The placement of an intravenous (IV) line is a common procedure when treating adult patients in critical care, in the emergency room or in the operating room. This simple and minimally invasive procedure can sometimes be made difficult depending on the patient's morphology or their clinical condition. The procedure then becomes time-consuming, anxiety-provoking, painful and its success is uncertain.
The placement of intravenous (IV) lines under ultrasound by nurses is a rapidly developing alternative in intensive care, emergencies and the operating room.
Patient aged at least 18 years old
Patient with an A-DIVA (Adult Difficult Intravenous Access) score > 1
Supported by a nurse trained in all the techniques used in the protocol
Patient having given free, informed and oral consent -
Patient who has already been included in the study
Patient whose inclusion in the study would lead to a delay in treatment
Adult patient protected by law
Pregnant woman
Parallel
Standard ultrasound
DevicePlacement of IV line using standard ultrasound.
Ultra-portable ultrasound
DevicePlacement of IV line using ultra-portable ultrasound.
Intravenous (IV) line placement time
Time in minutes between tourniquet placement and dressing application after placement.
Placement of the IV line successfully obtained from the first puncture
Percentage of cases where the placement of the IV line was obtained from the first puncture
Number of skin perforations
Number of skin perforations required to establish the IV line
Overall success rate after 3 punctures
Overall success rate after 3 punctures
Use an alternative solution (central catheter)
Need to use an alternative solution (central catheter)
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