Blood Sampling Functionality of Extended Dwell Catheters
IV Catheter-Related Infection or Complication, Vascular Access Complication, Peripheral Venous Access
About this trial
This is an interventional treatment trial for IV Catheter-Related Infection or Complication focused on measuring intravenous access, vascular access, IV survival
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
Sites / Locations
- Beaumont Hospital - Royal OakRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Experimental Group
Control Group
If the patient is randomized to the experimental group (lower arm), the research staff will direct the insert to place the catheter into the forearm at least 10 cm away from the antecubital fossa.
Control group (upper arm). If the patient is in the control group the research staff will direct the inserter to place the catheter into the upper arm vein at least 2 cm above the antecubital fossa.