while the Short Axis approach uses a transverse orientation, possibly offering a different angle for more precise access. By evaluating these methods, the trial aims to determine which technique provides more reliable venous access, ultimately enhancing patient comfort and reducing complications during IV placements.

What evidence suggests that these ultrasound-guided IV placement techniques are effective for venous access?

This trial will compare two ultrasound-guided IV placement techniques: the Long Axis approach and the Short Axis approach. Research has shown that the Short Axis method is more successful than the Long Axis method for ultrasound-guided IV placement. Specifically, one study found a 95% success rate for the Short Axis method, compared to an 85% success rate for the Long Axis method. Additional studies support using ultrasound for IV placement, as it increases success rates and reduces procedure time. Both methods outperform traditional techniques in terms of success and comfort, but the Short Axis method appears slightly more effective with ultrasound guidance.46789

Who Is on the Research Team?

RC

Ryan C Gibbons, MD

Principal Investigator

Temple University

Are You a Good Fit for This Trial?

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 for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.
How Is the Trial Designed?
2Treatment groups
Active Control
Group I: Long Axis approachActive Control1 Intervention
Group II: Short axis approachActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Temple University

Lead Sponsor

Trials
321
Recruited
89,100+

Citations

vs Long-axis Technique for Ultrasound-guided Peripheral ...Ultrasound-guided peripheral intravenous line (PIV) placement is associated with increased success rates, decreased time to cannulation, and fewer skin ...
vs long-axis approach to ultrasound-guided peripheral ...Success rate was 95% (19/20; 95% confidence interval, 85%-100%) in the short-axis group compared with 85% (17/20; 95% confidence interval, 69%-100%) in the long ...
Long Versus Short Axis Approach for Ultrasound Guided ...Long Versus Short Axis Approach for Ultrasound Guided Peripheral Intravenous Access ... Comparing long and short axis approach to USGPIV access.
Ultrasound-Guided Peripheral Intravenous Access TrainingThe nurses in this study achieved a USGPIV success rate of 80% during the credentialing phase, with an immediate post-training success rate of ...
Educating health professionals in ultrasound guided ...They reported encouraging results, including a successful PIVC insertion rate of 89.5% from a mean of 35.6 insertions at 3 months post ...
Ultrasound-Guided Peripheral Intravenous Line PlacementThis paper provides a narrative review of the literature on all components of ultrasound-guided PIV placement from preparation to confirmation.
Ultrasound-Guided Peripheral Intravenous Access in the ...USGPIV with modified Seldinger technique was performed on 25 patients with difficult i.v. access. The procedure was successful in 24/25 subjects (96%). The mean ...
Tips and Tricks: Best Practices for Ultrasound-Guided IV ...Technique. Two techniques have been described: the short axis (transverse, out of plane) approach and the long axis (in plane).
Guidelines for Performing Ultrasound-Guided Vascular ...Vascular access is a commonly performed procedure to facilitate patient care. This document provides expert consensus from diverse specialists on best ...
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