Central Venous Catheterization, Ultrasound, Emergency Medicine, Critical Care
Conditions
Brief summary
A prospective study to compare the use of point of care echocardiography versus routine chest radiography for the assessment of central venous catheter placement.
Interventions
Point of echocardiography is performed after routine placement of central venous catheterization and compared with routine chest radiography
Central venous catheter placement is performed as per local guidelines in critically ill patients
Routine chest radiography is performed after central venous catheter placement in critically ill patients
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who require central venous catheterization in critical care environments (ICU, IMC) * patients (or legal guardian) who provide written informed consents * patients aged 18 years or older
Exclusion criteria
* patients who are unable/unwilling to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adequate placement of the central venous catheter | 2 hours | Participants will be followed for the period after the intervention to assess correct placement, an expected average of 2 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time needed for the intervention (bedside echocardiography) | 5 Minutes | Time of the procedure will be measured, an expected average of 5 minutes |
| Performance of residents as assessed by the time needed to perform the echocardiography | 5 Minutes | Time needed to perform the echocardiography will be measured with an expected average of 5 minutes |
| Time needed for chest radiography to be performed | 2 hours | Time will be measured after requesting chest radiography via telephone until chest radiographs are available for review, an expected average of 2 hours |
| Adverse Events | 24 hours | Patients will be followed as per local guidelines to detect complications by central venous catheter placement, usual time Frame of 24 hours (e. g. pneumothorax from cvc placement) |
Countries
Germany