Central Venous Catheter
Conditions
Keywords
Central Venous Catheter, Point Of Care Ultra Sound, Sub Clavian Vein, Internal Jugular Vein, Trans Thoracic Echocardiography
Brief summary
Central venous catheter (CVC) is an essential tool in the management of both medical and surgical patients. Establishing venous access is critically important and is sometimes technically challenging. Among the many indications for point of care ultrasound (POCUS), ultrasound-guided venous catheter placement is well described and increasingly used. This study was designed to evaluate the utility of peri procedural transthoracic echocardiography (TTE) as a tool for positioning CVC and for ruling out complications.
Detailed description
Central venous catheter (CVC) is an essential tool in the management of both medical and surgical patients. Establishing venous access is critically important and is sometimes technically challenging. Among the many indications for point of care ultrasound (POCUS), ultrasound-guided venous catheter placement is well described and increasingly used. This study was designed to evaluate the utility of peri procedural transthoracic echocardiography (TTE) as a tool for positioning CVC and for ruling out complications. The study population will be screened at the internal wards and medical intensive care unit of Soroka Medical Center. Research candidates' files will be screened routinely by a study coordinator. The study population will be enrolled according to the inclusion and exclusion criteria. The primary objective for the study is to evaluate whether the use of POCUS in CVC insertion can help inaccurate CVC tip placement, detect misplacement and complications and better than chest X ray.
Interventions
DEVICEPOC US
Use of point of care ultrasound in insertion of CVC
Sponsors
Soroka University Medical Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients admitted to internal ward or medical intensive care unit 2. Patients in need for central venous catheter in the subclavian or internal jugular veins
Exclusion criteria
1. Subject currently enrolled in another investigational study 2. Surgical patients with open abdomen covered with bogota bag or vac - pac 3. Patients with pneumothorax prior to central venous catheter insertion 4. Patients in need for central venous catheter for hemodialysis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of misplacement of the tip of CVC. | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Rate of ventricular arrhythmia during line insertion while using POC US | 6 months |
| Duration time of CVC insertion using POC US | 6 months |
| Number of CVC insertion complications using POC US | 6 months |
| Sensitivity (score-the device's ability to identify a condition correctly) of POC US in detection of CVC insertion complications | 6 months |
| Specificity (score-the device's ability to exclude a condition correctly) of POC US in detection of CVC insertion complications | 6 months |
Countries
Israel
Outcome results
None listed