Assistance Publique - Hôpitaux de Paris
Thousands of peripheral venous accesses are inserted every day all over the world. Some of them, such as those inserted in emergency and / or in critical patients, are absolutely vital. In the particular context of prehospital care, the rate of failure of the first attempt to insert a peripheral venous access has been evaluated at 25%. Success rates of successive attempts were about 75%. Nevertheless, the final success rate is close to 100%. Failure or delay in obtaining venous access can be life-threatening. Thus, alternatives to peripheral venous access have been proposed including intraosseous route recently made easier by the development of an automated puncture device (EZ-IO®), but still rarely used, especially on conscious patient. Currently, the place of intraosseous venous access in critical patients is not determined.
Hemodynamic Instability
Intraosseous venous access
Peripheral venous access
Not Applicable
Study Type : | Interventional |
Estimated Enrollment : | 1180 participants |
Masking: | None (Open Label) |
Primary Purpose: | Other |
Official Title: | Intra-Osseous Access in Difficult Vascular Access Cases |
Actual Study Start Date : | March 2, 2023 |
Estimated Primary Completion Date : | July 2, 2024 |
Estimated Study Completion Date : | November 2, 2024 |
Arm | Intervention/treatment |
---|---|
Experimental: intraosseous venous access intraosseous venous access |
Device: Intraosseous venous access |
Active Comparator: peripheral venous access Limiting use of intraosseous access (intraosseous access possible after 3 attempts of peripheral venous access) |
Device: Peripheral venous access |
Ages Eligible for Study: | 18 Years |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
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Recruiting
Hôpital Avicenne
Bobigny, France, 93000