The "Peripheral Access Utilizing Sonographic Evaluation" Study

Withdrawn before enrolling · Not applicable

Conditions studied: DIVA

In brief

The purpose of this study is to reduce, by using the ultrasound guided technique, the minor surgical procedures that might be required to deliver fluids into the blood of critically ill patients simply because the patients' veins cannot be located through the manual technique.

Key facts

Study ID

NCT02360163

Run by

Hackensack Meridian Health

People needed

0

Starts

2015-02-01

Expected to finish

2017-01-19

Last updated by the study team

2018-08-03

Who can join

Age: 21 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• The patient is >= 21 years of age
• Adult critically ill patients in CCU and MICU requiring short peripheral intravenous access
• The patient has been identified as difficult intravenous access (DIVA), defined as at least two failed blind sticks in the antecubital fossa or more distal upper arm veins
• The patient does not otherwise require a CVC

You may not qualify if…

• The patient has a PICC line on the same side as IV placement and has the following:
• Has a condition poses risk for DIC, inadequate flow, or infection.
• Has been identified as a site for "Save the Vein" protocol implementation, unless permission is otherwise obtained by the patient's physician.
• Has a hemodialysis fistula in place on that upper arm side.
• The patient is expected to require therapeutic agent or procedure that necessitates central venous access such as:
• central venous monitoring
• Total Parenteral Nutrition
• Antibiotic requiring central venous access
• Chemotherapy
• Vesicants
• Medications pH less than 5 or more than 9
• Medications of glucose concentrations above 10%
• Solution with protein concentrations above 5% (Vascular Access Management, n.d.)
• The patient already has a central venous catheter access, for reasons other than DIVA, through which therapy can be infused
• The patient has renal disease and a "Save The Vein" order is anticipated or pending (serum creatinine >2mg/dL and GFR <20) for one of the patient's arms, unless permission is otherwise obtained by the patient's physician
• The patient has a bleeding disorder, unless permission is otherwise obtained by the patient's physician
• The clinician believes the patient is not a good fit for the study or that the procedure is not appropriate for patient at the given moment

Where it is running

• Hackensack University Medical center — Hackensack, New Jersey, United States

Full record on ClinicalTrials.gov

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