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
Mercedes Segunda Peralta Gámez
200 participants
Jun 15, 2025
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
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
Peripheral venous cannulation with short peripheral vascular access device, performed by ultrasound technique.
Arterial puncture using a needle and heparinised syringe to extract a sample for arterial blood gas analysis, using the ultrasound-guided technique.
Cannulation of a short peripheral vascular access device using the traditional visualisation and palpation 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)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07013994