190 Participants Needed

Ultrasound-Guided IV Access for Rescue Peripheral IV Access

Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: Mayo Clinic
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 aims to determine if using ultrasound to locate the great saphenous vein (GSV) in the thigh can assist with challenging IV access. The goal is to assess whether this vein can serve as a reliable option for IV placement when other methods prove difficult. Patients or staff members in an emergency department without leg wounds or infections may qualify for this study. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance IV access techniques.

What prior data suggests that this ultrasound technique is safe for IV access?

Research has shown that using ultrasound to access the great saphenous vein is generally safe. Studies have found it to be a reliable method in situations where inserting an IV is challenging. Importantly, these studies reported no unexpected problems or safety issues.

Ultrasound guidance allows doctors to visualize the blood vessel, facilitating correct IV insertion. This technique has demonstrated high success rates, particularly in young children. Overall, using ultrasound to guide IV access appears to be a safe option for reaching veins that are otherwise difficult to access.12345

Why are researchers excited about this trial?

Researchers are excited about ultrasound-guided IV access using the Great Saphenous Vein (GSV) because it offers a new technique for improving peripheral IV access, especially when traditional methods fail. Unlike standard methods that rely on visual and tactile cues, this approach uses ultrasound to precisely locate the GSV, potentially increasing success rates and reducing patient discomfort. The method could significantly enhance patient care by providing a reliable alternative in challenging IV access situations.

What evidence suggests that ultrasound of the great saphenous vein is effective for rescue peripheral IV access?

Research has shown that using ultrasound to locate the great saphenous vein (GSV) proves very useful when veins are difficult to find. Studies confirm that this method is both effective and safe. It serves as a reliable alternative for inserting an IV when traditional methods fail. In some cases, ultrasound guidance is safer and more successful than conventional vein-finding techniques, particularly in challenging situations. This approach also helps avoid more invasive procedures, such as inserting central venous catheters, during emergencies. Participants in this trial will receive ultrasound-guided access to the GSV as part of the study.16789

Who Is on the Research Team?

TK

Tobias Kummer, MD

Principal Investigator

Mayo Clinic

Are You a Good Fit for This Trial?

This trial is open to both children and adults who visit or work in the emergency department, as well as those at additional training sites with emergency medicine residents. It's not for critically ill patients, those with inaccessible legs due to dressings or wounds, leg infections/injuries, prisoners, or anyone unable to consent verbally.

Inclusion Criteria

I am either a patient or employee in the emergency department or at a training site for emergency medicine.

Exclusion Criteria

Patients that are prison inmates and patients/patient's surrogates who are unable to give verbal consent/assent
My legs are not accessible for examination due to dressings or wounds.
Critically ill patients as determined by the Emergency Medicine consultant of record for the patient
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Ultrasound Assessment

Ultrasound of the great saphenous vein at the medial thigh to assess its anatomy

12 months

Follow-up

Participants are monitored for safety and effectiveness after ultrasound assessment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • US of the GSV
Trial Overview The study aims to evaluate the great saphenous vein (GSV) at the upper part of the inner thigh using ultrasound (US) technology. The goal is to determine if this vein can be a dependable option for inserting an IV when other veins are not usable.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: US of GSVExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Mayo Clinic

Lead Sponsor

Trials
3,427
Recruited
3,221,000+

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/34996672/
Ultrasound-Guided Great Saphenous Vein AccessUltrasound-guided GSV PIV placement is a feasible alternative in situations of difficult iv access. No unforeseen complication or safety issue was identified.
Ultrasound-Guided IV Access for Rescue Peripheral ...The purpose of this study is to assess the anatomy of the great saphenous vein at the level of the medial thigh in the general population in an effort to ...
Peripheral Vascular Access in Infants: Is Ultrasound-Guided ...Conclusions: Ultrasound-guided peripheral vascular cannulation appears to be more effective and safer than the conventional technique in infants ...
Ultrasound-Guided Great Saphenous Vein Accessultrasound-guided cannulation in cases of difficult peripheral venous access. 8. Objectives: Our objective was to determine the feasibility of ultrasound-. 9.
Ultrasound-Guided Peripheral Intravenous Access ...Results: During the study period, the ED treated a total of 401,532 patients, of whom 1,583 (0.39%) received a central venous catheter. The ...
Ultrasound-Guided Great Saphenous Vein AccessUltrasound-guided GSV PIV placement is a feasible alternative in situations of difficult iv access. No unforeseen complication or safety issue was identified.
Guidelines for Performing Ultrasound-Guided Vascular ...The major roles of US during vascular access include (1) precannulation vessel assessment,. (2) dynamic US guidance during cannulation, and (3) identification ...
Ultrasound-guided cannulation of the great saphenous ...The success rate in infants ≤6 months was 96%, whereas in older infants, the success rate was 100%. The overall success rate in all infants was 98%. Conclusions.
Comparison of Ultrasound Guided and Conventional ...Within pediatric patients, ultrasound guided peripheral venous cannulation is more efficacious when compared to the conventional palpation technique.
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