Central Venous Catheter Thrombosis, Critically Ill, PARENTERAL NUTRITION, POST OPERATIVE
Conditions
Brief summary
The objective is to determine the incidence of thrombosis on central venous catheters in patients hospitalized in a surgical critical care unit, in the immediate postoperative period of urological or digestive carcinological surgery, and receiving parenteral nutrition.
Detailed description
The post operative period, wich is a critically ill condition, and history of cancer are related to a high risk of venous thrombosis. Catheter is one of the most common complication of parenteral nutrition and is also related to thrombosis. The combination of theses conditions increases the risk of venous catheter thrombosis. , Since, there is no data evaluating this risk nowadays, the objective of this study is to determine the incidence of thrombosis on central venous catheters in patients hospitalized in a surgical critical care unit, in the immediate postoperative period of urological or digestive carcinological surgery, and receiving parenteral nutrition.
Interventions
DIAGNOSTIC_TESTDOPPLER ULTRASOUND
MESURE OF THE PRESENCE OR NOT OF A CATHETER RELATED VEIN THROMBOSIS
Sponsors
Central Hospital, Nancy, France
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Hospitalization in surgical intensive care in the immediate post-operative period * surgery for cancer * central venous catheter placement for parenteral nutrition * written consent dated and signed before doppler examination
Exclusion criteria
* patient \< 18 years old * pregnancy * surgery with no indication for parenteral nutrition on central venous access
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence or no of a catheter related thrombosis | 1 day (day of the catheter removal) | Patients will undergo an examination by a specialist in vascular medicine just before removal of the catheter.This specialist also is specialist in vascular doppler ultrasonography. The specialist would search symptoms and signs of deep vein thrombosis : local pain, swelling, redness, warmth. Clinical examinated would be completed by doppler ultrasound : thrombus is detected during a compression test, while cruor is evaluated in B-mode (gray-scale) imaging. This method is very sensitive with regard to detection of the thrombus. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| clinical factors associated with the presence of catheter related thrombosis | post operative period, during the intensive care unit stay | During the intensive care unit stay, the investigator would prospectively collected data, including : * potential risk factors : age, history of venous thrombosis, type of cancer... * details of surgery : type and operating time * details of critically ill period : number and type of organs failures, first mobilisation.. * details of the clinical course : occurence of a situation requiring curative anticoagulation.. |
Countries
France
Outcome results
None listed