N/A
N=88
Blood Sampling Functionality of Extended Dwell Catheters
IV Catheter-Related Infection or Complication · Vascular Access Complication · Peripheral Venous Access
Bottom Line
View on ClinicalTrials.gov: NCT04409418 ↗Enrolled (actual)
88
Serious AEs
0.0%
Results posted
Nov 2024
Primary outcome: Primary: Blood Sampling Functionality — 70.19; 112.9 hours
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Extended dwell catheters (Device)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Corewell Health East
- Primary completion
- Sep 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Blood Sampling Functionality |
70.19; 112.9 | — |
| SECONDARY Catheter Dwell Time/Survival |
74.27; 115.52 | — |
| SECONDARY Thrombosis |
2; 5 | — |
Summary
The purpose of this study is to compare upper arm versus forearm Extended Dwell Catheter (EDC) placement for blood sampling functionality. EDC is an alternative to peripheral Intravenous (IVs) especially during prolonged hospital stays. EDCs are generally placed using ultrasound for guidance and are commonly placed in any of 3 veins in the arm. They can be inserted above or below the antecubital fossa (the bend of the elbow). These catheters can be left for up to 30 days and don't fail as quickly when compared to peripheral IVs.
Eligibility Criteria
Inpatient Inclusion Criteria:
- Consult to VAT for vascular access device placement
- Patient requires peripheral access
- Adults >18 years of age
ED Patient Inclusion Criteria
- Age > 18 years old
- Difficult vascular access defined as: patient has no visible veins (>2mm) or palpable veins
- Anticipated hospital admission
All patients meeting inclusion criteria will be pre-scanned prior to formal enrollment to identify diameter of target veins and calculate a catheter to vein ratio at the potential insertion site. Patients must meet this criteria in both upper arm and forearm locations prior to enrollment and randomization.
Exclusion Criteria
Patients will be excluded if:
- Multiple lumens required
- Functional vascular access device exists proximal to the targeted area of insertion. This does not include superficial non-ultrasound guided peripheral IVs.
- Upper extremity cannot be accessed due to a coexisting medical condition
- Cognitively impaired
Data sourced from ClinicalTrials.gov (NCT04409418). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.