Comparison of Two Techniques of Peripheral Venous Catheterization in Newborns: Insertion Using a Micro-guide Versus Conventional Insertion Without Micro-guide

What this Trial Is About

Peripheral venous catheterization is commonly used to provide drug treatment, hydration, or anesthesia to newborns, including both term and preterm infants. However, in emergency situations, the first attempt to insert the peripheral venous catheter fails in about half of cases. Researchers aim to evaluate whether using a micro-guide can help guide the catheter more accurately into the vein, potentially reducing the risk of puncturing through the vessel wall during insertion. This study compares two techniques for inserting a peripheral venous catheter in newborns. One group uses a micro-guide device that is inserted after the vein is punctured with a needle, guiding the catheter placement before the guide is removed. The other group uses the classic method where the catheter is introduced directly with a needle and the needle is withdrawn while leaving the catheter in place. The trial randomly assigns participants to one of these two methods. Participants are newborns admitted to the neonatal and pediatric intensive care departments at Montpellier University Hospital. Researchers will assess the success of catheter insertion on the first attempt within five minutes, as the primary outcome. Secondary outcomes include the overall efficiency of the technique and any adverse events up to four days and one month after the procedure. The study monitors safety and effectiveness during the newborns' hospital stay and follows them for adverse events for up to one month.

Interest of Peripheral Venous Catheter Insertion Using a Micro-guide in Neonatology