RecruitingNot ApplicableNCT07013994

Comparison of Traditional and Ultrasound-Guided Techniques for Vascular Access in Patients With Difficult Venous Access in Emergency Department.

Comparison of Traditional and Ultrasound-Guided Techniques for Vascular Access in Patients With Difficult Venous Access in Emergency Department: Randomized Clinical Trial Protocol


Sponsor

Mercedes Segunda Peralta Gámez

Enrollment

200 participants

Start Date

Jun 15, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The aim of this clinical trial is to compare the use of ultrasound versus the traditional palpation and visualization technique for vascular punctures, both peripheral venous and arterial punctures for arterial blood gas sampling, in patients presenting to hospital emergency departments. The main questions it seeks to answer are: Does the use of ultrasound facilitate peripheral venous cannulation in patients with difficult venous access in the emergency department? Does the use of ultrasound facilitate arterial puncture in patients presenting to the emergency department who require arterial blood gases? The researchers will compare the use of ultrasound with the traditional technique in vascular punctures by emergency department nurses. To determine the differences in the number of attempts needed, the number of professionals needed to perform the technique, the time invested, the pain produced with both techniques, etc., the researchers will compare the use of ultrasound with the traditional technique for vascular punctures by emergency department nurses.


Eligibility

Inclusion Criteria3

  • Prescription for CIP or GA cannulation.
  • Informed consent signed by the patient or patient's representative.
  • A score ≥3 on the A-DICAVE scale or ≥4 on the DIVA scale for PIVC.

Exclusion Criteria2

  • Scores below 3 on the A-DICAVE scale or below 4 on the DIVA scale for PIVC.
  • Inability to obtain informed consent from the patient or patient's representative

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Interventions

PROCEDUREperipheral venous cannulation with ultrasound-guided technique

Peripheral venous cannulation with short peripheral vascular access device, performed by ultrasound technique.

PROCEDUREArterial gas puncture using ultrasound-guided technique

Arterial puncture using a needle and heparinised syringe to extract a sample for arterial blood gas analysis, using the ultrasound-guided technique.

PROCEDUREPeripheral venous cannulation with traditional technique

Cannulation of a short peripheral vascular access device using the traditional visualisation and palpation technique.

PROCEDUREArterial puncture by traditional technique

Arterial puncture using a needle and heparinised syringe to extract an arterial blood sample for arterial gamosetry analysis, performed using the traditional arterial pulse palpation technique.


Locations(1)

Hospital Emergency Department of the Nuestra Señora de Sonsoles Hospital in Ávila.

Ávila, Ávila, Spain

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NCT07013994