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Ultrasound vs Veinviewer for Difficult IV Access

QT
QT
Overseen ByQuincy Tran, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Maryland, Baltimore
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 the more effective method for inserting an IV in patients with difficult veins. It compares two devices: the Vein Viewer, which uses near-infrared light to enhance vein visibility, and the Zonare ultrasound machine. Quick IV access can be critical in emergencies, making this research important. Individuals who typically struggle with IV insertion and can recognize basic details about themselves and their surroundings may be suitable candidates for this trial. As an unphased trial, it offers a unique opportunity to contribute to the improvement of emergency care techniques.

Will I have to stop taking my current medications?

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

What prior data suggests that these devices are safe for IV access?

Research shows that both the VeinViewer and ultrasound methods for finding veins are generally safe. Studies on the VeinViewer indicate it doesn't add extra risks beyond those expected with regular IV procedures. The usual risks, such as bleeding, bruising, pain, and infection, remain similar to those with standard IV placement.

Similarly, using ultrasound to guide IV placement also appears safe. Studies have not reported any specific safety issues or problems when using ultrasound for difficult IV access, suggesting that patients tolerate the technique well.

Overall, both the VeinViewer and ultrasound methods seem to be safe options for assisting with difficult IV access, without adding significant risk beyond a standard IV procedure.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it compares two advanced techniques, Veinviewer and Zonare, for improving IV access in patients with difficult veins. Veinviewer uses near-infrared light to create a real-time image of the veins on the skin, helping healthcare providers find the best spot for IV insertion. Zonare, on the other hand, employs ultrasound technology to visualize veins beneath the skin, providing a clear view for accurate needle placement. Both methods aim to make IV insertions more successful and less painful, potentially reducing the number of attempts needed compared to traditional methods.

What evidence suggests that this trial's devices could be effective for improving IV access?

This trial will compare the effectiveness of the VeinViewer and the Zonare ultrasound machine for difficult IV access. Studies have shown that the VeinViewer, which uses near-infrared light, can improve the success rate of first-attempt IV insertions compared to traditional methods. One study found a significant improvement in success rates, while another study noted that the VeinViewer did not necessarily aid experienced nurses. Conversely, research suggests that ultrasound, such as the Zonare machine, is often the best approach for difficult IV insertions. An observational study found that ultrasound helped avoid more invasive procedures in 85% of patients with challenging IV access. Overall, both devices show promise, but their effectiveness can depend on the user's experience and the specific situation.16789

Who Is on the Research Team?

QT

Quincy Tran, MD, PhD

Principal Investigator

University of Maryland

Are You a Good Fit for This Trial?

This trial is for patients who have trouble getting IVs placed because their veins are hard to see or feel. They must be able to identify themselves, the hospital, the date, and the current president. Only English speakers who can consent and aren't intoxicated or confused can join.

Inclusion Criteria

Patients who fail inspections for visible or palpable veins
I am asking for an ultrasound-guided IV.
I know my name, where I am, the date, and the current president.

Exclusion Criteria

I need immediate medical intervention due to unstable blood pressure or heart rate.
I am under 18 years old.
I am able to understand and consent to my treatment.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants undergo IV cannulation using either the Veinviewer Flex machine or the Zonare ZS3 ultrasound machine

40 minutes
1 visit (in-person)

Follow-up

Participants are monitored for outcomes such as ED length of stay, patient satisfaction, and perception of pain

24 hours

What Are the Treatments Tested in This Trial?

Interventions

  • Veinviewer
  • Zonare
Trial Overview The study compares two devices used to help insert IVs in difficult cases: an ultrasound machine (Zonare) and a near-infrared device called Veinviewer. It aims to find out which one is more efficient in an emergency department setting.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: ZonareExperimental Treatment1 Intervention
Group II: VeinviewerExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Maryland, Baltimore

Lead Sponsor

Trials
729
Recruited
540,000+

Citations

Ultrasound vs Veinviewer in Patients With Difficulty IV AccessThis study is designed to investigate whether the ultrasound or Vein Viewer, which is a near-infrared device, is more efficient. Detailed Description.
2.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/23492965/
The VeinViewer vascular imaging system worsens first- ...The VeinViewer worsened first-attempt IV insertion success by skilled nurses. Surprisingly, first-attempt success for IV cannulation was not worsened by ...
veinviewer-for-piv-access.pdfThe study authors found significant improvement of first attempt success rate in the VeinViewer group when compared against the control group (p=0.026).
Ultrasound vs Veinviewer in Patients With Difficulty IV AccessThis study is designed to investigate whether the ultrasound or Vein Viewer, which is a near-infrared device, is more efficient.
Ultrasound vs Veinviewer for Difficult IV AccessResearch suggests that near-infrared venous imaging, like the VeinViewer, may be more useful than ultrasound for novices in obtaining difficult venous access.
VeinViewer for Peripheral IV Placement in Children With ...Risks: No extra risks are expected above that of receiving a standard IV. The standard risk of bleeding, bruising, pain, and infection will be possible ...
Vein Visualisation Technology for Peripheral Intravenous ...First‐attempt success rates can range from 44% to 76.9% for junior staff nurses, compared with 91%–98% among experienced nurses (Keleekai et al.
Effect of Intravenous (IV) Assistive Device (VeinViewer) on IV ...Unsuccessful IV access is frustrating for nurses and is widely known to cause anxiety for the patient. A 2008 nursing survey by the. Etzel-Hardman group found ...
Vein visualization: patient characteristic factors and efficacy ...Our study helped to provide patient characteristic data, defining difficult i.v. access as only occurring in subjects with less than two visible veins using CM ...
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