Development and Evaluation of an Algorithm for Vascular Access Management
This study is looking into making it easier and less uncomfortable for patients to have a drip put in, particularly for those who are known to be 'difficult sticks'. Many people find it hard to get a drip in first time, leading to multiple attempts, pain, and other issues. Researchers are testing a new system, called the A-DIVA Tool, which helps nurses and doctors quickly work out how difficult it might be to insert a drip. This tool helps them decide the best approach from the start, rather than waiting for problems to happen. The goal is to reduce repeated needle pokes, lessen pain, and make the process smoother for patients, while also helping healthcare services run more efficiently.
At a glance
What is this study about?
When you need a drip (also called a peripheral venous catheter), a small tube is put into a vein, usually in your arm or hand. For many people, this is a straightforward process. However, for almost one in four people, it can be tricky to find a vein, which means nurses or doctors might need to try a few times. This can be painful, cause bruising, and might even increase the risk of infection. This study aims to make this experience better for everyone, especially for those who are known to have 'difficult veins'.
The study involves testing a new system called the A-DIVA Tool. This tool helps medical staff quickly check a few things about your veins, like if they are easy to see or feel, and if you’ve had trouble with drips before. Based on these checks, it gives a score that helps them decide the best way to put the drip in. This might mean using special equipment like ultrasound (which uses sound waves to see veins) or choosing a different type of access if needed, right from the start.
The main goal is to reduce the number of times a needle is used by choosing the right method first time. This should mean less pain and discomfort for patients, a quicker process, and reduce other complications. The study will look at how well this tool works in several stages, first by observing current practices, then by introducing parts of the tool, and finally by using the full A-DIVA Tool system.
Key takeaways
- Aims to make getting a drip easier and less painful.
- Tests a new system (A-DIVA Tool) to help medical staff.
- Goal is to reduce repeated needle attempts.
- Focuses on improving current procedures, not new treatments.
- Participation involves observation during drip insertion.
Who may be eligible?
To take part in this study, you need to be an adult patient who needs a drip inserted and you must agree to be in the study. Medical staff, such as nurses and doctors working in the departments where the study is happening, can also take part.
However, you cannot join the study if you are under 18, or if you have a legal guardian or find it difficult to communicate or give your consent. Also, if you're not needing a drip, or if you're experiencing a severe medical emergency such as major injury or shock, or if you already have a drip in when you arrive, you won't be able to participate.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years of age or older?
- Do you need a drip (peripheral venous catheter) inserted?
- Are you able to understand and agree to take part?
- Are you *not* currently in a major emergency like shock or severe injury?
- Do you *not* already have a drip in place when you arrive?
What does participation involve?
If you decide to take part, your experience of having a drip inserted will be observed and recorded. There are three stages to the study, and your participation will depend on which stage is happening when you need a drip. In some stages, medical staff will use a new scoring system (the A-DIVA Scale) to assess your veins before putting in the drip. In later stages, they might use the full A-DIVA Tool, which guides them on the best method for insertion based on your score. You might also be asked about your experience, or medical staff might provide their opinions on using the tools.
The study will collect information over several months, but your individual participation will be focused on the moment you need a drip and the process of it being inserted. It's not about taking new medication or having extra visits. The aim is to observe and improve the current way drips are put in.
Potential risks and benefits
Locations (1)
- Center Hospital NancyVerified postcodeVandœuvre-lès-Nancy, France· Recruiting
Common questions
What is 'peripheral venous access'?
It's the process of putting a small tube, often called a drip or cannula, into a vein usually in your arm or hand.
What does 'DIVA' mean?
DIVA stands for 'Difficult Intravenous Access', meaning it's tricky to find a vein to put a drip in.
Will I have to do anything extra if I join the study?
No, you won't have extra appointments or take new medicine. The study observes how drips are put in and tests new methods.
Will this study hurt me?
No, the study is designed to make the drip insertion process better and potentially less painful, not to cause extra harm.
Can I still get a drip if I don't want to be in the study?
Yes, absolutely. Your medical care will be exactly the same whether you choose to participate or not.
How to find out more
Amandine OSTERMANN
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
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