Infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients: the prospective, randomised, multicentre ICARE trial
Introduction The insertion of a peripheral venous line is of paramount importance in the stabilisation of critically ill patients. It is a preferred method of venous access over more invasive techniques due to its immediacy and fewer complications. Difficulties of catheterisation can result in delay...
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2025-02-01
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| author | Étienne Audureau Sophie Demeret Nicolas Mongardon Damien Contou Matthieu Schmidt Muriel Fartoukh Armand Mekontso Dessap Daniel Da Silva Frédérique Schortgen Rachida Ouedraogo Aline Alves Amélie Bruant Oumar Sy Cécilia Tabra Osorio Amélie Chenal Laurence Krzyzaniak Marianne Le Joncour Latifa Ait Benaissa Meriem Bouguerra Stéphanie Tanguy Dubois Eric Starczala Chirine Petyt Séverine Dezellus Jean Francois Georger Ann-Cécile Pallud Damien Carras Fabien Boussely |
| author_facet | Étienne Audureau Sophie Demeret Nicolas Mongardon Damien Contou Matthieu Schmidt Muriel Fartoukh Armand Mekontso Dessap Daniel Da Silva Frédérique Schortgen Rachida Ouedraogo Aline Alves Amélie Bruant Oumar Sy Cécilia Tabra Osorio Amélie Chenal Laurence Krzyzaniak Marianne Le Joncour Latifa Ait Benaissa Meriem Bouguerra Stéphanie Tanguy Dubois Eric Starczala Chirine Petyt Séverine Dezellus Jean Francois Georger Ann-Cécile Pallud Damien Carras Fabien Boussely |
| author_sort | Étienne Audureau |
| collection | DOAJ |
| description | Introduction The insertion of a peripheral venous line is of paramount importance in the stabilisation of critically ill patients. It is a preferred method of venous access over more invasive techniques due to its immediacy and fewer complications. Difficulties of catheterisation can result in delays to treatment, increased complication risks and pain, and a waste of valuable time and healthcare resources. Our hypothesis is that infrared vein illumination could improve the success rate of peripheral venous catheterisation in critically ill patients at risk of difficult catheterisation.Methods and analysis This is a prospective, multicentre, randomised, open-label controlled trial. It will be conducted in France and will involve critically ill patients at risk of difficult peripheral catheterisation. Patients will be randomly assigned to usual care or infrared vein illumination. The primary outcome is the rate of successful peripheral venous catheterisation at first puncture. Secondary outcomes include time to placement, overall rate of successful peripheral venous catheterisation, number of punctures, quality (calibre of the catheter), replacement rate, need for central line and local complications (dysfunction, diffusion, haematoma and lymphangitis).Ethics and dissemination The study has been granted ethical approval (CPP Ile de France 1). Following the provision of informed consent, patients will be included in the study. The results will be submitted for publication in peer-reviewed journals.Trial registration number NCT03932214. |
| format | Article |
| id | doaj-art-d47177eb7fd34e35a98bd59ea3cf2fee |
| institution | Kabale University |
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| language | English |
| publishDate | 2025-02-01 |
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| spelling | doaj-art-d47177eb7fd34e35a98bd59ea3cf2fee2025-02-07T07:20:09ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-090611Infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients: the prospective, randomised, multicentre ICARE trialÉtienne Audureau0Sophie Demeret1Nicolas Mongardon2Damien Contou3Matthieu Schmidt4Muriel Fartoukh5Armand Mekontso Dessap6Daniel Da Silva7Frédérique Schortgen8Rachida Ouedraogo9Aline Alves10Amélie Bruant11Oumar Sy12Cécilia Tabra Osorio13Amélie Chenal14Laurence Krzyzaniak15Marianne Le Joncour16Latifa Ait Benaissa17Meriem Bouguerra18Stéphanie Tanguy Dubois19Eric Starczala20Chirine Petyt21Séverine Dezellus22Jean Francois Georger23Ann-Cécile Pallud24Damien Carras25Fabien Boussely2614 Unité de Recherche Clinique Henri Mondor, Hôpitaux Universitaires Henri Mondor-Albert, AP-HP, CEPIA EA7376, Institut Mondor de Recherche Biomédicale, INSERM U955, Universite Paris-Est Creteil Val de Marne, Creteil, France9 Neurological Intensive Care Medicine, La Pitie-Salpetriere Hospital, AP-HP, Paris, France7 Service d’Anesthésie-Réanimation, Hôpitaux Universitaires Henri Mondor, AP-HP, Paris, France5 Service de Réanimation Polyvalente, Centre Hospitalier Victor Dupouy, Argenteuil, France11 Service de Médecine Intensive Réanimation, Hôpital Pitié-Salpêtrière, AP-HP, Sorbonne Université, Paris, France6 Service de Médecine Intensive Réanimation, Département Médico-Universitaire APPROCHES, Hôpital Tenon, AP-HP, Sorbonne Université, Paris, France1 Service de Médecine Intensive Réanimation, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France8 Service de Médecine Intensive Réanimation, Centre Hospitalier de Saint-Denis, Hôpital Delafontaine, Saint Denis, Île-de-France, France4 Service de Médecine Intensive Réanimation Adulte, Centre Hospitalier Intercommunal de Créteil, Creteil, France1 Service de Médecine Intensive Réanimation, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France1 Service de Médecine Intensive Réanimation, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France3 Service de Médecine Intensive Réanimation, Groupe Hospitalier Sud Ile de France, Melun, France3 Service de Médecine Intensive Réanimation, Groupe Hospitalier Sud Ile de France, Melun, France4 Service de Médecine Intensive Réanimation Adulte, Centre Hospitalier Intercommunal de Créteil, Creteil, France5 Service de Réanimation Polyvalente, Centre Hospitalier Victor Dupouy, Argenteuil, France6 Service de Médecine Intensive Réanimation, Département Médico-Universitaire APPROCHES, Hôpital Tenon, AP-HP, Sorbonne Université, Paris, France7 Service d’Anesthésie-Réanimation, Hôpitaux Universitaires Henri Mondor, AP-HP, Paris, France8 Service de Médecine Intensive Réanimation, Centre Hospitalier de Saint-Denis, Hôpital Delafontaine, Saint Denis, Île-de-France, France9 Neurological Intensive Care Medicine, La Pitie-Salpetriere Hospital, AP-HP, Paris, France10 Service de Médecine Intensive Réanimation, Centre Hospitalier Léon Binet, Provins, France10 Service de Médecine Intensive Réanimation, Centre Hospitalier Léon Binet, Provins, France11 Service de Médecine Intensive Réanimation, Hôpital Pitié-Salpêtrière, AP-HP, Sorbonne Université, Paris, France12 Service de Médecine Intensive Réanimation, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint Georges, France12 Service de Médecine Intensive Réanimation, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint Georges, France1 Service de Médecine Intensive Réanimation, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France1 Service de Médecine Intensive Réanimation, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France13 Groupe Hospitalier Sud Ile-de-France, Melun, FranceIntroduction The insertion of a peripheral venous line is of paramount importance in the stabilisation of critically ill patients. It is a preferred method of venous access over more invasive techniques due to its immediacy and fewer complications. Difficulties of catheterisation can result in delays to treatment, increased complication risks and pain, and a waste of valuable time and healthcare resources. Our hypothesis is that infrared vein illumination could improve the success rate of peripheral venous catheterisation in critically ill patients at risk of difficult catheterisation.Methods and analysis This is a prospective, multicentre, randomised, open-label controlled trial. It will be conducted in France and will involve critically ill patients at risk of difficult peripheral catheterisation. Patients will be randomly assigned to usual care or infrared vein illumination. The primary outcome is the rate of successful peripheral venous catheterisation at first puncture. Secondary outcomes include time to placement, overall rate of successful peripheral venous catheterisation, number of punctures, quality (calibre of the catheter), replacement rate, need for central line and local complications (dysfunction, diffusion, haematoma and lymphangitis).Ethics and dissemination The study has been granted ethical approval (CPP Ile de France 1). Following the provision of informed consent, patients will be included in the study. The results will be submitted for publication in peer-reviewed journals.Trial registration number NCT03932214.https://bmjopen.bmj.com/content/15/2/e090611.full |
| spellingShingle | Étienne Audureau Sophie Demeret Nicolas Mongardon Damien Contou Matthieu Schmidt Muriel Fartoukh Armand Mekontso Dessap Daniel Da Silva Frédérique Schortgen Rachida Ouedraogo Aline Alves Amélie Bruant Oumar Sy Cécilia Tabra Osorio Amélie Chenal Laurence Krzyzaniak Marianne Le Joncour Latifa Ait Benaissa Meriem Bouguerra Stéphanie Tanguy Dubois Eric Starczala Chirine Petyt Séverine Dezellus Jean Francois Georger Ann-Cécile Pallud Damien Carras Fabien Boussely Infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients: the prospective, randomised, multicentre ICARE trial BMJ Open |
| title | Infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients: the prospective, randomised, multicentre ICARE trial |
| title_full | Infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients: the prospective, randomised, multicentre ICARE trial |
| title_fullStr | Infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients: the prospective, randomised, multicentre ICARE trial |
| title_full_unstemmed | Infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients: the prospective, randomised, multicentre ICARE trial |
| title_short | Infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients: the prospective, randomised, multicentre ICARE trial |
| title_sort | infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients the prospective randomised multicentre icare trial |
| url | https://bmjopen.bmj.com/content/15/2/e090611.full |
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