CVC misplacement
Conditions
Interventions
Group 1: During CVC placement in the internal jugular a second anesthesiologist will control CVC guidewire positioning with TTE . Then CVC placement and tip positioning will be performed using TTE. Af
Sponsors
Universitätsklinikum Hamburg Eppendorf
Eligibility
Sex/Gender
All
Age
No minimum to 14 Years
Inclusion criteria
Inclusion criteria: We will include children (ages 0-14 years) scheduled for elective cardiac surgery under general anesthesia at the University Heart Center Hamburg-Eppendorf in whom CVC placement and TEE monitoring are indicated for clinical reasons unrelated to the study.
Exclusion criteria
Exclusion criteria: We will exclude patients with venous malformations or anatomic variations that are known to impair TTE/ TEE views (e.g., Glenn anatomy).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy of TTE-guided CVC tip position (using TEE as reference method) in children having cardiac surgery. We will define correct CVC tip position as: • CVC tip can be visualized in the proximal superior vena cava using TEE (accordingly, the distance between CVC tip and RA-SVC junction is between 1-4 cm) • CVC tip does not enter the right atrium (is above the RA-SVC junction) | — |
Secondary
| Measure | Time frame |
|---|---|
| As secondary endpoints, we will describe the proportion of patients in whom - TTE allows guidewire identification - TEE allows guidewire identification - TTE allows CVC tip identification - TEE allows CVC tip identification - TTE allows RA-SVC junction identification - TEE allows RA-SVC junction identification | — |
Countries
Germany
Contacts
Public ContactKristen Thomsen
Universitätsklinikum Hamburg Eppendorf
Outcome results
None listed