Two different techniques of ultrasound-guided peripheral venous catheter placement versus the traditional approach in the pre-hospital emergency setting: a randomized study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F44555601%3A13450%2F20%3A43895903" target="_blank" >RIV/44555601:13450/20:43895903 - isvavai.cz</a>

Result on the web

<a href="https://link.springer.com/article/10.1007%2Fs11739-019-02226-w" target="_blank" >https://link.springer.com/article/10.1007%2Fs11739-019-02226-w</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s11739-019-02226-w" target="_blank" >10.1007/s11739-019-02226-w</a>

Result language

angličtina

Original language name

Two different techniques of ultrasound-guided peripheral venous catheter placement versus the traditional approach in the pre-hospital emergency setting: a randomized study

Original language description

We performed a randomized pre-hospital clinical study to compare two different techniques of ultrasound-guided peripheral venous catheter (PVC) insertion and the conventional cannulation technique in the pre-hospital emergency setting, with a specific focus on the procedural success rate and the time required to introduce PVC. This pre-hospital prospective controlled randomized clinical trial allocated patients treated by emergency medical service to undergo PVC insertion fully controlled by ultrasound (ultrasound guidance of the PVC tip until it penetrates the lumen, group A), PVC insertion partially controlled by ultrasound (target vein identification only, group B) or to receive PVC without any ultrasound guidance (group C). The study outcomes were monitored until the patient was admitted to the hospital. A total of 300 adult patients were enrolled. The success of the first attempt (group A: 88%, group B: 94%, group C: 76%, p &lt; 0.001) and overall success rate (A: 99%, B: 99%, C: 90%, p &lt; 0.001) were significantly higher in the group A, followed by group B when compared to group C. The number of attempts was significantly lower (A: 1.18 +/- 0.54, B: 1.05 +/- 0.22, C: 1.22 +/- 0.57, p &lt; 0.001) and the time required for the procedure shorter (A: 75.3 +/- 60.6, B: 43.5 +/- 26.0, C: 82.3 +/- 100.9 s, p &lt; 0.001) in group B compared to groups A and C. Both techniques of ultrasound-guided PVC placement were associated with higher success rates than the conventional method. However, PVC insertion partially controlled by ultrasound was superior to full ultrasound guidance in terms of time and number of cannulation attempts required.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30218 - General and internal medicine

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Internal and Emergency Medicine

ISSN

1828-0447

e-ISSN

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Volume of the periodical

15

Issue of the periodical within the volume

2

Country of publishing house

IT - ITALY

Number of pages

8

Pages from-to

303-310

UT code for WoS article

000495041300001

EID of the result in the Scopus database

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