CClinicalTrials.gg
CompletedNCT02389725Updated May 20, 2019Results posted

The Effect of Two Different Tourniquet Techniques on Peripheral IV Access Success Rates

An interventional study of disposable elastic tourniquet and blood pressure cuff in Tourniquet, sponsored by Mayo Clinic. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-05-20.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
121
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare the success rates of two different tourniquets that are used when placing an IV.

02

Conditions studied

  • Tourniquet

Keywords

  • peripheral intravenous access
  • tourniquet techniques
03

In context

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Emergency Department patients
  • 18 years old or older
  • who receive peripheral IV access

Exclusion criteria

Exclusion Criteria:

  • Patients under the age of 18
  • prison inmates
  • pregnant patients
  • patients who are unable to give informed consent
  • critically ill patients who need emergent IV access as defined by the Emergency Medicine consultant of record for the patient
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
121 participants (actual)

Study arms

  • Active comparator
    disposable elastic tourniquet

    Device: disposable elastic tourniquet

  • Active comparator
    manual blood pressure cuff

    manual blood pressure cuff inflated to 150 milliliters mercury (mmHg)

    Device: blood pressure cuff

Interventions

  • Devicedisposable elastic tourniquet

    Comparison of first time peripheral IV access success rate between the standard elastic tourniquet and a blood pressure cuff.

  • Deviceblood pressure cuff

    Comparison of first time peripheral IV access success rate between the standard elastic tourniquet and a blood pressure cuff.

06

What researchers measure

Primary outcomes

  1. Peripheral IV Access Success Rate

    Peripheral IV access success rate is defined as the number of subjects who had successful peripheral intravenous cannulation on the first attempt. An attempt was defined as a needle penetrating the surface of the subject's skin. Successful access was defined as good flow through an IV catheter with a saline flush and without subcutaneous fluid collection.

    Time frame: baseline

Secondary outcomes

  1. Total Number of Peripheral IV Access Attempts

    The total number of peripheral IV access attempts for each subject., up to a maximum of four attempts. An attempt is defined as a needle penetrating the subject's skin surface.

    Time frame: baseline

  2. Total Number of Distinct Providers That Attempted IV Access

    Total number of individual medical providers that attempt to access IV for each subject. An attempt is defined as a needle penetrating the surface of the subject's skin. Access was defined as good flow through an IV catheter with a saline flush and without subcutaneous fluid collection.

    Time frame: baseline

  3. Rate of Rescue Techniques Used

    The number of subjects requiring one or more rescue techniques to access peripheral IV. These techniques include ultrasound guided peripheral IV access, central venous access, venous cut-down, interosseous access, and/or change in treatment plan due to unsuccessful access.

    Time frame: baseline

07

Results

Posted May 20, 2019

Participant flow

Participant flow — Overall Study
MilestoneDisposable Elastic TourniquetManual Blood Pressure Cuff
Started5960
Completed5960
Not completed00

Outcome measures

PrimaryPeripheral IV Access Success Rate

Peripheral IV access success rate is defined as the number of subjects who had successful peripheral intravenous cannulation on the first attempt. An attempt was defined as a needle penetrating the surface of the subject's skin. Successful access was defined as good flow through an IV catheter with a saline flush and without subcutaneous fluid collection.

Time frame:
baseline
Reported as:
Count of participants · Participants
Peripheral IV Access Success Rate
ParticipantsDisposable Elastic TourniquetManual Blood Pressure Cuff
Peripheral IV Access Success Rate4243
Statistical analysis
  • Disposable Elastic Tourniquet vs Manual Blood Pressure Cuff · Wilcoxon (Mann-Whitney) · p = 0.95
SecondaryTotal Number of Peripheral IV Access Attempts

The total number of peripheral IV access attempts for each subject., up to a maximum of four attempts. An attempt is defined as a needle penetrating the subject's skin surface.

Time frame:
baseline
Reported as:
Count of participants · Participants
Total Number of Peripheral IV Access Attempts
ParticipantsDisposable Elastic TourniquetManual Blood Pressure Cuff
One attempt4243
Two attempts139
Three attempts36
Four attempts12
Statistical analysis
  • Disposable Elastic Tourniquet vs Manual Blood Pressure Cuff · Wilcoxon (Mann-Whitney) · p = 0.87
SecondaryTotal Number of Distinct Providers That Attempted IV Access

Total number of individual medical providers that attempt to access IV for each subject. An attempt is defined as a needle penetrating the surface of the subject's skin. Access was defined as good flow through an IV catheter with a saline flush and without subcutaneous fluid collection.

Time frame:
baseline
Reported as:
Count of participants · Participants
Total Number of Distinct Providers That Attempted IV Access
ParticipantsDisposable Elastic TourniquetManual Blood Pressure Cuff
One provider5150
Two providers710
Three providers10
Statistical analysis
  • Disposable Elastic Tourniquet vs Manual Blood Pressure Cuff · Wilcoxon (Mann-Whitney) · p = 0.67
SecondaryRate of Rescue Techniques Used

The number of subjects requiring one or more rescue techniques to access peripheral IV. These techniques include ultrasound guided peripheral IV access, central venous access, venous cut-down, interosseous access, and/or change in treatment plan due to unsuccessful access.

Time frame:
baseline
Reported as:
Count of participants · Participants
Rate of Rescue Techniques Used
ParticipantsDisposable Elastic TourniquetManual Blood Pressure Cuff
Rate of Rescue Techniques Used63
Statistical analysis
  • Disposable Elastic Tourniquet vs Manual Blood Pressure Cuff · Wilcoxon (Mann-Whitney) · p = 0.32

Adverse events

Collected over Adverse event data were collected during the duration of the IV placement during the emergency department visit, approximately 45 minutes.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Disposable Elastic Tourniquet0/59 (0%)0/59 (0%)0/59 (0%)
Manual Blood Pressure Cuff0/60 (0%)0/60 (0%)0/60 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Disposable Elastic TourniquetManual Blood Pressure CuffTotal
Median67 (54 to 78)62 (41 to 75)65 (46 to 77)
Sex: Female, Male
Sex: Female, Male(Participants)Disposable Elastic TourniquetManual Blood Pressure CuffTotal
Female333568
Male262551
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Disposable Elastic TourniquetManual Blood Pressure CuffTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(Participants)Disposable Elastic TourniquetManual Blood Pressure CuffTotal
United States5960119
08

Study locations

1 site
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
09

References and documents

Publications

  • Tran T, Lund SB, Nichols MD, Kummer T. Effect of two tourniquet techniques on peripheral intravenous cannulation success: A randomized controlled trial. Am J Emerg Med. 2019 Dec;37(12):2209-2214. doi: 10.1016/j.ajem.2019.03.034. Epub 2019 Mar 23. PubMed 30948254 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02389725
Lead sponsor
Mayo Clinic
Responsible party
Tobias Kummer (Assistant Professor of Emergency Medicine, Mayo Clinic) — Principal investigator
First posted
Mar 17, 2015
Start date
Apr 2015
Primary completion
Jun 2016
Completion
Jun 2016
Results posted
May 20, 2019
Last update
May 20, 2019

Study contacts

Tobias Kummer, MD
principal investigator · Mayo Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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