Prospective Observational Study of Difficult Intravenous Access in the Operating Room


This is an observational study only, where number of attempts to establish peripheral IV catheter placement will be recorded during procedures in all anesthetizing location on the main campus of Nationwide Children's Hospital.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: December 8, 2020


  • Other: Recording number of IV attempts
    • Recording number of IV attempts in the operating room

Arms, Groups and Cohorts

  • Difficult intravenous access
    • Recording number of IV attempts in the operating room prior to surgery start.

Clinical Trial Outcome Measures

Primary Measures

  • Time it takes to insert an IV
    • Time Frame: between 1 to 30 minutes

Secondary Measures

  • Anticipated difficulty
    • Time Frame: Baseline
    • Provider’s prediction of how difficult it will be to start the IV on a Likert scale of 1-10, with 10 being the most difficult.
  • Actual difficulty
    • Time Frame: between 1 to 30 minutes
    • Provider’s assessment of how difficult the actual IV insertion was on the same Likert scale.

Participating in This Clinical Trial

Inclusion Criteria

  • Patients 0-18 years of age – Having surgery at Nationwide Children's Hospital Exclusion Criteria:

  • Pre-existing IV upon arrival to the operating room

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: 18 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Ralph Beltran
  • Provider of Information About this Clinical Study
    • Sponsor-Investigator: Ralph Beltran, Staff Anesthesiologist – Nationwide Children’s Hospital
  • Overall Official(s)
    • Ralph Beltran, MD, Principal Investigator, Nationwide Children’s Hospital

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